In this episode, advocacy leaders from the AAOS review proposed payment policy changes for 2023 in the inpatient and outpatient setting including ongoing cuts to reimbursement in the annual Medicare Physician Fee Schedule. They summarize each of the three regulatory rules, highlight changes specific to musculoskeletal care, then discuss the careful balance between stabilizing the system in the short-term while working towards a permanent fix that addresses growing health care costs and incentivizes value-based care.  Guest: Karl Koenig (Texas), MD, FAAOS, Chair, AAOS Health Care Systems Committee Host: Douglas Lundy, MD, MBA, FAAOS, Chair, AAOS Advocacy Council Notes: Issue page in the AAOS Advocacy Action Center: https://www.aaos.org/advocacy/advocacy-action-center/payment-policy-changes/ Episode 23 - Economic Effects of Medicare Pay Cuts (recorded Oct. 2021): https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-23/ Special Episode - Impact of Payment Policy Changes (recorded Sept. 2020): https://www.aaos.org/publications/the-bone-beat-orthopaedic-podcast-channel/the-bone-beat-advocacy-podcast/episode-9/