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In other cases, robots may raise demand for doctors' services.
Medicare spent $40 billion for doctors' services last year.
Spending for doctors' services climbed to $399.9 billion in 2004.
*Spending for doctors' services has been slowing for six years.
The formula sets annual goals for Medicare spending on doctors' services.
Such higher fees are driving the higher spending on doctors' services, the study concluded.
A statutory formula sets annual goals for Medicare spending on doctors' services.
These include preventive care, emergency services, maternity care, hospital and doctors' services, and prescription drugs.
The new rule would not apply to doctors' services provided under the Medicare fee schedule.
Spending for doctors' services grew 5.9percentt in 2006, to $447.6 billion.
Maine had the second highest level of spending on doctors' services, after Alaska.
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