Position Statement

Neurosurgery Announces New Medicare Principles

  • AANS/CNS Washington Office
  • Reimbursement and Practice Management

Simplicity, relevance, alignment, and predictability, for physician practices and the Centers for Medicare and Medicaid Services (CMS).

Ensuring financial stability and predictability

  • Provide financial stability through a baseline positive annual update reflecting inflation in practice costs, and
    eliminate, replace or revise budget neutrality requirements to allow for appropriate changes in spending growth.
  • Recognize fiscal responsibility. Payment models should invest in and recognize physicians’ contributions in
    providing high-value care and the associated savings and quality improvements across all parts of Medicare and
    the health care system (e.g., preventing hospitalizations).
  • Encourage collaboration, competition and patient choice rather than consolidation through innovation,
    stability, and reduced complexity by eliminating the need for physicians to choose between retirement, selling
    their practices or suffering continued burnout.

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