In its letter, the AHA claimed that “misguided” Medicare spending reductions would hurt hospitals that it says are already under-reimbursed by Medicare. The AHA said that hospitals are projected to have a negative 6.9% Medicare profit margin in 2009, compared to a positive 6.2% margin in 1999. The 2009 margin would be the lowest over that 10-year period.
Baucus’s and Grassley’s other proposals included requiring Medicare beneficiaries to pay more for coverage, changing federal tax treatment of employer-sponsored healthcare, and reducing Medicare spending in areas of the country where per-beneficiary spending exceeds the national average.