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

Capitol Hill

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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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