# How Medicare's new cut is closing private doctor practices Page: https://stenobird.com/podcast/the-podcast-by-kevinmd-449609/how-medicare-s-new-cut-is-closing-private-doctor-practices Text version: https://stenobird.com/podcast/the-podcast-by-kevinmd-449609/how-medicare-s-new-cut-is-closing-private-doctor-practices.md Podcast: [The Podcast by KevinMD](https://stenobird.com/podcast/the-podcast-by-kevinmd-449609) Published: 2026-06-25T08:00:00+00:00 Episode link: https://kevinmd.libsyn.com/how-medicares-new-cut-is-closing-private-doctor-practices Audio file: https://traffic.libsyn.com/secure/kevinmd/How-Medicare-s-new-cut-is-closing-private-doctor-practices.mp3?dest-id=2093345 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-podcast-by-kevinmd-449609/episodes/how-medicare-s-new-cut-is-closing-private-doctor-practices Duration seconds: 1023 ## Resource A 30 to 40 percent Medicare cut just hit the doctors who keep your local hospital running, and the policy meant to stop hospital monopolies is accelerating them instead. John Birkmeyer, president of the medical group at Sound Physicians and a former Dartmouth health services researcher, discusses the KevinMD article " Medicare practice expense cuts will hurt patients ." You'll hear how CMS quietly slashed the practice expense portion of Medicare payments for the first time in 20 years, hitting independent hospitalists, ER doctors, and critical care groups with net cuts of 6 to 10 percent. You'll learn why CMS aimed at hospital-owned practices but instead pulled the rug from under the independent groups already operating at 2 to 4 percent margins, why rural hospitals will struggle hardest to staff, and how the resulting consolidation drives up prices for every patient. You'll also hear what CMS could fix in its 2027 rule and why physician advocacy now is the only correction available before more independent practices fold. Partner with me on the KevinMD platform . With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-podcast-by-kevinmd-449609/episodes/how-medicare-s-new-cut-is-closing-private-doctor-practices/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-podcast-by-kevinmd-449609/how-medicare-s-new-cut-is-closing-private-doctor-practices.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.