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Support H.R. 10136 — The Promoting Fairness for Medicare Providers Act of 2024

Newsroom

Growing Support for Legislation Critical to Saving Private Practice Medicare Providers

December 20, 2024

Our Vision

The Office-Based Facility Association's (OBFA) vision is for fundamental reform of the Physician Fee Schedule that provides payment stability for office-based interventionalists.

FAST FACTS

Physician Fee Schedule (PFS) Office-Based Interventionalists & Consolidation
Physician Fee Schedule Reimbursement Updates
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Protecting Patient Access to Office-Based Interventional Care
Now – more than ever – patients need access to office-based interventional care.
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The Problem

 

The 2025 Medicare Physician Fee Schedule (PFS) Final Rule published on December 9, 2024, would impose yet another round of significant cuts to office-based specialists.  These cuts will continue to reduce patient access, particularly in rural areas; accelerate the health system consolidation trend; exacerbate health inequities in a variety of diseases; and threaten the pandemic resilience of our healthcare system. 


“Budget-neutrality” remains a driver of cuts within the fee schedule as the 2025 PFS Final Rule incorporates: 

 

  • A carry-over 2.8% cut to the conversion factor from the 2021 PFS E/M policy and, 

  • The fourth-year of clinical labor cuts to office-based specialty relative value units (RVUs) from the 2022 PFS Clinical Labor policy that cuts some specialists by another 4%. 

 

PFS physician payments equal conversion factor * RVUs.  As a result, certain office-based specialists will again be cut by another 6 - 7% in 2025 alone. 


These year-over-year cuts are being implemented without regard to patient outcomes, actual PFS provider resource needs, or any other policy. 


In the 2025 PFS Final Rule, CMS states continued interest in promoting “stability and predictability” in the PFS.   We urge CMS and Congress to follow through on this statement and stop ongoing cuts to office-based specialists as Congress looks to undertake the serious work of fundamental reform to the Physician Fee Schedule. 

 

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