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Compensation disparities between primary care physicians and specialists continues to be a subject of ongoing concern.

Policymakers and health care organizations have been attempting to eradicate physician compensation disparities.

This Viewpoint examines Medicare physician payment flaws and needed reforms, including changes implemented by Congress, CMS, commercial payers, and physician em

Medicare Advantage is a success and can serve as the first stage ofreform, but Congress will have to change the existing paymentsystem and provide a system of premium support, properly adjusted,for each beneficiary. What is needed next is more robustcompetition for the entire program and parity in the payment tohealth care options that seniors choose.

It is our pleasure, therefore, that those prices, which the concise items in the following list indicate, be held in attention throughout our whole domain, in such a way that all men understand that freedom to exceed them is removed.