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    About the Survey 

    The Medical Group Management Association’s (MGMA) 2026 Regulatory Burden Report highlights the negative impacts that increased regulatory burden and decreased reimbursement has on the healthcare system. These factors contribute to increased physician burnout, consolidation, and ultimately, make it more difficult for patients to access the care they need.

    Prior authorization, Medicare Advantage requirements, and quality reporting are the most critical issues requiring practices to divert time and resources away from patient care and into administrative tasks. Congress and the Administration must enact comprehensive policy reforms to promote reliable payment systems, while reining in regulatory burdens to ensure continued patient access and the sustainability of medical practices.

    About the Respondents 

    The Report includes survey responses from executives representing over 230 group practices. Fifty-two percent of respondents are in practices with 20 or fewer physicians, and twenty-six percent are in practices with 100 or more physicians. Sixty percent of respondents are in independent practices. 

    About MGMA 

    With a membership of more than 60,000 medical practice administrators, executives, and leaders, MGMA represents more than 15,000 medical groups comprising more than 350,000 physicians. These groups range from small independent practices in remote and other underserved areas to large regional and national health systems that cover the full spectrum of physician specialties.

    View the Full Report


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