Health Affairs July 8, 2021
John D. Goodson, Sara Shahbazi, Zirui Song

Payments for individual physician services have been regulated for nearly three decades. In the late 1980s, federal price controls garnered bipartisan support because professional costs were skyrocketing. Medicare was becoming unsustainable. Since then, accumulated pricing distortions that favor proceduralists have led a skewed physician workforce. Select specialties have incomes that are multiples of their peers. As a result, workforce shortages have emerged in primary care and other similar cognitively focused specialties such as infectious diseases, endocrinology, and neurology.

The Centers for Medicare and Medicaid Services (CMS) has commendably begun to address these distortions. However, the agency’s efforts may inadvertently worsen relative compensation for some cognitively focused practitioners, notably infectious diseases physicians, who are already poorly paid compared to their counterparts in other fields. In...

Today's Sponsors

Canton & Company

Today's Sponsors

Curation Health

Today's Sponsor


Topics: CMS, Govt Agencies, Insurance, Medicare, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Technology
Physician groups warn nearly 10% in Medicare cuts could stall shift to value-based care, force staff cuts
Providers balk at MIPS value program, Medicare rate in physician pay rule comments
CY 2022 Medicare Physician Fee Schedule Rule Proposes Extended Telehealth Benefits
Medicare Advantage: How physicians can take advantage of this emerging opportunity
Teaching Physician and Teaching Hospital Changes in the Proposed 2022 Medicare Part B Payment Policies Rule