04/29/2026
The Multiple Procedure Payment Reduction (MPPR) policy was first implemented in 2011, cutting Medicare reimbursement to Physical Therapists significantly over the last 15 years. On top of the reduction that is applied to our payment, CMS Medicare has repeatedly issued additional cuts to our most common Physical Therapy codes (services) most years in the name of budget neutrality. These multiple year cuts are not balanced by the occasional small percentage increase. At the same time, they are requiring additional tasks (paper work), electronic medical software, and patient outcomes tracking that were not required prior to 2011. Other insurance companies have followed suit, causing more Physical Therapists to leave the insurance networks and switch to cash based clinics, ultimately limiting patient access to Physical Therapy in their area. Physical Therapists spend an average of one hour with a patient, one-on-one and deserve to be reimbursed fairly for their education, time, and quality of life services. Please contact your local Congress members to show your support for eliminating MPPR.