▁ ▁Re ception ▁ ▁Pred icted ▁out comes ▁A ▁ 2 0 0 9 ▁Kaiser ▁Health ▁News ▁article ▁predicted ▁primary ▁care ▁do ctors ▁would ▁likely ▁see ▁benefits ▁from ▁an ▁" in dependent ▁Medic are ▁commission ▁because ▁the ▁panel ▁would ▁be ▁more ▁likely ▁to ▁increase ▁their ▁fe es ▁and ▁lower ▁special ists ' ▁rates ." ▁While ▁payment ▁cut s ▁to ▁hosp it als ▁and ▁hosp ices ▁were ▁to ▁be ▁off - limits ▁until ▁ 2 0 2 0 , ▁and ▁clin ical ▁labor ator ies ▁were ▁to ▁be ▁off ▁limits ▁until ▁ 2 0 1 6 , ▁phys ician ▁fe es ▁could ▁have ▁been ▁cut ▁unless ▁a ▁doc ▁fix ▁to ▁Medic are ' s ▁sust ain able ▁growth ▁rate ▁formula ▁made ▁those ▁cut s ▁off ▁limits . ▁Other ▁" s av ings ▁would ▁have ▁to ▁have ▁been ▁found ▁in ▁private ▁Medic are ▁Adv antage ▁plans , ▁Medic are ' s ▁Part ▁D ▁pres cription - d rug ▁program , ▁or ▁sp ending ▁on ▁sk illed - n urs ing ▁facilities , ▁home - based ▁health ▁care , ▁d ial ysis , ▁dur able ▁medical ▁equipment , ▁amb ul ance ▁services , ▁and ▁services ▁of ▁amb ul atory ▁surg ical ▁cent ers ". ▁According ▁to ▁the ▁New ▁England ▁Journal ▁of ▁Medicine , ▁holding ▁off ▁creation ▁of ▁account able ▁care ▁organizations ▁( AC Os ) ▁was ▁likely ▁to ▁be ▁a ▁bad ▁long ▁term ▁strategy ▁for ▁phys icians . ▁ ▁Crit ics ▁of ▁IP AB ▁charged ▁that ▁the ▁board ' s ▁cost - cut ting ▁mand ate