That's right, for medicare reimbursement. Every year until now the Congress has managed to rectify this stupid ritual, that apparently was baked in years ago. This year could be the exception. Watch closely. If congress does not restore reimbursements for physicians soon, it could be a severe storm warning.
Several of my families doctors have already blown off medicare (I'm not there quite yet) as well as private insurance. In favor of a fee system. The storm will come when others follow suit. For all the whining about the "uninsured" and "underinsured", what will likely develop if the government gets it's talons deep into the system is a two tier market, those who can pay what it takes over an above reimbursement, and those who can't.
Of course the Feds could make that illegal too, why should a doctor be able to choose his patients.