House Leaders Say They’re Working on Fix to Outdated Medicare Formula

Top House lawmakers said Friday they’re inching closer to a plan that repeals the formula that pays doctors for each service provided under Medicare and replaces it with one that rewards providers for high-quality care — a measure that both sides of the political aisle have said is long overdue.

Congress has tried for some time to repeal the Sustainable Growth Rate (SGR) formula, which lawmakers override each year with a fiscal patch known as the “doc fix” — even when the formula calls for a cut.

Amid growing whispers about a House plan, Ways and Means Chairman Paul Ryan, Energy and Commerce Chairman Fred Upton and top Democrats from both panels said they are working on a deal ahead of an April 1 deadline for another fix.