Establish Sustainable Payment Practices

The current system is unsustainable and severely inhibits clinicians' ability to effectively run their practices. The nation is facing a health care workforce crisis, limiting patient access to care, especially among rural, senior, and other vulnerable and underserved populations. Without immediate and substantial reform, clinicians may face difficult decisions about whether it is financially viable to keep their doors open.

Over the last 20 years, clinicians have experienced

  • Nearly 60%*


    increase in practice expenses
    *American Medical Association

  • 33% decrease*


    in Medicare reimbursements
    *American Medical Association

ACC in Action

  • The ACC launched grassroots campaigns on several Medicare payment stabilization and reform bills, resulting in thousands of messages from ACC members to their lawmakers.
  • The ACC responded to the Senate Finance Committee’s request for information on necessary reforms to the Medicare payment system to improve care delivery.
  • The College submitted comments to CMS on the proposed 2025 Medicare payment systems rules.
  • Member leaders joined other medical specialty societies at a physician event in Washington, DC, urging Congress to address critical issues impacting the medical community including Medicare reform.

Policy Progress

  • The Medicare Patient Access and Practice Stabilization Act (H.R. 879) would reverse the 2025 cut to Medicare physician reimbursement and add an inflationary update.
  • In the 118th Congress, Reps. Mariannette Miller-Meeks, MD, (R-IA) and Jimmy Panetta (D-CA) circulated a letter addressed to House leadership, urging the elimination of the proposed 2.8% cut in 2025 and adding an inflationary update, which garnered 233 signatures.