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2006 proposed fee schedule - American Society of Clinical Oncology

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visits for their patients with chronic illnesses.) We<br />

believe that by providing <strong>fee</strong>dback to physicians<br />

individually and by working with physician groups to<br />

308<br />

understand and respond to the overall trends, we can provide<br />

more useful information and support physicians’ efforts to<br />

run more efficient practices.<br />

Finally, we continue to work closely with the medical<br />

community, Congress, MedPAC, and others toward a long-term<br />

approach ensuring adequate physician payments in the future<br />

while also ensuring Medicare’s payments are made only for<br />

care that is necessary and beneficial. We are particularly<br />

interested in comments that build on recent progress on<br />

payment reforms to promote higher quality and avoid<br />

unnecessary costs, and that are consistent with the<br />

President’s budgetary goal <strong>of</strong> paying for better value in<br />

Medicare without increasing overall Medicare costs. For<br />

example, we are interested in ways to promote higher-quality<br />

ambulatory care that can achieve <strong>of</strong>fsetting savings by<br />

avoiding complications or unnecessary services. In<br />

addition, it has been suggested that we have the authority<br />

to make certain administrative adjustments in the SGR<br />

methodology, such as removing Part B drug payments from the<br />

calculation <strong>of</strong> both projected and actual expenditures<br />

(retroactive to 1996) that are used to set the spending<br />

target. Doing so would likely increase Medicare costs

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