Medical Group Management Association (MGMA)

The Medical Group Management Association (MGMA) serves members, customers, and the healthcare community as a trusted partner by delivering insights, solutions, and advocacy to achieve medical practice excellence. MGMA advocates for priority issues affecting medical groups in Washington, D.C. and assists members in meeting the challenges posed by today’s rapidly evolving healthcare environment.

MGMA's perspective on CMS’s 2030 shift to value-based care
Anders Gilberg, Senior Vice of Government Affairs at Medical Group Management Association, explains the issues that will complicate moving Medicare from fee-for-service to value-based care models in five years.
Congress hesitates on long-term telemedicine expansion admid advocacy push
Congress temporarily extended telemedicine provisions until March amid lobby efforts by the Medical Group Management Association (MGMA) and others to make the provisions permanent.
MGMA concerned by 2025 Medicare Physician Fee Schedule
The Medical Group Management Association (MGMA) Senior Vice of Government Affairs, Anders Gilberg, explains MGMA’s 28-page letter to CMS on issues with the proposed 2025 Medicare Physician Fee Schedule.
Doctors sound alarm over ‘dangerous’ payment cuts in proposed Medicare Physician Fee Schedule
According to the new proposal, the 2025 conversion factor would be $32.36, down approximately 2.8% from 2024. SCAI, MGMA and other groups have already stepped forward with warnings that these cuts could do significant damage to patient care.
Industry groups applaud bill connecting Medicare payments to inflation
Healthcare groups are applauding a bill in the House of Representatives that would ensure Medicare payments are tied to inflation.

Providers face ‘ominous reality’ of payment cuts as CMS finalizes 2023 Physician Fee Schedule

Physicians are now bracing for payment cuts after the Centers for Medicare and Medicaid Services (CMS) published its final rule for the 2023 Physician Fee Schedule.

Claire Ernst, director of government affairs, Medical Group Management Association (MGMA), explains the list of priorities for the association. These include staving off the large, planned 2023 Medicare reimbursement cuts, fighting for continuation of reimbursements for telehealth, and revamping prior authorizations.

VIDEO: MGMA explains why the COVID-19 public health emergency extension is critical

Claire Ernst, director of government affairs for the Medical Group Management Association, talked to us about why extending the federal COVID-19 health emergency was so important for healthcare providers.

Physician group asks for extension on surprise billing regulations

While MGMA recognized that the No Surprises Act “established critical patient protections against balance billing and created new cost transparency tools to help patients,” the association argued the new requirements for 2022 also carried “ significant additional administrative burdens for group practices.”

Physician salaries continue to rise, but the pay gap between men and women remains

Physician salaries are on the rise once again after taking a temporary hit during the beginning of the COVID-19 pandemic.

‘Deeply troubled’: Doc groups blast MedPAC call for zero physician services pay update in 2023

Congress has provided billions in relief during the public health emergency, and patient volumes continue to rebound, the commission contended.

Healthcare groups urge Congress to extend hospital-at-home waivers

Dozens of healthcare groups have banded together to ask Congress to extend waivers for hospital care at home that were granted during the COVID-19 pandemic.

Prior authorization burdens are increasing

Healthcare leaders agree prior authorization burdens are increasing.

Bipartisan bill would provide relief for small practices navigating Merit-based Incentive Payment System

The Small Practice, Underserved, and Rural Support Program Extension Act of 2022 has drawn support from the AMA and several other physician groups.

Medical Group Management Association (MGMA)

MGMA's perspective on CMS’s 2030 shift to value-based care

Congress hesitates on long-term telemedicine expansion admid advocacy push

MGMA concerned by 2025 Medicare Physician Fee Schedule

Doctors sound alarm over ‘dangerous’ payment cuts in proposed Medicare Physician Fee Schedule

Industry groups applaud bill connecting Medicare payments to inflation