CMS logo on a phone in front of a computer screen with the CMS website pulled up

Healthcare Organizations Push Back Against CMS Medicaid Payment Rule Changes

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The letter, signed by America’s Essential Hospitals, America’s Physician Groups, Primary Care Collaborative, and others, explains that the proposed rule’s overly prescriptive application of Medicare-based limits will impede state efforts to advance value-based payment models tailored to Medicaid beneficiaries’ unique needs. The organizations urge CMS to preserve state and managed care organization flexibility, align Medicare-based payment limits with the Medicaid fee-for-service process, and refrain from limiting services not required by statute.

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Philadelphia internist receives medical executive award

Darilyn V. Moyer, MD, MACP, an internal medicine physician and physician executive, received the American Medical Association’s (AMA) Medical Executive Meritorious Achievement Award. The award recognizes executives whose leadership has had a lasting impact advancing patient care, physician practice, and medical education.

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Susan Edgman-Levitan Headshot

ABMS Announces 2026 Service Award Recipients

The American Board of Medical Specialties (ABMS), the leading not-for-profit organization overseeing the certification of physicians and medical specialists in the United States, has announced the recipients of its 2026 service awards.

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ABMS Health Care Quality and Patient Safety Award: Susan M. Edgman-Levitan, PA

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Her service with the American Board of Internal Medicine Foundation, American Board of Internal Medicine Council, the Primary Care Collaborative, and other national initiatives reflects her longstanding focus on incorporating the patient voice into healthcare decision making.

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Professional Corner: Groups Decry Medicaid Work Requirement

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  • The Centers for Medicare & Medicaid Services said new work requirements for Medicaid beneficiaries — due to take effect on January 1, 2027 — are intended to promote self-sufficiency.
  • But the AAP, the American College of Physicians (ACP), and the Primary Care Collaborative (PCC) all warned the rules could create added administrative hurdles and reduce access to coverage and care

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Will CMS’ Last-Minute Medicaid Work Requirement Changes Cause More Harm?

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The Primary Care Collaborative, meanwhile, is worried that the new rule could undermine the continuous relationship between members and primary care physicians due to a disruption in coverage, said Ann Greiner, president and CEO.

She added that the interim final rule could be burdensome not just for states, but for providers as well.

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CMS logo on screen with an about cms page on a phone

Regulatory Industry groups say final Medicaid work requirements rule imposes onerous documentation burden

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The work requirements in conjunction with policies that slash special directed payments in Medicaid could erode the social safety net, the Primary Care Collective said in a statement.

CEO Ann Greiner said that the rule could impair practices and their stability at a time when both patients and providers are struggling with healthcare costs and access barriers.

“The PCC is disappointed by today’s interim final rule, which would further imperil access to high-quality primary care,” Greiner said. “These top-down changes will force states to implement new requirements that will hamper access to preventive services and primary c

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CMS logo on phone in front of website on laptop screen

Controversy Surrounds CMS’s Medicaid Work Mandate: Stakeholder Reactions and Policy Implications

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President and CEO Ann Greiner of the Primary Care Collaborative (PCC), a non-profit organization, also issued a statement: “The PCC is disappointed by today’s interim final rule, which would further imperil access to high-quality primary care. These top-down changes will force states to implement new requirements that will hamper access to preventive services and primary care.”

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A hand sorting through a stack of complicated documents.

Medicaid Work Reqs IFR Limits Medically Frail Exemption, Self-Attestation

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The Primary Care Collaborative (PCC) also urged policymakers to slow down implementation.

“The PCC is disappointed by today’s interim final rule, which would further imperil access to high-quality primary care. These top-down changes will force states to implement new requirements that will hamper access to preventive services and primary care, “ President and CEO Ann Greiner said.

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Capitol Hill

MGMA urges Congress to overhaul Medicare physician payment, scrap MIPS ‘tournament’ scoring

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MGMA is not alone in submitting a statement for the record. The Primary Care Collaborative (PCC), in a parallel filing from President and CEO Ann Greiner, called for Congress to update the budget neutrality threshold to reflect inflation and pressed for hybrid payment models that combine upfront payments with fee-for-service reimbursement for selected services.

PCC noted that primary care accounts for less than 5% of all health spending, and just 3.7% of Medicare spending, despite handling roughly half of all office visits. Greiner cited Milbank Memorial Fund data showing about 30% of Americans don’t have a continuous relationship with a primary care clinician they trust.

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