American Academy of Family Physicians
Tuesday Aug 11, 2009

Will you fight for higher reimbursements?

The Centers for Medicare and Medicaid Services (CMS) has released its proposed 2010 Medicare Physician Fee Schedule and is accepting comments until August 31. Your input is needed to make sure these changes take effect.

There are important changes in the proposed schedule that affect family physicians and the patients you serve. One of the most significant changes to the fee schedule is an 8 percent increase in reimbursement rates to primary care physicians.

As you would expect, the subspecialists are mobilizing their members to oppose this change. We want to be sure the voice of primary care is strongly represented in this debate. Please send your comments of support to CMS. We’ve made it easy by providing the direct link below where you can view the proposed rule and submit your comments.


You can see a see a summary of the proposed changes and the Academy’s position here. You can also view and download a template letter to help guide your comments.

Comments must be received by CMS no later than 5:00 p.m. (Eastern Time) on Monday, August 31. You can send comments electronically, by mail, or by hand/courier delivery. Electronic submission is quick and easy. Submit your electronic comment here.

Thanks for all your help.


If you think getting reimbursments adequate to keep my office open from Medicare/Medicaid is hard now, just wait until the new Health Care "Reform" package is passed. The law will make us all work for the Medicare/Medicaid people who will tell us who to see, for what, when, and how much we can charge for that. Has anyone in the AAFP ACTUALLY READ this horrid new law. Let me argue with insurance companies any day!!!! Wake up guys before we die!! CVMadsenMD

Posted by christian madsen md on August 11, 2009 at 06:28 PM CDT #

My goodness, Dr. Madsen. It seems apparent to me that you have certainly not read the bill. You've got it entirely backwards.

Posted by James J. Meyer, M.D. on August 14, 2009 at 10:00 AM CDT #

payment reform should not be to do incremental change with higher per visit or per anything rates. Most family doctors I know and talk with about reform would prefer that we receive a fair salary for our work and then base any increase for quality on whether we meet improvement goals for a population of patients. What I earn is a function of what my office/team does to affect important outcomes, not throughput, coding/billing levels, insurance status, or whatever. To the extent that the proposed legislation begins to reward us for managment of care, not throughput/ piecework, we will be both better paid and more satisfied about the amount of control we will have in our work. I will do the right thing whatever it is rather than the billable thing.

Posted by John J. Frey III MD on August 28, 2009 at 10:44 AM CDT #

AS family doctors we do all cu work and get and train same years but get leat payments. We desire more. Hospitals should not be deciding factor for bundle payements either because then they will reward only those they favor or like.

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