"The 2010 law includes a wide variety of initiatives and experiments aimed at reining in the cost of medical care. The IPAB, whose 15 members are appointed by the president with the Senate's approval, is essentially a backstop in case those efforts don't pan out. The board's job is to recommend cost-cutting measures each year that Medicare spending is projected to grow faster than the law's targets, starting in 2014. Those recommendations go into effect automatically unless Congress approves an alternative way to achieve the same savings."
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