Hard Work, Big Changes: American Geriatrics Society Efforts to Improve Payment for Geriatrics Care

J Am Geriatr Soc. 2018 Nov;66(11):2059-2064. doi: 10.1111/jgs.15593. Epub 2018 Sep 17.


This article examines the work and leadership of the American Geriatrics Society in making payment for services provided under new, innovative payment codes a reality for geriatrics healthcare professionals. We examine more than a decade of work spanning from a proposal to pay for comprehensive geriatric assessments in 2003 to the multiyear effort that led to Medicare coverage for transitional care management (2013), chronic care management (2015, 2017), and assessment and care planning for cognitive impairment (2017). We review the forces that created an environment for change and the concurrent work of the American Medical Association and the Centers for Medicare and Medicaid Services that made this possible. We highlight opportunities seized that led to seats on crucial panels and legislative victories that helped us make our case for improved payment for geriatrics care. Finally, we address lessons learned and address opportunities where we are currently active. J Am Geriatr Soc 66:2059-2064, 2018.

Keywords: Medicare payment; payment reform; physician payment; reimbursement.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Centers for Medicare and Medicaid Services, U.S.
  • Current Procedural Terminology
  • Geriatric Assessment / methods*
  • Health Care Reform
  • Health Services for the Aged / economics*
  • Humans
  • Medicare / economics*
  • Medicare / organization & administration
  • Reimbursement Mechanisms / economics*
  • Reimbursement Mechanisms / organization & administration
  • Reimbursement Mechanisms / trends
  • Societies, Medical / organization & administration*
  • United States