A Republican health-care plan to lower insurance premiums relies on cutting paymentsto hospitals and doctors to the same level as federally-setMedicare rates and would require billions of dollars in extragovernment spending, according to an independent analysis of thepolicy.

The Republican amendment made Thursday adds what’s calledthe Federal Invisible Risk Sharing Program to the legislationto help appease conservatives and get the bill through the House.At a committee meeting to make the changes, one GOP congressmansaid it would lead to substantially lower premiums.

“We had an actuarial firm that did an analysis of this,” GaryPalmer, a Republican from Alabama who was one of the drafters, saidThursday. “What we believe will happen is a significant reductionin premiums.”

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