"In the absence of a compelling reason for a payment differential," says HHS Inspector General Janet Rehnquist, "the amount Medicare pays for a procedure should be based on the service and not the setting."

Hmmm. Get paid based on what you do rather than where you do it. Healthcare is the only industry where you don't know if or what you'll be paid before performing a service, but this service vs. setting idea makes sense, doesn't it? No, not quite.