HCR Update from Mark Sanna: Unless lawmakers step in, doctors treating Medicare patients will see a 27% cut in reimbursements in January. House Republicans would block the cut and replace it with increases of 1% a year in 2012 and 2013. That would cost $39 billion, the budget office estimates. The cost of a 10-year fix, $300 billion or more, is so high that Congress is not seriously considering it.