The Alliance co-signed a letter to CMS with a coalition of other clinical associations and medical societies to oppose the payment rate cuts to specialists and adjustments to clinical labor pricing in the proposed 2022 Phyician Fee Schedule that, if implemented, "will jeopardize the delivery of care to Medicare beneficiaries." The letter outlined multiple recommendations to address concerns with the proposed clinical labor proposal and counseled CMS to "not implement this update for CY2022 and instead consider comments and publish an updated clinical labor proposal."

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