John A. Wilson, a neurosurgeon from Winston-Salem, Chairman and NC of the AANS/CNS Washington Committee. Dr. Wilson concluded, Changing the Medicare doctor payment formulation with a stable mechanism for reimbursing doctors will create a delivery system that may promote high-quality, high-value, and better-coordinated treatment to our patients. .. AANS, CNS commend House committee efforts to repeal Medicare’s flawed SGR payment formula The American Association of Neurological Surgeons and Congress of Neurological Surgeons joined 11 various other medical societies in commending the U.S. Home Energy and Commerce Committee because of its bipartisan initiatives to repeal and change Medicare's flawed sustainable growth rate payment method.After enrollment, women in the procedure group attended typically seven prenatal visits, as compared with typically five attended by women in the control group . Both the body-mass index at delivery and fat gain from enrollment to delivery had been lower among women in the procedure group than among those in the control group . A complete of 37 women in the treatment group required insulin therapy, in comparison with 2 in the control group. Data on maternal sugar levels from females in the procedure group indicated that focus on glycemic thresholds were accomplished . Discussion This randomized trial showed that although treatment of mild gestational diabetes mellitus did not reduce the frequency of the composite primary perinatal outcome, it did lower the risks of fetal overgrowth, shoulder dystocia, cesarean delivery, and preeclampsia.