Summary
This chart outlines the provisions that will potentially be included in the CHIP and Medicare extenders package Congress is likely to address next year. These items were most recently extended in MACRA 2015 (aka the permanent SGR repeal bill) and, for the most part, expire on September 30 or December 31 of next year.
We have summarized each item and included a rough estimate of the costs associated with extending them by two years (the timeframe by which they were most recently extended), using the CBO score of MACRA as a guide. Of course, at this point, it is difficult to project how long these items will be extended or how they will be structured (especially for CHIP). But we believe this is the best ballpark available for your strategic planning purposes.
Note that, if all expiring items are extended by two years, the total cost of the package will be $22.75 billion over 10 years. That amount will likely need to be offset with healthcare-related savings (no, we don’t yet know which ones …).