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Congress considers major Medicare doctor payment overhaul linking rates to medical inflation

Lawmakers in Washington are reviewing a proposed change to Medicare physician payments that would tie compensation to a medical inflation measure.

STAT+: Momentum is building for a big change to how doctors get paid
File photo STAT+: Momentum is building for a big change to how doctors get paid Photo: STAT

Proposed payment structure changes

The main policy under consideration links doctor pay rates directly to a medical inflation index. This approach guarantees pay boosts for physicians similar to those hospitals have long received. Congress would effectively retreat from the idea of controlling service volume on a national basis.

Political consensus on outlines

Both Democrats and Republicans appear to agree on the general outlines of this approach. The shift represents a significant departure from decades of policy regarding physician compensation. Lawmakers are moving away from pushing clinicians toward value-based care models in this specific proposal.

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