Where We Stand

Our Response to the Proposed 2019 Medicare Physician Fee Schedule

The CMS proposal for Medicare physician reimbursement in 2019 includes extensive changes to documentation and payment methodology for evaluation and management (or E/M) services. The AGS has serious concerns about the proposal and continues to advocate for change. 

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The AGS mission is to improve the health, independence, and quality of life of all older people. We believe that doing so will ensure that we all can continue to make meaningful contributions to our communities as we age.

In addition to below, our key priorities for 2017 can be found in our transition letters to the new Administration and Congress and in a published article in the Journal of the American Geriatrics Society (JAGS).

We believe in a vision for the future when we all are able to contribute to our communities and maintain our health, safety, and independence as we age; and when older people have access to high-quality, person-centered care informed by geriatrics principles. To achieve our vision, we believe that federal and state policies must:

  • Expand healthcare options for us all as we age to include in‐home and other care that enable us to live independently for as long as possible, help older adults and caregivers better understand healthcare needs and make the most of Medicare and other benefits, and provide caregivers with adequate resources and support.
  • Ensure that value‐based purchasing and other quality initiatives take into account the unique healthcare needs of all older people.
  • Strengthen primary and preventive care and care coordination.
  • Address the acute and growing nationwide shortage of all geriatrics healthcare professionals, and ensure that other healthcare providers have training that prepares them to meet the unique healthcare needs of older people.
  • Step‐up research concerning healthy aging; the prevention, diagnosis and treatment of age‐ related health problems, and the cost‐effectiveness of various approaches to care, as well as ensure that older adults are adequately represented in research trials.

Together with our experts and partners, the AGS is working hard to shape programs and policies that are important to older people, their families, and healthcare professionals.  Learn more about where we stand on some of the field’s most important issues:


The AGS is uniquely positioned because we represent a committed group of healthcare professionals who are actually doing the care. It’s imperative that the AGS seize the opportunity to advance its mission—ensuring quality care for all older adults.–Cheryl P., M