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Spinal surgeons are more likely to perform surgery if they profit from the medical devices used in the treatment, according to a congressional study that recommends more safeguards to police such financial incentives. The report by Senate Finance Committee Republicans analyzes the trend in which doctors have ownership interests in commercial entities that act as intermediaries between medical-device makers and hospitals. The surgeons generally get a commission on each sale, which may lead them to perform excessive or unnecessary operations in order to steer business to themselves. (Armour, 5/9)

The House Energy and Commerce Committee Republicans can’t find most of the $200 million that the Obama administration claims it recouped from state-based health care exchanges as part of a federal grant program to help them set up shop, according to a new report obtained by Morning Consult. Centers for Medicare and Medicaid Services Acting Administrator Andy Slavitt told the committee in December that “over $200 million” had been returned to federal coffers from the state exchanges since the grant program went into effect. (Johnson, 5/10)