Federal Advocacy

Representing our members in Washington, D.C.

APG is a national association representing more than 340 physician organizations. Our members participate in pay-for-performance programs across all payer types. Moreover, many APG members have successfully operated under full risk-based models for over two decades and have developed the necessary infrastructure and expertise to be successful in advanced risk-bearing models across a wide variety of socioeconomic and geographic areas.  It is our mission to proliferate our model of accountable, coordinated care across the nation.

Federal Advocacy Priorities

Learn more about APG’s federal advocacy priorities and the work we are doing to better promote value in healthcare.

Click here to download APG’s 2022 Advocacy Priorities.

Accelerating the Movement to Value

Value-based models of care emphasize the delivery, measurement, and health outcomes as opposed to the current fee-for-service model that focuses on volume of services at the expense of cost. Innovative healthcare providers are successfully delivering improved patient care at lower costs through budget-based prospective payment models such as the Direct Contracting program which enables physicians to provide care centered around attaining better outcomes for patients in an efficient, coordinated manner.  Continue to develop models that will empower providers into transitioning into performance-based risk contracting while assisting patients to understand benefit in a care coordinated model.

Strengthening Medicare Advantage to Drive Better Value

An integral part of the move from volume to value is supporting Medicare Advantage (MA) and the role it plays in shifting healthcare in this direction. Providers and health plans who engage in high-value, risk-based MA contracts are working diligently to improve overall quality in the MA program and should be rewarded for those efforts. One area in which MA must be expanded is addressing social determinants of health (SDOH). SDOH are socioeconomic risk factors that affect access to care and put beneficiaries at risk for poorer health outcomes. Making changes to risk adjustment and Stars quality performance measures within MA to include the assessment of social risk factors for MA beneficiaries will ensure that SDOH are better accounted for within the program. MA and its providers are the cornerstone of where our system has been trending for the past decade, which is reflected in the recent expansion of telehealth services as physicians respond to the COVID-19 pandemic.

Strengthening Alternative Payment Models

Continuing support for alternative payment models (APM) and ensuring that physicians can continue their participation while generating savings for Medicare is a key piece of the value-based care movement. The Medicare Access and CHIP Reauthorization Act (MACRA) established a 5 percent bonus payment for providers participating in an Advanced APM, which is soon set to expire. Once it does, participating physicians will only receive a 0.75 percent bump in Medicare Part B payments. These bonus payments provide the revenue necessary for participants in these programs to have access to the necessary resources needed to transform their practices into value-based payment models. It is also important that actions are taken to build upon the learnings from earlier ACO models by introducing new concepts (e.g., capitation and unique benchmarking) that represent a gradual, evolutionary path toward supporting physicians in managing populations and accepting risk.

Do you want to be more involved in federal policy? Take action with APG!

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

We’ve come a long way since the dreaded “doc fix” days and, thanks to MACRA and other new laws, are now on a path away from fee-for-service reimbursements towards new alternative payment models. Still, we have a long way to go, and America’s Physician Groups stands ready to advance the nation’s health delivery system.

And that’s where our Individual Advocacy Members come in. We need your help! The APG Advocates program gathers like-minded individuals who are passionate about being 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 healthcare.

APG has both an Individual Advocacy Program, APG Advocates, and a federal political action committee (PAC). APG uses these programs to support members of Congress who are committed to advancing risk-based coordinated care.

Federal Policy Resources

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

California Advocacy

With over 180 California-based members, we represent this core constituency.

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.