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Volume 353:870-872 September 1, 2005 Number 9
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Linking Compensation to Quality — Medicare Payments to Physicians
John K. Iglehart

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Sometime after Congress reconvenes in September, it will consider legislation to eliminate a scheduled reduction of 4.3 percent in Medicare fee-for-service payments to physicians — but there is a trade-off. The reversal will be combined with policies linking payments to new efforts to improve the quality of care. As Representative Bill Thomas, a California Republican who chairs the House Ways and Means Committee, wrote recently to Medicare's administrator, "We believe that the time is ripe to tie physician payments to quality performance — a position that we know you share."

Thomas is among three Republicans who chair committees with jurisdiction . . . [Full Text of this Article]


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Mr. Iglehart is a national correspondent for the Journal.


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