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U.S. budget puts bite on off-campus outpatient departments, extends sequester

11/9/2015

A new U.S. budget has extended the 2% sequester cut that has plagued providers since 2013 and made new trouble for providers in practices owned by health systems but located outside of their campuses.

Get ready for 4% cut: Budget shutdown not likely to stop Medicare sequester

9/15/2025

There’s an opportunity for Congress to take advantage of the shutdown threat to head off the extra 2% sequestration cut providers face in 2026, but experts advise against getting your hopes up.

Sequester cuts delayed (again); MACs will reprocess docked claims

4/26/2021

Providers gained a fresh reprieve from the sequestration payment adjustment that had been on track to dock 2% of Medicare payments starting April 1.

Budget bill follow-up: Medicaid cuts to hit hospitals; sequester stays 2%

6/23/2025

While all Medicare providers should be interested in the prospective change to physician payments in Congress’ pending budget bill, there are a few other pieces of the bill that would affect them indirectly. Medicaid and Affordable Care Act (ACA) cuts, for example, appear to increase the number of uninsured and threaten at-risk hospitals. Also, the sequestration cut isn’t going up — or going away.

Final budget bill may mean 4% Medicare sequester, fewer covered patients

7/21/2025

The budget bill signed into law on July 4 adds a 2.5% raise to the physician fee schedule (PFS). But because the law increases the deficit, other laws previously passed by Congress mandate an increase in the sequestration cuts to Medicare revenue from the current 2% to 4% — and potentially higher — unless a new law is passed to cut it off. Other impacts on Medicare practices, including a reduction in covered patients, also are expected.

Is sequester cut allowed on Medicare Advantage payments? Check your contract

5/24/2013

Some Medicare Advantage payers are passing along the 2% sequester cut to providers. Experts say that, in some cases, they shouldn’t — but it will be difficult to challenge the pass-through, especially if you haven’t been careful about the language in your contracts.

With 2% sequester cut extended, make sure non-Medicare plans don’t try it on you

3/30/2015

As CMS re-ups the 2% sequestration cut on provider payments, now is a good time to check your private and Medicare Advantage contracts to make sure those payers aren’t taking that cut without cause.

CMS pauses claim payments until Congress passes sequester fix

4/12/2021

CMS is holding payments for claims submitted on or after April 1 in anticipation of legislation that will extend the suspension of a 2% cut to all Medicare payments, according to a special edition of MLN Connects.

Sequester deadline set to pass as of press time; 2% cut in effect April 1

2/28/2013

By the time you read this, Congress’ sequestration deadline will have passed, and without congressional action, a mandatory 2% cut will be imposed on your practice’s Medicare reimbursement. This is an unprecedented event, and experts with whom Part B News spoke were hesitant to predict what will happen next – though they expect some sort of deal to be worked out.

Healthcare leaders react to Super Committee's failure

2/1/2012

The Super Committee's abject failure to compile a plan that reduces spending by $1.2 trillion over 10 years was no surprise. But now, some healthcare leaders are looking with dread at the "sequester," a process by which hospitals and physicians will see automatic Medicare reimbursement cuts of 2% starting in 2013 through 2021.

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