Opposition Building On Capitol Hill To HHS Plan To Cut Medicare Payments For Some Drugs

New Medicare Penalty Hits Small Groups, Solo Physicians Hardest

Medicare’s new compensation formula will bestow performance bonuses as high as 4% on an estimated 412,000 physicians and other clinicians in 2019 and impose corresponding penalties on another 346,000, mostly in practices of from one to 24 members, according to proposed regulations released yesterday by the Centers for Medicare Medicaid Services (CMS). One physician organization is expressing dismay about a payment system that seems to work against smaller practices. “It’s extremely concerning,” said Anders Gilberg, senior vice president of government affairs for the Medical Group Management Association (MGMA), in an interview with Medscape Medical News. “Any program like this should give physicians the opportunity to succeed regardless of practice size.” (Lowes, 4/28)