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Teaching Physicians

Coverage and Delivery Reform | Physician Payment and Quality

A teaching physician is a physician other than a resident who involves residents in the care of his or her patients as part of an accredited residency program.  Through its medical schools and teaching hospitals and health systems, the AAMC represents 128,000 faculty members and 110,000 resident physicians. 

Teaching physicians are commonly organized into faculty practice plans that allow them to provide care to patients, who often come from vulnerable populations or benefit from specialized care that is not available elsewhere.

Although Medicare makes special payments to teaching hospitals, teaching physicians are paid according to the same Medicare fee schedule applicable to all other physicians.  However, provided that certain rules are followed, Medicare allows teaching physicians to bill for clinical care in which residents are involved. 

Beyond payment, other areas of interest to teaching physicians include physician quality and value initiatives, models of team-base care, and health information technology (HIT). 

News and Updates

CMS Releases Medicare Physician Fee Schedule and Quality Payment Program Final Rule

November 9, 2018

The Centers for Medicare and Medicaid Services (CMS) Nov. 1 released a final rule on the Physician Fee Schedule and Quality Payment Program, delaying changes to payment for evaluation and management (E&M) codes until 2021 and finalizing some documentation changes. AAMC President and CEO Darrell G. Kirch, MD, issued a statement applauding CMS for the documentation changes. He said, “These will significantly reduce burden for physicians and other health care professionals, allowing them more time to focus on patients.”

DHS Issues Proposed Public Charge Rule

September 28, 2018

The Department of Homeland Security (DHS) Sept. 22 posted on its website a proposed rule, “Inadmissibility on Public Charge Grounds,” that would make changes to long-standing public charge policies that determine how the use of public benefits may affect an individual’s ability to enter the United States or adjust to legal permanent resident status. A DHS press release notes the rule will be published in the Federal Register “in the coming weeks” and that, once published, there will be a 60 day comment period. The AAMC will submit comments on the proposed rule.

AAMC Submits Comment Letter on OPPS CY 2019 Proposed Rule

September 28, 2018

The AAMC Sept. 24 submitted comments on the Centers for Medicare and Medicaid Services (CMS) Outpatient Prospective Payment System (OPPS) calendar year (CY) 2019 proposed rule. In addition to the standard payment updates, CMS proposed to expand its site-neutral payment policy, expand the 340B drug payment policy cuts to nonexcepted provider-based departments (PBDs), limit expansion of clinical families of services at excepted off-campus PBDs, and modify payments for wholesale acquisition cost and average sales price drugs and biologics. CMS also proposed changes to several quality measures.

On Patient Care

Testimony and Correspondence