Manufactured out of the Balanced Budget Act of 1997, the goal of the Sustainable Growth Rate (SGR) was to limit the growth in Medicare spending to keep it in line with inflation. Under the SGR, if overall physician payment costs exceeded target expenditures, a cut to Medicare physician payment was triggered.
Following AMA advocacy in leading the charge to reform the Medicare payment system, a bipartisan group in the U.S. House of Representatives has introduced a bill that would provide a 4.7% payment update in 2025.
Congress should implement an annual, inflation-based payment update as part of the Medicare payment system for doctors, two rheumatologists write.
The AMA and 126 other health organizations are asking Congress to pass bills crucial to the sustainability of physician practices.
A brief released by the Center for Medical Economics and Innovation at the nonpartisan Pacific Research Institute finds that artificially low reimbursement rates used by Medicare to contain costs are threatening patient care, and reform is needed to prevent future doctor shortages.
A two-page explainer on clinical data registries in the transition to value-based care outlines how the process of approving clinical data registries under the Merit-based Incentive Payment System is “complex and cumbersome,” and details how “the lack of accessible cost data inhibits progress toward true value-based care.”
The Centers for Medicare & Medicaid Services (CMS) unveiled a proposed physician payment schedule that called for—you guessed it—another payment cut next year, 2.8% this time.
Sharing Merit-based Incentive Payment System (MIPS) data with doctors is a must-fix when it comes to Medicare physician payment reform.
Federal officials proposed Medicare rates that effectively would cut physician pay by about 3% in 2025, touching off a fresh round of protests from medical associations.
CMS on Wednesday proposed a 2.8% decrease in Medicare physician fees for the 2025 calendar year, and physician groups are none too happy about it.
With CMS estimating a fifth consecutive year of Medicare payment reductions—this time by 2.8 percent— it’s evident that Congress must solve this problem.
Doctors could face a nearly 3% cut to their Medicare payments next year — even as Congress is weighing how to mitigate the last round of reimbursement cuts.
We’re dedicated to raising awareness of Medicare physician payment system problems so that we can work towards solutions that protect physician practices and patients’ access to care. It’s vital that patients and physicians use their voices to advocate for change.
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