Advocacy

Hard at Work for Our Members

As a national organization with California roots, America’s Physician Groups is hard at work in Sacramento and Washington, D.C., fighting on behalf of our members—as well as the patients and communities they serve—for a healthcare system that recognizes the value of risk-based, coordinated, and accountable care.

2018 Priorities

At APG, we are tackling several priorities on our advocacy front.

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The Third Option

We are pressing for a new model in original Medicare providing for direct, globally capitated contracts between the Centers for Medicare & Medicaid Services (CMS) and capable, qualifying physician groups like our members. This option expands physicians’ access to advanced alternative payment models (APMs).

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Strengthening and Protecting MACRA

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is central to the goal of moving away from our current fee-for-service reimbursement system. America’s Physician Groups works with our members, CMS and Congress to provide important education to a wide variety of clinicians at various stages of value-based care.

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Promoting Parity between traditional Medicare and Medicare Advantage

Our members recognize the importance of the care coordination tools Medicare Advantage provides both to clinicians and patients. APG successfully works with clinicians, associations, beneficiary groups, health plans, the Administration and Congress to improve MA funding and to strengthen the program.

Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)

MACRA, bipartisan legislation signed into law on April 16, 2015, repeals the Sustainable Growth Rate (SGR) and puts into place the Quality Payment Program (QPP) to reward Medicare clinicians for value over volume.

The QPP has two tracks: the Merit-based Incentive Payments System (MIPS) and advanced alternative payment models (APMs). APG is committed to full implementation of MACRA as intended by Congress and is educating our members and others on how to participate and be most successful.

APG Federal Comment Letters

Our Resources are available for Members. If you are an APG Member, please sign in to view all of our Resources.

Proposed and Final Rules and Regulations

  • Medicare Advantage 2019 Final Rate Notice and Call Letter (click here to access the final rate notice and call letter)
  • Medicare Advantage 2019 Part I Advance Notice – Risk Adjustment (click here to access the advance notice and draft call letter, Part I)
  • Medicare Advantage 2019 Part II Advance Notice – Risk Adjustment (click here to access the advance notice and draft call letter, Part II)
  • MACRA Final Rule 2018 | Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program (click here to access full text published in the Federal Register)
  • Fee Schedule Final Rule 2018  | Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program (click here to access full text published in the Federal Register)

Agency and Stakeholder Resources

Individual Advocacy Membership: APG Advocates

In today’s tumultuous health policy climate, it is more important than ever to have strong, unyielding support for advancing risk-based, coordinated care.

The APG Advocates program gathers like-minded individuals who are passionate about getting involved in the legislative and political process to help move our nation’s healthcare delivery system in the right direction. We know (and Congress, the administration, health policy shapers, and industry stakeholders all agree) that accountable, coordinated care delivers higher-quality, lower-cost health care.  Join us!  Become an APG Advocate member today. For more information contact APG Director of Federal Affairs, Margaret Peterson

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Advocacy Members

We gather like-minded individuals who are passionate about getting involved in the legislative and political process to help move our nation’s health care delivery system in the right direction.

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Federal Advocacy

APG represents over 300 physician organizations across 43 states, Washington, D.C., and Puerto Rico.

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California Advocacy

With over 180 California-based members, this is the heart of the APG membership.