Glenn Hackbarth talked about efforts by the Medicare Payment Advisory Commission to craft a new formula for Medicare payments to doctors. Since 1998 Congress has passed legislation every year known as the "doc fix" overriding scheduled cuts in Medicare payments. At a Ways and Means Subcommittee hearing, Mr. Hackbarth also presented the recommendations in MedPAC's latest report. It included a 1% increase in hospital payments and a 1% increase in physician fees.