Becker's Healthcare November 7, 2025
In its finalized 2025 physician fee schedule, CMS included an “efficiency adjustment” of negative 2.5% work relative value units, sparking an outcry among physicians.
Dozens of physician organizations condemned the rule and the reduction, with the American Medical Association arguing that reimbursement under Medicare will shrink for more than 7,000 physician services. This represents 95% of all services provided by physicians, according to the AMA, which has advocated for an alternative payment structure.
Four physician leaders joined Becker’s to discuss how the efficiency adjustment will affect their practice.
Editor’s note: Responses have been lightly edited for clarity and length.
Question: How will the 2.5% ‘efficiency adjustment’ change the way your system or practice approaches care?
Margaret Tracci, MD....
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