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The usual laundry lists of proposals for Medicare savings are already being circulated throughout official Washington. Most of these ideas have been around for years, and have never gotten past the talking stages because of political opposition or because they are simply bad ideas. But one especially pernicious proposal appears to have increasing traction among both politicians and policy analysts.

Earlier in July, Jonathan Cohn followed the House Budget Committee's hearings on the heatlh law's Independent Payment Advisory Board. The experience inspired him to offer this reminder of what it is;, how it will work; and why it is essential to controlling Medicare costs.