Cotton O'Neil Clinic Closed to New Medicare Patients

By: Rae Chelle Davis Email
By: Rae Chelle Davis Email

The effects of a 10.6 percent reduction in Medicare reimbursements are being felt across Northeast Kansas. It's causing primary care physicians at Stormont Vail's Cotton O'Neil clinic to turn away new Medicare patients.

The clinic sent out a letter to Medicare patients explaining their decision. "Because Congress did not stop these cuts, all of our primary care physicians have regretfully closed their practices to new Medicare patients as of July 1, 2008." The letter goes on to thank the members of congress who supported efforts to reverse the cuts but it asks readers to contact Senator Brownback and ask him to change his position and vote to support Medicare benefits.

Sen. Sam Brownback voted against a bill that would have put a stop to the cuts before the July 1st deadline. You can view his statement and letter at the bottom of this story.

Meanwhile, St. Francis will keep its doors open to new Medicare patients for now.

“Senator Brownback strongly supports ensuring that doctors receive fair payments for treating patients in Medicare, and he has supported a bipartisan compromise that protects both doctors in Medicare and seniors in our state. Unfortunately, for political reasons, Democrats refused to allow that bill to come to a vote. Democrats also objected to both a long-term 18 month extension and a short-term 30 day extension of current law that was needed to give the Senate time to work out an agreement. Fortunately, the Administration has confirmed that they are taking steps to minimize the impact of any payment reductions past the July 1st deadline so that Congress can have another opportunity to address this situation. Senator Brownback’s first priority remains passing an agreement that the President can sign so that doctors and the seniors they serve will not be impacted by any payment cuts.”

Senator Brownback wrote this article that further explains his vote.

Fixing Medicare

By Sam Brownback

July 8, 2008

The political games being played in Washington threaten the quality of health care provided to Kansas’s Medicare patients and hamper the ability of physicians to serve the state’s seniors.

Today, physicians and patients participating in the Medicare program face uncertainty about the future of Medicare. As Kansas experiences a shortage in health care professionals, the largest group of health care consumers – the elderly population – continues to expand. Add to this combination an automatic annual cut, triggered by federal law, in payments to physicians who serve Medicare beneficiaries, and you have a full-blown crisis in the health care system.

Every year, Congress votes on whether to delay impending federal reimbursement cuts to physicians who serve Medicare patients, and every year since 2003 that I’ve had the chance, I have voted to delay these cuts. Kansas seniors should have access to the highest quality health care professionals and services, and health care professionals should be encouraged, rather than discouraged, to serve our Medicare beneficiaries.

Last month, the prospect of delaying physician payment cuts in the Medicare program looked promising. A bipartisan bill was drafted and would have delayed the payment cuts for a year and a half. Had the Senate passed this bipartisan bill, it would have been quickly signed into law and would have gone into effect prior to the scheduled July 1st cuts.

It was disappointing, to say the least, that acting against the best interest of the country, Senate Majority Leader Harry Reid and the American Medical Association brokered a deal which took this proposed bipartisan bill off the Senate floor. Rather than voting on a bill which was all but guaranteed to pass into law, Majority Leader Reid instead called a vote on a controversial bill, H.R. 6331, the night before Congress adjourned for the 4th of July recess.

H.R. 6331 was considered controversial because a number of employer organizations have expressed concern that the legislation will cut payments to Medicare plans that offer coverage to their retired workers. In response to this concern, the Bush Administration issued a veto threat on H.R. 6331, thus requiring a vote of two-thirds of both the House of Representatives and the Senate to override the veto before the July 1st payment cuts went into effect.

The inevitable result of allowing a vote on only this controversial bill, the night before Congress left town, was that whether H.R. 6331 passed or failed, Congress would not even be in session to complete the override vote. This assumes, too, that two-thirds of Congress would vote to override the President’s veto.

Why would the American Medical Association and Democrat leadership create such a difficult situation for our physicians and seniors? When asked this exact question the night of the vote on H.R. 6331, Majority Leader Reid cited the negative impact this vote would have on Congressional Republicans’ re-election campaigns.

Kansans deserve better than to be used as political pawns during this upcoming election season. Those affected by these political maneuvers are our local physicians, our neighbors, our parents and our grandparents.

As your senator, I will continue to work in a bipartisan manner to ensure continued quality health for Kansas Medicare beneficiaries and adequate reimbursements for our Medicare providers. I will vote to delay any cuts to Medicare as long as the Democrats in the Senate stop playing games with our seniors’ health care.

You can contact Sen. Brownback at:
303 Hart Senate Office Bldg.
Washington, D.C. 20510
Phone: (202) 224-6521


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