Schroeder says that while holding flat reimbursements for specialty care would likely be resisted by specialists, they also would be compensated for evaluation and management services.
"What is different is we are not saying this is not just a primary care issue," he says. "It's an E&M issue which pertains to most specialists, to gastroenterologist and cardiologist and neurologist who have a mixture of E&M and technical procedures. All boats will rise on that. We are not just saying let's just do a special subsidy for primary care doctors."
American Medical Association President Jeremy Lazarus, MD, reviewed the report and said in an emailed statement to HealthLeaders Media that "many of the ideas discussed in the physician payment report, such as the need to eliminate the Medicare physician payment formula, are consistent with AMA policy, which is developed by our House of Delegates with members from all state and national medical specialty societies."
"However," Lazarus added, "much of this report reflects the view of only one specialty and does not reflect the broad, diverse field of medicine."