Physicians Practice September 4, 2025
MGMA’s Anders Gilberg warns practices about Medicaid cuts, Medicare pay shifts, prior authorizations, and telehealth deadlines in the new reform law.
Medical practice administrators are facing a wave of potential policy changes as the sweeping One Big Beautiful Bill Act is implemented, according to Anders Gilberg, senior vice president of government affairs at the Medical Group Management Association (MGMA). Speaking in an interview, Gilberg said the legislation and related regulatory moves could reshape payment, coverage, and compliance issues in the years ahead.
Medicaid cuts loom, but implementation uncertain
The bill includes provisions that the Congressional Budget Office predicts could push 10 million Americans off Medicaid beginning in 2027 or 2028. The changes are tied to new administrative requirements, such as...







