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The Simpson-Bowles Commission, which advised Mr. Obama on debt and deficit reduction, called in December for reducing "excess" payments to hospitals for medical education.
Rodrigues has repeatedly asked for the excess payments to be refunded.
Your editorial about Medicare financing ("Constraining the Medicare Debate," Feb. 25) is full of worthwhile ideas like implementing electronic health records, paying for quality, reducing excess payments to Medicare Advantage plans and rejecting arbitrary caps on Medicare.
It says the "excess payments" to private plans cause higher premiums for all beneficiaries, including those in traditional Medicare.
Taxpayers could have a refund of up to $77.97 due to the excess payment.
But the total excess payments in some years ran to more than $100 million, a crushing expense for a city in steep decline.
Sallie Mae said if students made a special request, it would apply excess payments to principal.
Detroit has a second pension fund, for police officers and firefighters, which also made excess payments.
The excess payments were often made near the end of the year, when recipients needed money for the holidays, or to heat their homes.
In the first quarter, those excess payments totaled $9 million.
Those excess payments bring in about 30percentt of Eurotunnel's revenues, and the contract requiring the payments ends that year.
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