Physicians Feeling the Increasing Pressures on their Practices

By Featured article

A recent study from the Medical Group Management Association (MGMA) found that physicians are increasingly burdened with both financial pressures on their practices and regulatory issues dealing with reimbursement.

With 426 medical practices responding, the majority (from 68% – 88%) were concerned with regulations around, in order of the top five:

  • The Centers for Medicare & Medicaid Services’ (CMS) Quality Payment Program (MIPS/APMS) – as a point of reference, only 9 percent of the respondents in the study were satisfied or very satisfied with the performance feedback in MIPS
  • Obtaining Prior Authorizations
  • Lack of electronic health record (EHR) interoperability – as different vendors move toward their own version of interoperability, practices feel the software is becoming too costly to implement
  • Government EHR requirements
  • Audits and appeals processes


With the regulations and the burdens created on practices, physicians believe these are taking away from patient care. Study authors noted, “Empowering a variety of physicians to help shape new programs and initiatives may help to improve physician satisfaction, thereby hastening the move toward value.”

The message and problem were made clear: despite the Administration’s "Patients over Paperwork” plan and other initiatives in the last year, regulatory burden on physician practices continues to increase.

Many smaller practices or solo practitioner practices may be burdened with MIPS reporting, especially without a dedicated resource overseeing MIPS reporting. The Quality Reporting Engagement Group can help identify the most appropriate measures and submission methods and help your practice maximize potential reimbursements under the Quality Payment Program. To speak with one of the experts about how they can help your practice, send an email to

This information was taken from the InfoDive Coding and Audits webinar held in November 2018.