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Higher levels of government should provide adequate resources when mandating functions to lower levels of government.

Services should be implemented and operated by the level of government that can most appropriately and efficiently deliver them.

Efforts to reform entitlement spending should recognize the following factors:

The Centers for Medicare & Medicaid Services should ensure that the phase-down of beneficiary coinsurance for outpatient hospital care continues as rapidly as possible.

The Centers for Medicare & Medicaid Services should closely monitor and vigorously enforce balance-billing limits.

Congress should not expand private contracting for physician services.

Medicare payment rates should be fair and should provide incentives for providing preventive services, evidence-based practice, person- and family-centered

The Medicare Payment Advisory Commission and the Centers for Medicare & Medicaid Services should continue researching how Medicare payments to hospital

In implementing the new payment system for physicians and other health professionals, the Centers for Medicare & Medicaid Services (CMS) should:

The Department of Health and Human Services (HHS) should continue to monitor and control the incidence of fraud and abuse associated with durable medical e