A Step Back? Medicaid Payment Cuts Looming

Although Medicaid enrollment of patients has increased with the Affordable Care Act, there is concern that less of these patients will be cared for by physicians due to changes in Medicaid payments to providers. A report from the Urban Institute estimates physicians will see their payment for primary care reduced this coming week as the enhanced payments for Medicaid  before are set to expire. With reduced compensation for taking care of Medicaid patients, many providers and organizations are worried that patients will loss access to providers and this will further discourage physicians in training to pursue primary care. Click on the links below to learn more from The New York Times and the Urban Institute.


Click to access 2000025-Reversing-the-Medicaid-Fee-Bump.pdf

#clinicalpearls Cardiology

EDITED (thank you to Dr. Khera!):

Indications for operative repair of aortic regurgitation:

  1.  CHF symptoms (OR evidence that the ventricle is decompensating)
  2. Asymptomatic, but EF 50mm (Class IIa, probably should)
  3. Asymptomatic, LV end systolic diameter > 50mm (Class IIa, probably should) – (#2 and #3 make the “rule of 50’s”)