Medicare cuts expected in Obama budget, but not big structural changes Read more: Medicare cuts expected in Obama budget, but not big structural changes | Modern Healthcare http://www.modernhealthcare.com/article/20130408/NEWS/304089960#ixzz2Pye6RROX ?trk=tynt

    By Jessica Zigmond

    Modern Healthcare
    Posted: April 8, 2013 – 8:45 pm ET
    President Barack Obama’s spending plan is expected to identify about $400 billion in Medicare cuts over the next 10 years. Few people, however, expect his budget blueprint to put the president’s formal stamp on any major structural changes to the program.Obama has signaled to federal lawmakers that he’s open to making some significant Medicare policy changes to reduce the federal deficit, such as expanding means testing for higher-income individuals, combining hospital and physician services under one Medicare payment structure, or adding a surcharge to Medigap plans.

    But sources emphasize that the White House’s openness to those structural-entitlement reforms are contingent upon congressional Republicans agreeing to tax increases in the broader deficit-reduction discussion.

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