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CMS fee schedule criticism framed as no 'skin in the game'

March 26, 2026Dutch Rojas

Dutch Rojas argues people defending CMS fee schedules often avoid the downside, while physicians bear the consequences, implying the system predictably drifts toward misaligned incentives.

“The people who defend the CMS fee schedules have never had skin in it.”
“They are academics, administrators, consultants.”
“They bear none of the downside.”
“The physician bears all of it.”
“This is not a design flaw.”
Dutch Rojas
reimbursementincentives

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