These Council reports contribute to the policy options for reforming physician payment. Key council reports on this topic have addressed APMs, Medicaid expansion, the site-of-service differential and high-value care.
2025
- Requiring Payment for Physician Signatures (PDF) CMS Report 4-A-25
- Impact of Patient Non-adherence on Quality Scores (PDF) CMS Report 7-A-25
2023
- Health Insurers and Collection of Co-pays and Deductibles (PDF) CMS Report 2-I-23
- Bundled Payments and Medically Necessary Care (PDF) CMS Report 04-A-23
- Federally Qualified Heath Centers and Rural Health (PDF) CMS Report 09-A-23
2022
- Prospective Payment Model Best Practices for Independent Private Practice (Resolution 122-J-21) (PDF) CMS Report 02-A-22
2021
- Rural Hospitals (PDF) CMS Report 09-JUN-21. Read the issue brief for this report: Rural Hospitals (PDF).
2020
- Medicare Prescription Drug and Vaccine Coverage and Payment (PDF) CMS Report 3-November 2020
2019
- Improving Risk Adjustment in Alternative Payment Models (PDF) CMS report 3-I-19
2018
- Aligning Clinical and Financial Incentives for High-value Care (PDF) CMS/CSAPH Joint Report I-18. Read the issue briefs for this report: Promoting Access to High-Value Care (PDF) and Value-Based Insurance Design (PDF).
- The Site-of-service Differential (PDF) CMS Report 4-I-18. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
- Sustain Patient-centered Medical Home Practices (PDF) CMS Report 3-I-18
- Integrating Precision Medicine into Alternative Payment Models (PDF) CMS Report 6-A-18
- Addressing the Site-of-service Differential (PDF) CMS Report 8-A-18
2017
- Prior Authorization and Utilization Management Reform (PDF) CMS Report 8-A-17
- Physician-focused Payment Models: Reducing Barriers (PDF) CMS Report 10-A-17. Read the issue briefs for the report: Physician-Focused APMs (PDF) and Reducing Barriers to PFPMs (PDF).
- Retail Health Clinics (PDF) CMS Report 7-A-17
2016
- Affordable Care Act Medicaid Expansion (PDF) CMS Report 2-A-16. Read the issue brief for this report: Taking steps forward to cover the uninsured (PDF).
- Virtual Supervision of "Incident to" Services (PDF) CMS Report 5-A-16
- Prior Authorization Simplification and Standardization (PDF) CMS Report 7-A-16
- Physician-focused Alternative Payment Models (PDF) CMS Report 9-A-16. Read the issue briefs for the report: Physician-Focused APMs (PDF) and Reducing Barriers to PFPMs (PDF).
2015
- Physician Access to Accountable Care Organization Participation (PDF) CMS Report 7-A-15
- Update on Payment Mechanisms for Physician-led Team-based Health Care (PDF) CMS Report 1-I-15
2014
- Medicare Update Formulas Across Outpatient Sites of Service (PDF) CMS Report 3-A-14. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
- Analysis of Place-of-service Code for Observation Services (PDF) CMS Report 4-A-14
- Medicaid Primary Care Payment Increases (PDF) CMS Report 7-I-14
2013
- Payment Variations Across Outpatient Sites of Service (PDF) CMS Report 3-A-13. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
- Delivery Reform (PDF) CMS Report 6-A-13
- Payment Mechanisms for Physician-led Team-based Health Care (PDF) CMS Report 1-I-13
- Hospital-based Physicians and the Value Based Payment Modifier (PDF) CMS Report 3-I-13
- Integrated Electronic Patient Care Reports for Prehospital Providers (PDF) CMS Report 4-I-13
2012
- Medicaid Patient-centered Medical Home Models (PDF) CMS Report 3-A-12
- Face-to-face Encounter Rule (PDF) CMS Report 3-I-12
- Physician Payment Reform Update (PDF) CMS Report 1-A-11
- Denial of Payment Based on Volume of Procedures Performed (PDF) CMS Report 6-A-11
- Implementing Alternative Health Care Delivery and Physician Payment Models (PDF) CMS Report 8-A-11
- Practice Expense Data and the Medicare Economic Index (PDF) CMS Report 1-I-11
- Physician Tax Credits for Uncompensated Care (PDF) CMS Report 2-I-11
2009
- Medicare Physician Payment Reform (PDF) CMS Report 6-A-09
- The Patient-centered Medical Home (PDF) CMS Report 8-A-09
- Geographic Variation in Health Care Cost and Utilization (PDF) CMS Report 2-I-09
2008
- The Role of Cash Payments in all Physician Practices (PDF) CMS Report 3-A-08
Additional information
Access all council reports prior to 2007 or learn more about the Council on Medical Service.
