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Lawmakers mull Medicare physician pay reform to tamp down consolidation

Lawmakers are mulling reform of how Medicare pays physicians, concerned that insufficient reimbursement in the federal insurance program is incentivizing consolidation and increasing healthcare costs. Physician pay has declined over the past two decades when accounting for inflation, spurring independent providers to be acquired by hospital systems rather than go it alone, provider witnesses told […]

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House Hearing on the Physician Fee Schedule, MACRA Finds Much Agreement on Problems

Payment disparities based on site of service were another universal complaint at the hearing. “My clinic is on the campus of a major hospital in Dallas,” said Rick Snyder, MD, a cardiologist in independent practice. “When I perform an echocardiogram in my office, Medicare pays my practice a technical fee of about $123. My patient’s

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80% of independent PCPs are worried about money. Only 2% are considering leaving.

During a Medical Economics and Physicians Practice panel on independent practice last fall, David Eagle, M.D., a medical oncologist with New York Cancer and Blood Specialists and president of the American Independent Medical Practice Association (AIMPA), said inflation updates to the Medicare Physician Fee Schedule are the single most important structural change Congress could make.

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Inside The DOJ’s Hospital Contracting Crackdown: What Message Are the Feds Sending?

The lawsuits come as part of a larger affordability push by the presidential administration. Dr. David Eagle, a hematologist-oncologist at New York Cancer & Blood Specialists, applauded these efforts for going after hospital consolidation and contracting practices, which he said are directly raising costs and diminishing patient access every day. Read the full article at

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How independent physicians are fighting back against rising costs

Independent physicians are feeling the squeeze as costs of care rise. Reimbursement rates aren’t keeping up with increasing staffing and supply expenses, providers say. In response, many have sold their practices to corporations or larger health systems. But others are looking for alternatives. They are turning to third parties for infrastructure support, partnering with larger

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Doctors Warn Congress Stagnant Medicare Pay Will Harm Patients

Leaders of the nation’s top physician organizations are warning that Medicare reimbursement to doctors has become unsustainable and threatens to curtail access to care for millions of older Americans if Congress fails to act. The Centers for Medicare & Medicaid Services’ most recent annual Medicare reimbursement update sets aside a 2.5% pay bump for doctors,

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State crackdowns on ‘corporate medicine’ may be backfiring on independent physicians

David Eagle, M.D., a hematologist-oncologist in Patchogue, New York, and president of the American Independent Medical Practice Association, described that “unlevel playing field” during the Medical Economics and Physicians Practice panel discussion on independent practice. Read the full article at Medical Economics

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The avenue of hope for struggling physicians practices

Physician practices have been struggling amid a rising tide of consolidation efforts by a range of corporate entities, including hospitals, health systems, private equity and insurance companies. In response to this trend, a new wave of management services organizations and similar physician-led platforms have emerged in the physician practice space with the goal of keeping

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The biggest priorities for independent practices in 2026

Consolidation, reimbursement and administrative burdens were among the biggest challenges for independent physicians in 2025. The American Independent Medical Practice Association is targeting several key points of advocacy in the year ahead to address these concerns, David Eagle, MD, president of AIMPA, told Becker’s. Read the full article at Becker’s Physician Leadership

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What held back independent practice in 2025: AIMPA President Dr. David Eagle

Independent physicians have faced an uphill battle for decades as reimbursement rates decline below the cost of running a practice and persistent administrative burdens continue to wear physicians’ patience thin. David Eagle, MD, president of the American Independent Medical Practice Association, recently joined Becker’s to discuss the challenges that independent physicians faced in 2025 and

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