MSSNY Urges New York Congressional Delegation to Oppose Medicare’s Proposed 50% Cut to Same-Day Care (Modifier 25) for Medicare Patients
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MSSNY is strongly urging physicians to contact their representatives and CMS members of the New York Congressional Delegation to oppose a proposed cut of 50% to Same-Day patient Care (Modifier 25) for provided by physicians, which could jeopardize patient access to necessary care and medical practice sustainability. The Centers for Medicare and Medicaid Services (CMS) has proposed the cut as part of the 2027 Medicare payment rule, which will compound financial pressures for medical practices, restrict physicians’ ability to address urgent health issues, and delay diagnoses. Of greatest concern is that it would lead to fragmented care for our most vulnerable patients.
Same-day care is the gold standard of patient-centered medicine. It enables all patients to get unexpected health issues evaluated during the same visit as other medical concerns, saving travel time, and avoiding delays in diagnosis. Existing Medicare valuation rules already adjust for shared overhead during same-day visits. Slashing payment by half penalizes efficient care and jeopardizes Medicare patients’ access to necessary, often life-saving treatments. However, unlike hospitals, physicians and independent practices do not receive an automatic annual inflation update under Medicare. Asking local practices to absorb a 50% cut on top of years of unaddressed operational inflation is completely unsustainable.
To learn more about the issue and to send a letter to your member of Congress and urge them to contact CMS leadership and tell them to withdraw this dangerous, proposed cut, please use this link: MSSNY Grassroots Action Center (GAC)
