• AAFP Advocacy Focus: Medicare Physician Payment

    Medicare beneficiaries — who make up about one of every four patients in a typical family physician’s practice, with elderly and disabled patients numbering as many as six of every 10 — depend on you.

    That's why the Academy advocates to improve Medicare physician payment rates and ensure physicians receive stable and appropriate compensation for the services they provide to Medicare beneficiaries, allowing them to focus on caring for their patients — who can rest assured their care will not be interrupted. 

    Medicare Physician Fee Schedule (MPFS)

    The Centers for Medicare & Medicaid Services (CMS) annually updates the MPFS for the upcoming calendar year. The regulatory update addresses physician payment and coverage for services under Medicare Part B and the Quality Payment Program through revisions to payment policies, rates, and other provisions, including geographic adjustments and the relative value units (RVUs) assigned to services. RVUs assigned to each code reflect the physician work, practice expense, and professional liability insurance involved in furnishing that service. The AAFP submits comprehensive comments on the Medicare Physician Fee Schedule proposed rule each year.

    2023 Medicare Payment Rates and Conversion Factor

    CMS will release the calendar year 2023 MPFS final rule in November, and the new payment policies will take effect with dates of service on or after January 1, 2023. The AAFP summarized the proposed rule for members and will provide comprehensive comments to CMS. The AAFP is urging Congress to increase the 2023 conversion factor to avert cuts for physicians. Without congressional action, family medicine will see a reduction in allowed charges in 2023.

    Other Priorities in the CY 2023 MPFS

    The AAFP is also advocating for CMS to:

    • Ensure telehealth coverage and payment policies enable all Medicare beneficiaries to access telehealth services from their usual primary care physician after the end of the COVID-19 public health emergency
    • Reduce documentation and reporting burden for family physicians
    • Improve payment for behavioral health services that are integrated into the primary care setting
    • Ensure payments for vaccine administration cover the cost of offering vaccinations in primary care offices