Abstract
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 . . .

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