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“Stop the rhetoric and resolutions that undermine patient choice, access and true coordinated care.The AMA’s ongoing fear mongering and physician protectionist resolutions are hurting patients and negatively impacting the health of our nation.” The AMA resolution targets advanced practice registered nurses (APRN) and the APRN Multistate Compact, which would let APRNs with a multistate license practice without a doctor’s oversight or involvement.Access to society journal content varies across our titles.
AMA opposes what it calls "inappropriate scope of practice expansion," while the nurses group says care from nurse practitioners is safe and typically more efficient than care from physicians.
A draft of the suit, which was obtained by, alleges that the Centers for Medicare & Medicaid Services (CMS) and its parent agency, the Department of Health and Human Services (DHS) violate several federal laws, including the 2010 Affordable Health Care Act, in relying on the American Medical Association/Specialty Society Relative Value Update Committee, or RUC, to value physician services paid for by Medicare. Since 1991, the RUC, which is comprised of 26 voting physician members, has proposed specific values for 7,000 medical procedures and tests and imaging values to CMS, which pays doctors based on a system called the Resource-Based Relative Value Scale (RBRVS). But since 1991, CMS has overwhelmingly rubber-stamped RUC recommendations, accepting more than 94 percent, according to AMA statistics — leading to accusations that Medicare is letting payment rates be determined in part by the very people who will receive those payments.
The workings of the RUC and the controversy over its practices were detailed in an i Watch News report last November, which is referenced in the lawsuit.
Today’s lawsuit is the latest shot fired at the RUC by primary care physicians — the general practitioners and family doctors patients often contact first — who say the committee helped create and enforce the a wage disparity for physicians that benefits specialists.
The pay gap (a cardiologist makes 0,000 more per year than a primary care doctor, according to a 2010 study published in the journal Health Affairs) has driven medical students away from primary care to more lucrative specialties, which health policy experts say has led to a drastic shortage of family doctors.