The Private Practice Physicians Section (PPPS) held its interim meeting on Thursday, Nov. 13 and Friday, Nov. 14, in conjunction with the AMA Interim Meeting. The meeting brought together more than 50 private practice physicians and invited guests for section programming, leadership discussions, and business activities held as part of the broader meeting.
Thursday opened with a joint practice sustainability (PS2) session held with APS, IPPS, OMSS, and PPPS, followed by the PPPS Governing Council’s working session to review priorities and prepare for Friday’s programming. That evening’s dinner provided an opportunity for members to reconnect ahead of the full day to come.
On Friday, the section delivered a consolidated slate of educational programming focused on the major financial, administrative, and regulatory pressures affecting private practice. The Trillion-Dollar Cut: Impact of Medicaid Cuts on Health Care and Fixing Prior Authorization: Advocacy Wins and Next Steps offered a grounded look at the evolving policy environment and the AMA’s coordinated strategies to reduce burden and support practice stability.
Leadership updates were interwoven throughout the day. AMPAC’s Dr. Michael Brisman outlined current electoral strategy and advocacy goals, followed by a federal landscape update from Todd Askew, the AMA’s senior vice president of advocacy. In the afternoon, AMA Immediate Past President Bruce Scott, MD, and AMA Board of Trustees Chair David Aizuss, MD, delivered a joint BOT update highlighting key AMA initiatives and national priorities impacting private practice. The section also convened its business meeting to advance policy work and gather member input.
The meeting concluded with closing remarks on Friday afternoon, followed by the AMA Section Governing Council Alumni Reception that evening.
Education sessions
The Trillion-Dollar Cut: Impact of Medicaid Cuts on Health Care
This session examined how recently announced Medicaid reductions may alter care delivery, reimbursement structures, and day-to-day clinical operations. Panelists outlined expected pressures on patient access, workforce capacity, and practice stability, and discussed steps practices can take to prepare for revenue shifts, maintain continuity of care for Medicaid patients, and engage in targeted advocacy to help mitigate disruption.
Fixing Prior Authorization—Advocacy Wins and Next Steps
This session reviewed the escalating burden of prior authorization and the AMA’s coordinated strategy to reduce delays and administrative friction. Presenters highlighted updated national data on utilization and denial trends, newly adopted AMA policy establishing a national system to track prior authorization issues, and key federal and state-level developments including gold-carding and chronic-condition exemptions. Practical tools—such as FixPriorAuth.org—were emphasized to support grassroots engagement and help practices reduce administrative burden.
PPPS resolutions
PPPS considered a series of resolutions and reports submitted by members and the governing council.
The section advanced the various items to the House of Delegates including:
- Late resolution 1—Oppose Insurer Penalties for Hospitals Based on Physician Network Participation (PDF)
- PPPS Governing Council Report A (PDF)
Additionally, the section considered two other items, but did not advance them to the HOD:
- Late resolution 2—Redirecting ACA Subsidies to Fund Individual Health Savings Accounts (HSAs)
- Late resolution 3—Mismanagement of the HIPAA Administrative Simplification Policy
Some items were previously considered by the section at its policy meeting in October for the 2025 Interim Meeting:
- Resolution 1—Tackling Administrative Waste—Let Us Be Part of the Solution to Putting Our Health System on a Sustainable Path
- Resolution 2—Rethink the Medicare Annual Wellness Visit
- Resolution 3—Halt the Rollout of New Payment Models by the Center for Medicare & Medicaid Innovation (CMMI)—A New Administration Offers an Opportunity
- Resolution 4—The Crisis in the Availability of Primary Care: Halt the Required Participation of Small Practices in Value-Based Payment (VBP) Models
- Resolution 5— Improving Health Care Access for Medicare Patients
- Resolution 6—Recoupment by CMS Recovery and Audit Contractors (RAC)—Due Process
- Resolution 7—Due Process for Recoupment by CMS Recovery and Audit Contractors (RAC)—SEC v. Jarkesy
- Resolution 8—Establishing an AMA “First Responder Team” for Real-Time Physician Advocacy Against Adverse Insurance Company Actions
- Resolution 9—Opposing Unilateral Downcoding of Physician Services by Insurance Companies
- Resolution 10—Restoring Balance Billing and Allowing Copay Forgiveness to Preserve Independent Practice and Improve Access to Care
- Resolution 11—Support for Paid Prenatal Leave
For detailed information on these resolutions and other meeting materials, please visit the 2025 PPPS Interim Meeting Agenda & Resources page. To obtain a presentation-ready format of the meeting highlights, please email [email protected].
To learn more about the PPPS and how to become more engaged, visit the PPPS homepage.
