Becker's Healthcare December 12, 2025
Francesca Mathewes

Independent physicians have faced an uphill battle for decades as reimbursement rates decline below the cost of running a practice and persistent administrative burdens continue to wear physicians’ patience thin.

David Eagle, MD, president of the American Independent Medical Practice Association, recently joined Becker’s to discuss the challenges that independent physicians faced in 2025 and where AIMPA’s advocacy will be targeted in the year ahead.

Regulatory burdens

Dr. Eagle has been in practice for over 20 years and has seen various waves of burdensome regulatory and administrative requirements. For 2025, he named the Medicare Merit-based Incentive Payment System as one of the top regulatory burdens facing independent physicians.

MIPS ties clinician payments to performance, theoretically rewarding...

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