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Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors

Oct 09, 2019

On October 3, President Trump signed an Executive Order on Protecting and Improving Medicare for Our Nation’s Seniors. The Order’s stated purpose is to protect Medicare “rather than upend it” via the proposed Medicare for All Act of 2019.

Among mandates such as requiring Medicare Advantage (MA) payment models that allow beneficiaries to share more directly in the savings from the program and improving patient access to care through network adequacy, the Order requires that Medicare Fee-for-Service is not advantaged over MA. Additionally, the administration orders that CMS does a comprehensive review of regulatory policies that create disparities in reimbursement between physicians and non-physician practitioners. The Order states that clinicians should be reimbursed “in accordance with the work performed rather than the clinician’s occupation.” The Order requires that all of its mandates are completed within one year.

Your Academy is in the process of analyzing what the Order’s provisions mean for physiatrists and physiatry.