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Impact of Medicare Reimbursement Rate Decrease on TRICARE
TRICARE Portal ^ | 3 March 2010 | TRICARE webmaster

Posted on 03/19/2010 1:43:10 PM PDT by Salvavida

On March 3, Congress passed emergency legislation delaying the 21.2 percent decrease in Medicare reimbursement rates for an additional 30 days. The TRICARE Management Activity greatly appreciates Congress' swift action as it allowed more time to fully evaluate the impact the decrease in Medicare reimbursement rates will have on the TRICARE program.

Whatever the outcome, TRICARE will take at least 30 days to fully understand the impact on TRICARE and take appropriate action. While federal law requires TRICARE reimbursement rates to be equal to Medicare rates to the extent practical, the law does permit TRICARE to make exceptions to ensure an adequate network of providers or to eliminate a situation of severely impaired access to care.

More information about this legislation and its impact on TRICARE will be posted on the website as soon as it becomes available.

TOPICS: Activism/Chapters; Culture/Society; Government; News/Current Events
KEYWORDS: congress; donttalkcost; medicare; obamacare; obamacarecost; tricare
This has not been discussed, but it indicates that even the TRICARE manager's don't know how this will end, even in the face of a 21.2% decrease in Medicare.

Emergency (they didn't see this coming?) legislation in order to get past the Obamacare vote?

1 posted on 03/19/2010 1:43:10 PM PDT by Salvavida
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To: Salvavida

We have tricare and I’ve already seen them reduce what they will pay for over the past year.

2 posted on 03/19/2010 1:45:07 PM PDT by MsLady (If you died tonight, where would you go? Salvation, don't leave earth without it!)
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To: Salvavida

No one knows for sure but the Dim rats who put the ObamaCare together.

3 posted on 03/19/2010 1:45:26 PM PDT by Red Steel
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To: Red Steel

I’ve seen no discussion anywhere on this. Obviously, it was passed on the 3rd of March, but I would have thought this would have gotten to both the seniors, and to the military beneficiaries.

Huge voting blocks, and 21% is a huge decrease. The cynicism of passing it for 30 days is what really torques me.

4 posted on 03/19/2010 1:49:20 PM PDT by Salvavida (The restoration of the U.S.A. starts with filling the pews at every Bible-believing church.)
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To: Salvavida

As an ex-military man and a physician, I have to say that TRICARE is an abomination.

It pays about Medicaid rates, and that is only after negotiating a myriad of administrative hurdles and waiting for > 3 months to get paid. It’s embarrassing for retired military.

5 posted on 03/19/2010 2:12:15 PM PDT by Ethrane ("obsta principiis")
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To: Salvavida

These guys are opeating in a blind panic. No plan, just do whatever feels best at the moment.

6 posted on 03/19/2010 2:13:23 PM PDT by rbg81 (DRAIN THE SWAMP!!)
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To: Ethrane
"TRICARE is an abomination."

What's your take on USFHP's?

7 posted on 03/19/2010 2:31:29 PM PDT by mainevet
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To: mainevet

Not sure, since they haven’t made that available here in MO least not in my area.

8 posted on 03/19/2010 2:35:23 PM PDT by Ethrane ("obsta principiis")
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To: Ethrane

Active duty military and their families use TRICARE too, not just retirees.

9 posted on 03/19/2010 2:41:38 PM PDT by csmusaret (Sarah Palin thinks everyday in America is the 4th of July. Obama thinks it is April 15th.)
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To: csmusaret

True, for those that go outside the Military system.

But they’re going to have some of the same difficulties finding private physicians as medicaid patients do due to very poor reimbursement.

Of course there are people like me out there that tell our practice managers that no matter what happens with our willingness to take medicaid, I want to maintain taking TRICARE patients purely out of respect for those that serve.

10 posted on 03/19/2010 2:54:32 PM PDT by Ethrane ("obsta principiis")
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To: Salvavida

Rally your local talk radio host into doing street protest in front of your reps local offices. Try and get the local media to cover it. Hammer the Medicare/SS issue, nothing like mad grannies and gramps.

This is from a 2007 contact list of congressional aides. Some might not be there any longer, but worth a try. The ones on the one post are senate aides, a few have bounced back, it’s worth the effort to clog up their email system along with the phones, and 1/3rd of these senators are up for re-election.

Mail must be inspected for anthrax.

Contact congressional aides.
U.S. Senate switchboard: (202) 224-3121
U.S. House switchboard: (202) 225-3121
White House comments: (202) 456-1111
Find your House Rep.:
Find your US Senators:
Toll free to the US Senate:
1-800-882-2005. (Spanish number)
1-800-417-7666. (English number)
Courtesy of a pro-amnesty group, no less!!

Defeat Obamacare call list: List now contains the new MAYBES culled from FR posts. Be sure to call KNOWN RINOS too.THEY ARE ANSWERING THEIR LOCAL NUMBERS

Here is one of the ones Rush gave out on the radio that I’m calling. So far it’s been busy but I’m going to burn it up till I get to tell my congress critter to vote NO!
Join me?..... 1-877-762-8762

Good idea from the bloggers at Hillbuzz:
They offer specifics and links on how to put pressure on Dem DONORS, who have private numbers for legislators who may have taken their phones off the hook.

Congress may not want to hear from us, but they’ll listen to the money men.


CODE RED Contact list
Remember they are all being offered BRIBES for their votes. Ask them how much their bribe price is.
The National Republican Congressional Committee has published a target list on health care. In addition to continuing to contact the five Tennessee Democrat Congressmen, you can go to contact some of these targets. Much of the talk following Obama’s announcement has focused on how to defeat this second bill through reconciliation, but that is misleading because the first step to defeating Obamacare is not by concentrating on defeating the “fixer” bill but by defeating the Senate bill in the House when it goes to the floor for an up-or-down vote on Thursday, March 18th.

RUSH says to pressure these 2

Charles Wilson, Ohio Toll Free Number 888-706-1833 DC (202) 225-5705 fx: (202) 225-5907, Bridgeport, (740) 633-5705 fx: (740) 633-5727, Canfield, (330) 533-7250 fx: (330) 533-7136 Marietta, : (740) 376-0868 fx: (740) 376-0886 Ironton, (740) 533-9423 fx: (740) 533-9359 Wellsville, 330) 532-3740 Canfield, here is the zip code 44406.
Joe Cao DC (202) 225-6636 Fax: (202) 225-1988, NO (504) 483-2325 Fax: (504) 483-7944


Rep. Bart Gordon TN 202-225-4231 Murfreesboro office: 615-896-1986, 931-528-5907, 615-451-5174
Mark Schauer D.C. (202) 225-6276 Fax: (202) 225-6281 Jackson, MI (517) 780-9075
Fax: (517) 780-9081 Toll-Free: (877) 737-6407
Dennis Kucinish, Lakewood 216)228-8850, Fax (216)228-6465,
Parma. 440)845-2707, Fax (440)845-2743, DC (202)225-5871
Dennis Cardoza DC (202) 225-6131, Fax: 225-0819, 800-356-6424, Merced, (209) 383-4455 Fax: 726-1065 Modesto 209) 527-1914 Fax: 527-5748 Modesto, (209) 527-1914
Fax: 527-5748
Jim Costa Fresno 559-495-1620, Fax:559-495-1027, Bakersfeld, 661-869-1620 Fax: 661-869-1027 DC Phone:202-225-3341 Fax: 202-225-9308
Fax (202)225-5745
James Oberstar (202) 225-6211, Duluth (218) 727-7474, Chisholm (218) 254-5761, Brainerd (218) 828-4400, North Branch, (651) 277-1234
Gabrielle Giffords (202) 225-2542 (520) 881-3588 AZ 8th District
John Boccieri (D), Ohio Voted Yes on Stupak, NO on Health Care.Contact info - DC office (202) 225-3876 - Fax - (202) 225-3059 (330) 489-4414, Local Fax - (330) 489-4448
Betsy Markey DC 202.225.4676, fx. 202.225.5870, Ft. Collins, 970.221.7110fx 970.221.7240, Greeley, 970.351.6007 fx 970.351.6068, Lamar, 719.931.4003
fx 719.931.4005, Sterling, 970.522.0203 fx 970.522.1783
rec’d from — Despite earlier assurances that he was a NO on health care reform and would not change his mind, Rep. Heath Shuler, NC 11, is now undecided.

Rep. Heath Shuler, North Carolina 11th DC Office Number: (202) 225-6401, DC Fax Number: (202) 226-6422 Local Office Number: (828) 252-1651, Local Fax Number: (828) 252-8734 Chief of Staff: Hayden Rogers email:
Alan Boyd FL DC 202) 225-5235, (202) 225-5615 Fax Tallahassee (850) 561-3979
(850) 681-2902 Fax Panama City (850) 785-0812 (850) 763-3764 Fax
S. Kosmos FL DC (202) 225-2706 Fax: (202) 226-6299, Port Orange, FL 32129
Phone: (386) 756-9798 Fax: (386) 756-9903 Orlando, FL 32826
Phone: (407)-208-1106 Fax: (407)-208-1108
Brad Ellsworth IN Evansville (812) 465-6484 fx: (812) 422-4761 Terre Haute (812) 232-0523
fx: (812) 232-0526 DC ph: (202) 225-4636 Toll Free: (866) 567-0227
fx: (202) 225-3284

Rep. Lincoln Davis 202-225-6831 Columbia office: 931-490-8699
Rep. Jim Cooper 202-225-4311 Nashville office: 615-736-5295
John Tanner (202) 225-4714, Union City, (731) 885-7070, Jackson Phone: (731) 423-4848, Millington (901) 873-5690 TN (MAYBE)
Rep. Steve Cohen 202-225-3265 Memphis office: 901-544-4131
Harry Mitchell (202) 225-2190 (480) 946-2411 AZ 5th District
Ann Kirkpatrick (202) 225-2315 (928) 226-6914 AZ 1st District
Jerry McNerney (202) 225-1947 925-833-0643 CA 11th District
John Salazar 202-225-4761 970-245-7107 CO 3rd District
Jim Himes (202) 225-5541 (866) 453-0028 CT 4th District
Alan Grayson (202) 225-2176 (407) 841-1757 FL 8th District
Bill Foster (202) 225-2976 630-406-1114 IL 14th District
Baron Hill 202 225 5315 812 288 3999 IN 9th District
Gary Peters (202) 225-5802 (248) 273-4227 MI 9th District
Dina Titus (202) 225-3252 702-256-DINA (3462) NV 3rd District
Carol Shea-Porter (202) 225-5456 (603) 743-4813 NH 1st District
Tim Bishop (202) 225-3826 (631) 696-6500 NY 1st District
John Hall (202) 225-5441 (845) 225-3641 x49371 NY 19th District
Bill Owens (202) 225-4611 (315) 782-3150 NY 23rd District
James Matheson Toll-Free Number 1 (877) 677-9743 (202) 225-3011Mike Arcuri (202)225-3665 (315)793-8146 NY 24th District
Dan Maffei (202) 225-3701 (315) 423-5657 NY 25th District
Earl Pomeroy (202) 225-2611 (701) 224-0355 ND At-Large District
Steven Driehaus (202) 225-2216 (513) 684-2723 OH 1st District
Mary Jo Kilroy (202) 225-2015 (614) 294-2196 OH 15th District
Zach Space (202) 225-6265 (330) 364-4300 OH 18th District
Kathy Dahlkemper (202) 225-5406 (814) 456-2038 PA 3rd District
Patrick Murphy (202) 225-4276 (215) 826-1963 PA 8th District
Christopher Carney (202) 225-3731 (570) 585-9988 PA 10th District
Paul Kanjorski (202) 225-6511 (570) 825-2200 PA 11th District
John Spratt (202) 225-5501 (803)327-1114 SC 5th District
Tom Perriello (202) 225-4711 (276) 656-2291 VA 5th District
Alan Mollohan (202) 225-4172 (304) 623-4422 WVA 1st District
Nick Rahall (202) 225-3452 (304) 252-5000 WVA 3rd District
Steve Kagen (202) 225-5665 (920) 437-1954 WI 8th District
Bart Stupak (202) 225 4735 MI (MAYBE)
Brian Baird (202) 225-3536, Vancouver, (360) 695-6292. Olympia, (360) 352-9768, (MAYBE)
senator mark begich (202) 224-3004 toll free. (877) 501 - 6275 just became a MAYBE
Jason Altmire 202-225-2565, Aliquippa, 724-378-0928,
Natrona Heights, 724-226-1304 (NO)
Congressional Dems on Twitter

11 posted on 03/19/2010 3:51:28 PM PDT by GailA (obamacare paid for by cuts & taxes on most vulnerable Veterans, disabled,seniors & retired Military)
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To: MsLady


Veterans’ G.I. Bill benefits MIA

TRI CARE FOR LIFE This from a google search:

This option would help reduce the costs of TFL, as well as costs for Medicare, by introducing minimum out-of pocket requirements for beneficiaries. Under this option, TFL would not cover any of the first $525 of an enrollee’s cost-sharing liabilities for calendar year 2011 and would limit coverage to 50 percent of the next $4,725 in Medicare cost sharing that the beneficiary incurred. (Because all further cost sharing would be covered by TFL, enrollees could not pay more than $2,888 in cost sharing in that year.)

Pushing Veterans Toward the Grave
Outrage: Filipino Vets Waiting for the Big Payout
“These veterans have been waiting for these benefits for a very long time—more than 60 years. Now that the money is there, there may not be enough,” Arcebal says.
Bill Would Restrict Veterans’ Health Care Options
Congress plans to block Tricare fee increases

By Rick Maze - Staff writer, Oct 7, 2009
Tricare fee increases imposed last week by the Defense Department will be repealed by a provision of the compromise 2010 defense authorization bill unveiled Wednesday by House and Senate negotiators.
The fee increases were announced on Sept. 30 and took effect on Oct. 1, but the defense bill, HR 2647, includes a provision barring any fee increases until the start of fiscal 2011.

Retired Army Maj. Gen. Bill Matz, president of the National Association for Uniformed Services, said the announcement of fee increases was shocking considering that the Obama administration promised earlier this year to hold off on any new fee Tricare fee increases until fiscal 2011.

“President Obama and DoD assured NAUS and the entire military family earlier this year that there would rightly be no increases in any Tricare fees” in fiscal 2010, Matz said. “We took them at their word, and I can’t believe that a co-pay increase like this was allowed to go forward,” he added.

12 posted on 03/19/2010 3:52:07 PM PDT by GailA (obamacare paid for by cuts & taxes on most vulnerable Veterans, disabled,seniors & retired Military)
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To: Salvavida
TRICARE will now fall under OBAMACARE

Ike Skelton (D), HASC Chairman, admits Obamacare doesn't protect servicemembers, families

“Although the health care legislation passed by the House explicitly exempted TRICARE from being affected, the Senate bill did not. Unfortunately, the parliamentary rules of the reconciliation process did not allow for the inclusion of language that specifically protects these programs."

13 posted on 03/19/2010 10:22:06 PM PDT by No Longer Free State (Note to ACLU: Life is a Civil Liberty; hassel-free air travel is not.)
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To: MsLady; Red Steel; Ethrane; rbg81; mainevet; csmusaret; GailA


14 posted on 03/19/2010 10:25:08 PM PDT by No Longer Free State (Note to ACLU: Life is a Civil Liberty; hassel-free air travel is not.)
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To: Salvavida

First, I love TRICARE, a benefit of a career in the military. But I admit the reimbursement rate to doctors is laughable. On average, TRICARE pays for my medical bills at a rate of 20% (twenty percent) of billed amount. That is simply unfair and, as everyone is now using the word, unsustainable.

15 posted on 03/20/2010 1:33:22 PM PDT by pabianice
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