American Osteopathic Association

Advancing the distinctive philosophy and practice of osteopathic medicine

For Policymakers

As work continues on Capitol Hill to reform the Medicare physician payment system and to permanently repeal the Sustainable Growth Rate (SGR) formula, the AOA urges Congress to swiftly move toward approving a final legislative solution for this problem that has now spanned more than a decade. Temporary patches that freeze payment levels impede access to quality care for Medicare patients, and are no longer a financially viable option for Congress, Medicare and physicians.

The AOA is encouraged by recent progress made by the Senate Finance Committee and the House Energy & Commerce and Ways & Means Committees in passing bills out of committee that address many of the problems with the current payment system. Consistent with the AOA’s highest priorities for reform, the proposals permanently repeal the SGR, institute a period of stability, authorize new "alternative payment models" coupled with a quality-enhanced fee-for-service model, and provide additional incentives for physicians qualifying as a medical home who provide care coordination for patients with complex chronic conditions.

At no other time has there been a stronger opportunity to seize the lowered cost of repeal and the continued bipartisan interest in permanently moving to a stable Medicare payment system for physicians. The AOA implores Congress to build on this momentum and ensure that payment reform legislation is enacted into law this year.


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​Ray Quintero—Director, Government Relations
Carol Monaco—Director, Federal Affairs
Angela Jeansonne—Assistant Director, Federal Affairs
Sean Neal—Coordinator, Washington Advocacy and Communications; NOAC Operations Director 
Laura Wooster—Director, Congressional Affairs
Holly Biglow
—Congressional Lobbyist