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.
Take action now: Contact your members of Congress
Tell Congress to support legislation that would reform the flawed Medicare physician payment system and provide annual inflationary updates. 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
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.
The Physician Practice Information (PPI) Survey
Learn about (PDF) a new national study being led by the AMA (and supported by 173 health care organizations) to collect representative data on physician practice expenses. The aim of the Physician Practice Information Survey (PDF) is to better understand the costs faced by today’s physician practices to support physician payment advocacy to policymakers.
Current system is unsustainable
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 Medicare payment graphics
Download and print the charts to use for your advocacy efforts.
Medicare provider updates for 2025
Medicare provider updates for 2025
Medicare updates compared to inflation
Medicare updates compared to inflation
Key measures of practice expense in the Medicare Economic Index
Key measures of practice expense in the Medicare Economic Index
Medicare spending per enrollee
Medicare spending per enrollee
Real (inflation-adjusted) Medicare physician spending per enrollee
Real (inflation-adjusted) Medicare physician spending per enrollee
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
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.
