The doctor payment fix and several marketplace issues, such as insurance red tape and malpractice cases, continue to loom while health care reform efforts stall. The Hill: "At the end of February, a short-term measure enacted late last year will expire, exposing doctors who treat Medicare patients to a 21 percent reduction in their fees. The American Medical Association (AMA) and other physician groups are continuing to lobby lawmakers to enact a costly permanent reform to the complex formula that calculates the payment levels... 

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