You can now read 10 articles in a month for free on BostonGlobe.com. Read as much as you want anywhere and anytime for just 99¢.

The Boston Globe

Opinion

lynn nicholas

A threat to Mass. Medicare funds

In Washington, there’s an effort led by Republican Representative Kevin Brady of Texas to amend the Affordable Care Act by reducing Medicare funding for select states, including Massachusetts. There is a similar bill in the Senate. Massachusetts hospitals stand to lose more than $200 million as they struggle to make investments necessary for coordinated and accountable care.

The issue involves the obscure and complex area wage index — a factor in Medicare’s payment formula that recognizes that labor costs differ across the country. Proponents of Brady’s scheme are taking advantage of that complexity to promote misguided policy changes that would harm Massachusetts and several other states while masquerading as reform of a broken system.

Loading comments...

You have reached the limit of 10 free articles in a month

Stay informed with unlimited access to Boston’s trusted news source.

  • High-quality journalism from the region’s largest newsroom
  • Convenient access across all of your devices
  • Today’s Headlines daily newsletter
  • Subscriber-only access to exclusive offers, events, contests, eBooks, and more
  • Less than 25¢ a week