Tuesday, March 18, 2025

AdvaMed Strongly Supports Dr. Oz for CMS; Wins Favorable Remarks; Lessons for AMA?

 In November 2024, AdvaMed's CEO rapidly released a favorable statement about the nomination of Dr. Oz to lead CMS.    Press release, news coverage:

https://www.advamed.org/industry-updates/news/advamed-statement-on-president-elect-trumps-intent-to-nominate-dr-oz-to-lead-cms/

https://www.medtechdive.com/news/Advamed-Dr-Oz-Trump-pick-CMS/733486/

At the CMS Senate hearing last Friday, Dr. Oz promptly featured his interest in rapid coverage for new technologies at Medicare.   The exchange was prompted by Sen. Daines (R-MT).

https://www.medtechdive.com/news/dr-oz-tcet-medicare-coverage-medical-devices/742611/

The sequence is, AdvaMed strongly supports the Republican nominee; then the Republican nominee gives a presentation where he in turn prioritizes a goal of AdvaMed. 

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This contrasts with a crisis brewing at AMA, where for several years, and worst this year 2025, physician payments for services have badly lagged inflation.    

https://www.ama-assn.org/system/files/2025-medicare-updates-inflation-chart.pdf

For nearly the first time in history, physician pay cuts continue, and were not fixed by a Congressional budgeting process.   This is a major hit for physicians and all services valued in RVUs (e.g. non-hospital-based MRI).

It's difficult to know how much a role AMA and JAMA positions constantly disagreeing with the administration played into the pay cuts.   But, a minimalist political argument would just point to the lack of AMA and JAMA positions supporting the administration.   For example, the AMA's journal JAMA Forum currently writes, "President Trump nominated Robert F. Kennedy Jr, an advocate known for false and misleading statements..." without qualifying the assertion.   That's their business, but it must make it harder for AMA to then negotiate sitting next to the same RFK Jr a few weeks later.  

And it's not just RVU's; UCSF's Vinay Prasad asserts the HHS is looking at AMA's "monopoly" on coding, a major source of revenue for AMA:



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3/20: Dr Oz in Charge of Medicare and Medicaid.

https://www.washingtonpost.com/opinions/2025/03/20/mehmet-oz-cms-medicare-trump/

3/20:  Dr Oz, the Grown-Up in the Room

https://www.theatlantic.com/health/archive/2025/03/dr-oz-senate-hearing/682102/