Medicare & Medicaid

Current Medicare payment system on unsustainable path: Contact Congress

Updated | 3 Min Read

The AMA is deeply alarmed about the growing financial instability of the Medicare physician payment system due to a confluence of fiscal uncertainties physician practices face related to the pandemic, statutory payment cuts, lack of inflationary updates and significant administrative burdens. 

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Take action now: Contact your members of Congress

Tell Congress to support legislation that would prospectively cancel the 2.83% payment cut that went into effect on January 1, while also providing a 2.0% payment update, helping to stabilize physician practices and protect patients' access to care. Use these materials in conversations with members of Congress to let them know the Medicare physician payment system needs reform to become a more sustainable, value-based system that better meets the needs of patients and physicians.

Learn about how you can take part in the fight to fix Medicare on behalf of your patients and practices at the AMA's Fix Medicare Now website.

Medicare basics

The AMA's Medicare Basics series provides an in-depth look at important elements of the Medicare physician payment system. Find more topics about the payment system and why it's in need of reform.

Current system is unsustainable

The evidence is clear: The Medicare payment system is on an unsustainable path threatening patient access to physicians.

Download Medicare payment graphics

Download and print the charts to use for your advocacy efforts.

Medicare Conversion Factor, 2020-2025

Medicare Conversion Factor chart, 2020-2025 (June 2025)

Medicare provider updates for 2025

Medicare provider updates for 2025 chart (Jan. 2025)

AMA State Advocacy Impact Report

Learn how the AMA helped protect the patient-physician relationship and keep physician voices front and center in 2025.

 


Medicare updates compared to inflation

2026 Medicare updates compared to inflation chart

Key measures of practice expense in the Medicare Economic Index

Key measures of practice expense, Medicare Economic Index

Medicare spending per enrollee

Medicare spending per enrollee, 2013 vs. 2023

Real (inflation-adjusted) Medicare physician spending per enrollee

Real (inflation-adjusted) Medicare physician spending per enrollee (2023 dollars)

Principles for Medicare physician payment reform

The AMA and the Federation of Medicine have developed a set of principles to guide advocacy efforts on Medicare physician payment reform. Learn more.

The AMA fights Medicare cuts

Learn more about how the AMA fights against Medicare cuts, defending practices & access to care.

Follow the fight for Medicare reform

Stay up to date on how the AMA is fighting to reform the Medicare payment system for physicians—delivered to your inbox.

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