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The Centers for Medicare & Medicaid Services (CMS) adjusts Medicare physician fees for geographic differences in the costs of operating a medical practice. CMS uses 89 physician payment localities among which fees are adjusted.
A primary goal in establishing Medicaid's statutory formula, whereby states with lower per capita incomes (PCI) receive higher rates of federal reimbursement for program costs, was to narrow differences among states in their ability to fund Medicaid services.
Pursuant to a congressional request, GAO provided information on 10 federal agencies' efforts to implement National Partnership for Reinventing Government (NPR0 recommendations, focusing on the: (1) factors influencing NPR's reform efforts; (2) implementation status of NPR recommendations to the 10 agencies;...