HCR Update from Mark Sanna:After wrangling for weeks over how to finance a Medicare 'doc fix,' House and Senate conferees have a plan. The proposal would cut  Medicare payments to hospitals and other providers for 'bad debt,' Medicare payments to clinical laboratories and Medicaid 'disproportionate share' payments to hospitals that serve many poor patients,  and divert $5 billion  from the health law’s $15 billion prevention fund.