AAPM&R Voices Physiatry’s Concerns of Proposed MACRA Rule

Members & Publications


June 28, 2016

On April 27, 2016, a proposed rule was issued by the Centers for Medicare & Medicaid Services (CMS) that signifies the most extensive change in physician payment policies in the last 2 decades. Your Academy worked diligently to read and synthesize the information to determine how it will impact physiatry. On June 27, 2016, your Academy took a stand for the specialty and submitted comments to CMS on the proposed rule.

In the comment letter, your Academy made numerous recommendations to CMS that are impactful for physiatry, including:

  1. Do not begin the first MACRA performance period until July 1, 2017 and allow for an initial six-month reporting period. 
  2. Explicitly recognize continuing medical education (CME) activities provided by a nationally-recognized accreditor as a clinical practice improvement activity.
  3. Provide as much flexibility as possible for APM participants to meet thresholds so that they may achieve the participation levels.

To make sure the voice of physiatry is heard, your Academy also signed on to 3 other comment letters:

  1. American Medical Association

  2. Group of Pain Specialty Societies (including the American Academy of Pain Medicine, American Academy of Physical Medicine and Rehabilitation, American Society of Anesthesiologists, American Society of Interventional Pain Physicians, American Society of Regional Anesthesia and Pain Medicine, North American Neuromodulation Society, and Spine Intervention Society)

  3. Physician Clinical Registry Coalition

The final rule is due to be released in the fall. Until then, learn more:

Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.