By Robert Pear; The New York Times ~ Mar 22, 2015
WASHINGTON — Lobbyists will descend on Congress this week as lawmakers near a bipartisan agreement to finance health care for the oldest and youngest Americans, by revamping the payment of doctors under Medicare and by extending the Children’s Health Insurance Program.
The agreement, negotiated by Speaker John A. Boehner and the House Democratic leader, Nancy Pelosi, would repeal a Medicare formula that threatens to cut doctors’ fees each year. In its place, Congress would establish an “incentive payment system” to reward doctors who receive high performance scores from the government. Scores would be based on factors like the ability to keep patients healthy while controlling costs.

