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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 reviewed the economic development activities of eight federal programs, focusing on: (1) the economic development activities that major federal programs fund for the benefit of states and communities; (2) restrictions for using program funds to relocate existing...