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More than 85,000 physicians and other eligible professionals who successfully reported quality-related data to Medicare under the 2008 Physician Quality Reporting Initiative (PQRI) received incentive payments totaling more than $92 million, significantly above the $36 million paid in 2007, according to the Centers for Medicare & Medicaid Services.

The U.S. House of Representatives has passed a bill that would abandon the current Medicare physician payment formula and allow future rates to increase based more closely on physicians? costs, a revision that is expected to cost approximately $210 billion over 10 years.

It has become increasingly doubtful that even if Congress passes some form of health care reform this year or in early 2010, reform of the formula on which physician Medicare payments are calculated will most likely not be included, and that is bad news.