More people on Medicare means more patients getting reimbursed at Medicare rates, which are lower than what private insurance pays.

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Then there's the revenue sharing model that has smaller market clubs--those that figure to be hit hardest by the downturn--getting reimbursed by the big boys.

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Now, in the meantime, temporarily, we got to make sure that your doctor is getting reimbursed so that they can stay in business and keep their doors open.

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Not so in Europe, where there is a separate and higher hurdle for getting a device reimbursed.

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What we've got to figure out is how do we create the incentives in terms of how we are reimbursed, how we deal with getting doctors to work together more effectively, how we're working on prevention and wellness so that we're driving down costs across the board.

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