January 4, 2013 – The bill that prevented the nation from plunging over the fiscal cliff did more than just stop income tax increases and delay across-the-board spending cuts. It also included several provisions that tweaked Medicare and brought bigger changes to other health care programs. The health care change that got the most attention saved doctors who treat Medicare patients from a cut in their pay. A really, really big cut, says David Bronson, president of the American College of Physicians and an internist in Cleveland. “We know that this would really devastate access to seniors, to just cut payment rates by almost 27 percent,” says Bronson.