Every November, Medicare proposes physician pay cuts and every December, Congress tries to walk them back. But why? Dr Anthony Paravati and Dr Amar Rewari break down the hidden budget rules forcing specialties to fight over a fixed pie, why the much-celebrated MACRA law of 2015 did nothing to fix it, and how successful health systems are adapting their strategy. This episode is short and sweet but there's something for everyone. From basic, but often flubbed, must-know facts about the Medicare program to critical insights into payer contracting and service line decisions. Knowledge is power - especially when billions are at stake. Chapters 00:00 Introduction to Medicare Cuts 03:47 Understanding the RVU and Conversion Factor 09:18 The Impact of Legislation on Physician Payments 14:13 The Role of MACRA and Future Considerations 19:40 The Broader Implications for Patient Care

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