The AMA’s Patients Action Network keeps you updated on critical health care measures pending in the U.S. Congress, government agencies, and in the media.

Joined December 2008
“When payment fails to cover the true cost of care, those cuts are felt elsewhere.” In the @BostonHerald, Dr. Daniel Solomon shares his perspective on how Medicare payment instability is impacting communities and patients across America. Read more: bostonherald.com/2026/10/12/…
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You're comparing premiums. You're checking deductibles. But are you asking how many hoops you'll have to jump through to get care? One question many employees never think to ask: How does this plan use prior authorization? Learn more: bit.ly/4ehPxMh #FixPriorAuth
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Medicare Open Enrollment started this week. In 2024, @KFF revealed that Medicare Advantage plans denied 4.1 million prior auth requests. Only about 1 in 9 denials was appealed — and roughly 4 in 5 appeals won. Know your plan. Appeal denials. #FixPriorAuth
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When you review your health benefits, ask about more than cost. Ask your employer: ✅ Does this plan require prior auth? ✅ For what services? ✅ How often are requests denied or delayed? The right coverage should help you get care, not stand in the way of it. #FixPriorAuth
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PatientAction retweeted
H.R. 1 (a.k.a. the “One Big Beautiful Bill Act”) is taking effect now. Changes to Medicaid and other federal health coverage programs could impact how patients get and maintain coverage and access care. Here’s what’s changing now and what’s ahead:
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What does Medicare physician payment have to do with whether you can get an appointment with your doctor? More than most patients realize. The cost of running a medical practice keeps rising, and when Medicare payments fail to keep pace, independent practices can face increasingly difficult decisions about whether they can continue serving Medicare patients or remain open at all. That is why Patients Rising is supporting the Patients First Act, H.R. 9693, which would change how Medicare physician payments are calculated and provide more predictable annual updates tied to the cost of delivering care. Because for patients, this is not just a payment formula. It can mean whether your doctor’s door is still open when you need it. Ask your representative to support H.R. 9693, the Patients First Act.
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New AMA analysis shows the 4 largest PBMs hold 75% of the national market, and in 69% of the market, PBMs are vertically integrated with insurers. Policymakers must act for increased transparency and accountability. ama-assn.org/system/files/pr…
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Getting an appointment shouldn’t depend on whether your doctor can afford to keep the doors open. Yet across the country, patients are waiting longer, traveling farther and watching independent practices disappear from their communities. Medicare physician payment, adjusted for practice-cost inflation, has fallen 33% over the past 25 years. For patients, that erosion can eventually show up as fewer doctors, fewer appointments and fewer options close to home. The Patients First Act (H.R. 9693) takes aim at the payment policies contributing to that problem, including annual reimbursement updates and Medicare’s budget-neutrality rules. Patients Rising is supporting the legislation and bringing the patient voice into a debate that can determine whether care remains accessible in the communities that need it. Read why we’re fighting to keep the doctor’s door open: hubs.ly/Q04z6ptt0
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An important issue could have real repercussions in healthcare: A $103,000 visa fee could have a very real impact on whether some communities can access quality care from a doctor. That’s why the AMA is urging the Administration to exempt physicians from the proposed H-1B fee. 1/3
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94% of pharmacy benefit manager (PBM) markets were highly concentrated in 2024. And concentration is growing – which can have far-reaching consequences for patients and what they may pay out of pocket.
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ICYMI: Lawmakers discussed the Patients First Act in the @HouseCommerce. "The bipartisan enthusiasm [at the hearing] showed how support in Congress for a permanent Medicare payment redesign is growing," Capstone analyst Will Humphrey wrote in a note. statnews.com/2026/09/24/pati…
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AMA President Willie Underwood III, MD, MSc, MPH, Addresses Impact of $103,000 H-1B Visa Petition Fee:
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Want to get more involved? Learn more about advocacy below. bit.ly/48Te3A1
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PatientAction retweeted
AMA President, Willie Underwood III, MD, MSc, MPH, was in Washington D.C. yesterday to support H.R. 9693, the Patients First Act. This legislation will preserve patients’ access to care and physician practice sustainability by connecting Medicare payment to the actual costs of running a practice. Also this week, the AMA and state medical societies representing physicians from all 50 states and the District of Columbia sent a letter in support of this legislation. To make your voice heard, leave a comment below or visit spr.ly/6014BGTlv8.
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The debate over Medicare reimbursement can sound like an argument over payment formulas until you consider what those numbers mean for the patients trying to get an appointment. Patients Rising Chief Mission Officer Terry Wilcox takes that argument to the pages of The Wall Street Journal, where her letter examines the growing divide between what Medicare pays physicians and what it costs to deliver care. Medicare physician payments have fallen 33% over the past 25 years when adjusted for practice-cost inflation. Terry argues that years of underpayment are reshaping where physicians can afford to practice and ultimately how readily Medicare beneficiaries can access care. Her letter also raises a larger question for Congress as calls for Medicare for All continue: How can we promise to expand a system that is already struggling to adequately pay the physicians caring for the people enrolled in it? Read Terry’s letter in The Wall Street Journal: hubs.ly/Q04xpkv20
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Patients deserve access to care, and physicians need a Medicare payment system that reflects real practice costs. The AMA and medical societies in all 50 states + DC are urging support for the bipartisan Patients First Act (H.R. 9693). #FixMedicareNow spr.ly/6010BGuNqo
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