Advisory Board December 2, 2024

Robert F. Kennedy Jr., President-elect Donald Trump’s pick to lead HHS, is reportedly exploring a proposal that would minimize the role played by the American Medical Association (AMA) in determining what Medicare pays for medical services. Here’s what you need to know.

Provider compensation model not working? Here’s how to fix it.

Details on the proposal

Since the early 1980s, the U.S. government has relied on AMA to maintain billing codes, also known as the “current procedural terminology” (CPT) codes, to determine how roughly a fifth of Medicare Part B’s budget is spent.

Specifically, AMA runs a panel of doctors called the Relative Value Scale Update Committee (RUC) that meets three times a year to discuss how physician services should...

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Topics: Govt Agencies, HHS, Insurance, Medicare, Physician, Provider
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