Why Industry Groups Are Decrying CMS’ Physician Fee Schedule Proposal

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The Centers for Medicare & Medicaid Services (CMS) released a proposed rule cutting physician payment rates by 2.8% in next year’s Medicare physician fee schedule. Industry groups, including the American Medical Association and Medical Group Management Association, expressed outrage, stating that reimbursement should keep up with inflation. The proposed rule would decrease the conversion factor used to determine physician reimbursement rates for treating Medicare beneficiaries. CMS is seeking to cut physicians’ Medicare payments for a fifth consecutive year while predicting a 3.6% increase in the Medicare Economic Index measuring inflation. Industry leaders are urging Congress to pass reform packages to address the increasing cost of providing care and undervalued payment rates.

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