Now there isunanimous consent in congress that the SGR doesn't work to reduce payments and yet he is costing patients protection has doctors leave congress can eliminate the SGR now at bargain prices he emerges Energy and Commerce Commission has drafted legislation which was reported out to the house they will pass in the house the AMA'sproposal for reforming the sustainable growth rate formula up is to eliminate the SGR now updated with Eve their cost of living or medical economic index for three to five years tested many different payment models and implement those that work to improve care and reduce cost it is important for every physician to raves the problem up the SGR with politicians and hear you say me talking to a politician and the dial on follows an aide said on this is. 
Doctor Carmel doctor Carmel's the present the SGR up the AMA and the president said big handshake we're going to get the SGR will get it done I didn't have to raise the bank because someone’s mouth I said mister president in the words of the Bible when Ward when and he and the <a href="http://garciniacambogiasmug.com/">slendera garcinia cambogia</a>first lady laughed not my young and beautiful wife doctor jack Quinn loll sad mister president you said thematic word SGR and he reiterated we're going to get it done I must say when he said it I thought hewas whistling Dixie but I am more optimistic about getting rid of the SGR in this congress then I have been since the bill was passed but the bottom line is this: we can't get how love our financial hole as a nation if we don't address are broken Medicare system how will we be paid well for both independent and employed physicians. 
Even people who work in academic medical centers that current basis for payment is largely fee-for-service you do something you get paid the more things you do the more you get paid that makes sure that a lot of things get done but it may not keep our patients healthier what we should be paying for is the help of have patience easier said than done and so are fee-for-service system which I must say a lot about us have done well by and prospered by and were very reluctant to see it now but it will be replaced by new payment models a CEO's bundled payments in which the payments are shared doctor to doctor group of doctors or doctors with a institution like a hospital this is the estimated a fact I love the Affordable Care Act and the budget healthcare provision have the reconciliation act on the budget for the.


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