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Medical Group Management Association

August 13, 2021: MGMA calls for prohibition on insurers charging EFT fees

Advocacy Statement - August 13, 2021

Billing & Collections

Reimbursement

Contracting

Health Information Technology

Federal Compliance

MGMA calls for prohibition on insurers charging EFT fees
 
In a new MGMA Stat poll, 57% of medical groups report being charged fees by health insurers to accept payment through Electronic Funds Transfer (EFT)—a dramatic increase from the 26% who reported paying these fees only a year ago. The fees charged are typically between 2 and 3 percent of the total reimbursement amount, representing a significant impact to group practices’ bottom lines without any clear value-add.  
 
“Efforts have been underway for a more than a decade to create a more efficient U.S. healthcare system and move away from using paper checks in favor of electronic deposits or EFT. The sad reality is for some health insurers and third-party vendors, it’s simply another way to hinder progress by taking a cut out of what they agree to reimburse physicians. The Centers for Medicare & Medicaid (CMS) was given the authority by Congress in the Affordable Care Act (ACA) to regulate and prohibit insurer fees for EFT transactions. MGMA looks forward to working with the current Administration to promote efficiency in our healthcare system and prohibit predatory business tactics,” said Anders Gilberg, MGMA SVP of Government Affairs.
 
This week, MGMA wrote CMS Administrator Brooks-LaSure urging the Agency to use its authority under the ACA to prohibit insurers from imposing EFT fees on medical groups.
 

Press Contact:
Claire Ernst
Director, Government Affairs
cernst@mgma.org 
202.293.3450 
 
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The Medical Group Management Association (MGMA) is the nation’s largest association focused on the business of medical practice management. MGMA consists of 15,000 group medical practices ranging from small private medical practices to large national health systems representing more than 350,000 physicians. MGMA helps nearly 60,000 medical practice leaders and the healthcare community solve the business challenges of running practices so that they can focus on providing outstanding patient care. Specifically, MGMA helps its members innovate and improve profitability and financial sustainability, and it provides the gold standard on industry benchmarks such as physician compensation. The Association also advocates extensively on its members’ behalf on national regulatory and policy issues.
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