New coalition urges greater support for independent docs in value-based payment models

The Medical Group Management Association and five other physician organizations formed a coalition to advocate for policies that support independent doctors transitioning to value-based payment.

"There is a unique place for independent physicians in new advanced alternative payment models, and there isn't a unified voice to represent them from an advocacy standpoint," said Anders Gilberg, senior vice president of government affairs at MGMA.

The partnership will focus on advancing physician-led alternative payment models; supporting policies that promote consumer choice and competition and creating new opportunities for physicians in commercial markets such as Medicare Advantage, the group said.

Along with MGMA, the other organizations part of the coalition are Aledade, a company that helps solo physicians form ACOs, the American Academy of Family Physicians, the California Medical Association, the Florida Medical Association and the Texas Medical Association's PracticeEdge, which helps Texas medical practices form physician-led ACOs.

The coalition supports advanced APMs that "provide more predictable and accurate benchmarks." Additionally, it advocates for the CMS to remove barriers that prevent physician-led groups from entering competitive Medicare Advantage markets.

Finally, the coalition hopes their efforts will help physicians maintain their independent status, Gilberg said. For the first time ever, less than half of physicians — 47% — own their medical practice. It's harder now for doctors to maintain their autonomy with new payment models that require investments in technology and greater regulatory compliance.

"There is still a viable place for independent practices in healthcare," Gilberg said. "Something that the group will focus on as we mature is looking at consolidation and competitiveness and how we can influence policies to make sure there is a level playing field between independent practices and other stakeholders in healthcare."