primarily as a result of provisions that would "reduce payments to Medicare providers" relative to those projected in the current-law baseline.
By 2019 (10 years from now) "would already be on track to achieve tens of billions of dollars in Medicare savings each year"
This doesn't say we will be saving any money... This says that in 10 years we will be "on track" to start saving. The actually "cuts" in spending would not happen for many years after 2019.
Plus, this entales CUTTING the amount that the government will pay Medicare providers... which will DECREASE the number of doctors and service providers that actuallytake Medicare.
Where will seniors go when there are no docs that accept their insurance?