A Health Reform Workaround
1) severe budgetary shortfalls are squeezing Medicaid funding in every state;
2) momentum for delivery system reforms are continuing despite grid-lock in Congress;
3) a 21 percent cut in payments to Medicare physicians is looming unless Congress acts to change it; and
4) program integrity efforts assume center stage as Congress and the administration work to shore up the public fisc.
With comprehensive reform at an impasse...
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