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CAP urges Medicare payment stability

The CAP is urging lawmakers to boost Medicare pay for pathology services.

For a House committee hearing examining payment for physicians services, the CAP outlined its priorities to stabilize Medicare and protect access to diagnostic testing in a statement submitted for the record.

The impact: We emphasized that ongoing payment instability threatens pathologists’ ability to provide care and invest in laboratory services.

By the numbers: 71% of pathology leaders recently reported that payment cuts hurt practice revenue and staffing.

The CAP view: Accurate diagnosis is a critical outcome in patient care and must be adequately recognized in Medicare quality programs.

  • We asked Congress to extend the 2.5% Medicare payment adjustment beyond 2026 until permanent reforms are in place.
  • Our statement highlighted growing gaps between rising practice costs and declining reimbursement.
  • We also raised concerns about payment policies, including the efficiency adjustment, that do not reflect increased workload and complexity.

Go deeper: Read the full statement and watch a recording of the hearing.

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