health care fraud knows no boundaries and it attacks everybody.

I want to commend you for holding today's hearing. As our first Health Subcommittee of the 113th Congress, I think it sends a strong message that fixing the Sustainable Growth Rate system is our top priority, and I know it is certainly my…

I was very encouraged by Chairman Upton's remarks yesterday, that it is his goal to put a bill on the House Floor before the August recess.

Thank you, Mr. Chairman. I want to follow up on what you were discussing there with primary care.

There has been a significant movement over the past decade towards the establishment of multi-stakeholder consensus processes for health care quality and performance measurement.

How do you design a reformed Medicare payment system that works for all physicians?

I think we should be doing robust experimentation now.

I support Harold's notion of having some bottom-up approaches that we would test.

It is important, therefore, to help primary care practices build some of the infrastructure that would allow them to better manage larger volumes of patients.

I think most docs know that sort of unfettered fee-for-service with no incentives for collaboration and coordination probably is not the right payment model.

Ultimately, we want to be in a place where physicians find it is in their own interest to want to move into a new organizational structure.

We need to put pressure on the fee-for-service reimbursements.