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Sustainable Growth Rate (SGR)

A target growth rate for Medicare spending enacted by law in 1997 that, if exceeded, is supposed to trigger physician payment cuts. The SGR-triggered cuts are continuously delayed and “pushed back” year after year.

Presumptive Eligibility for Medicaid

A provision that allows providers to treat (and be reimbursed for) patients who they presume to be eligible for Medicaid, even if that patient is…