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Senator Kent Conrad, Democrat of North Dakota and chairman of the Budget Committee, has urged the creation of a commission to address the flawed doctor payment formula.
Some researchers who study medical conflicts of interest said they hoped a federal database would be easier to use and offer more detailed information than the few doctor payment listings now available to the public.
Here are two of their comments: "Congressional Democrats insist that fixing the doctor payment formula should not count toward the cost of the big health care legislation, because it is a problem they inherited.
Finally, related to the major hypothesis of this research, the changes in doctor payment system may have motivated staff to provide more unnecessary admissions and surgical operations.
Other tools act through financial incentives: doctor payment for performance or by salary instead of fee-for-service payment [ 11, 12], as well as the possibility for insurers to choose which doctors to reimburse (selective contracting) [ 13].
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"All previous budgets assumed cuts in doctor payments".
Eli Lilly and Merck have announced that they would list doctor payments next year even without legislation.
Congress has stepped in repeatedly in recent years to avoid the cuts to doctor payments.
Pfizer, which released its first batch of data on doctor payments on March 31, said its Web site made it easy to look up individual physicians.
Last, keep in place provisions to shield most taxpayers from the alternative minimum tax and to provide timely doctor payments under Medicare.
House Democrats say the higher doctor payments should not count in the cost because they fix a problem that predates the Obama administration and Democratic control of Congress.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com