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Advising the Congress on Medicare issues
MedPAC > Recommendations > Physician and other health professional services (2)

Physician and other health professional services (2)

March 15, 2023

The Congress should enact a non-budget-neutral add-on payment, not subject to beneficiary cost sharing, under the physician fee schedule for services provided to low-income Medicare beneficiaries. These add-on payments should equal a clinician’s allowed charges for these beneficiaries multiplied by: 

  • 15 percent for primary care clinicians and  
  • 5 percent for non–primary care clinicians. 

Appeared in: March 2023 - Chapter 3

Topics: Physicians and other health professionals.