Another Medicare Cut for Physicians? Look to Congress, Not CMS

MedPage Today July 31, 2024
Richard Heller, MD, MBA

— Medicare patients and providers deserve better

Recently, CMS released its proposed Medicare fee schedule for physicians and other healthcare professionals in 2025. As expected, the Medicare “conversion factor” (CF) — a multiplier that is used to calculate payment rates for each service or procedure — is lower than it has been in decades. This means even less reimbursement for many that serve Medicare patients. In fact, the proposed 2025 CF is so low that the last time we saw a lower CF was in 1993. For context, in 1993 movie tickets cost around $4, Blockbuster Video was huge, and Google was still 5 years away.

How did we get here?

Let’s start by taking a look at the steps...

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