02/05/2014
https://www.congress.gov...
"The fact is that in some high-cost States, when the senior shows up, they get a higher payment, and this is baked into the SGR as of now."
"On that point, I think Dr. Coburn raises an important point, because he is touching on this question of regional variation."
"What can we do to start moving away from this kind of built-in disadvantage for people to hold costs down and deliver value?"
"I would only say, respectfully, that to characterize this as being in the early stages--when you look at all that has been done, we have had one report after another, whether it is the Bowles-Simpson ..."