Becker's Healthcare October 17, 2025
While the proposed 2026 Medicare physician payment schedule does include several updates to the ambulatory specialty model that the American Medical Association has long advocated for, it said in comments to CMS that there are still several areas in need of a redesign.
According to an Oct. 16 report, the AMA’s comments, submitted to CMS for consideration before the planned finalization of the rules Nov. 1, aim to support physicians, primarily those in private practice, and help them remain financially stable enough to continue caring for older adult patients with heart failure or low back pain.
The AMA’s recommendations to CMS include:
1. Restructure the ambulatory specialty model’s financial model. The current model guarantees that most participating physicians will see...
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