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Congress is taking early steps towards changing the way Medicare pays physicians.

At a hearing Thursday, lawmakers in both parties talked about overhauling a 2015 law that aimed to shift physicians toward so-called value based payment models, rather than the traditional fee-for-service system.

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Even the biggest advocates of the 2015 law, the Medicare Access and CHIP Reauthorization Act, or MACRA, were bashing the failure of the system. Rep. Michael Burgess (R-Texas) was the lead Republican sponsor on the package, but 7 years later, he agreed it is not solving the problems it was meant to address.

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