Doctors oppose Medicare cutbacks

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Physician groups this week stepped up pressure on Congress to reverse Medicare payment cuts, with doctors warning that they will limit services to such patients if the cuts are enacted.

Medicare, the federal health insurance program for senior citizens and the disabled, is set to reduce doctor payments by 4.3 percent starting Jan. 1.

Dr. William A. Hazel, a Herndon orthopedic surgeon, said the payment cut coupled with the rising costs of running a practice will push doctors to limit their services to Medicare patients.

"There will need to be some cutback in terms of access to new Medicare patients. Some doctors are actually talking about dropping their participation with Medicare," said Dr. Hazel. He also is considering limiting the number of Medi-care patients he treats.

About 38 percent of 5,486 doctors surveyed in February said they will reduce the number of new Medicare patients they accept next year because of the cut, according to the American Medical Association, a Chicago trade group.

Ashland, Ky.-based family physician Dr. Larry Fields said he will keep his Medicare patients, which make up about 35 percent of his practice, but may reduce his office hours and number of new Medicare patients.

"We will continue to provide the same services, just on a smaller margin," said Dr. Fields, president of the American Academy of Family Physicians, a Leawood, Kan., medical society.

Washington senior citizen group AARP called the doctors' plan an "idle threat."

"The physician community feels that this promise of limited access resonates with Congress," said spokeswoman Andrea Price, adding that Medicare beneficiaries end up paying for increases in Medicare's pay to physicians.

About 25 cents of every $1 increase in Medicare physician pay is passed on to a beneficiary's rate, Miss Price said.