In 2018, 90% of family doctors participated in MIPS. Unfortunately, data from the AAFP revealed that 43% of solo practitioners faced a negative payment adjustment in 2020 (based on 2018 data) due to infrastructure costs. By 2018, the initial HITECH Act incentives for Electronic Health Records (EHRs) had expired. Instead of love, family physicians harbored deep resentment for their EHRs. The phrase "pajama time"—referring to doctors finishing notes at home at 10 PM—entered the clinical lexicon.
Published: May 3, 2026 | Category: Practice Management & History family practice 2018
If your practice is still using a fee schedule or documentation template designed in 2018, you are likely leaving revenue on the table. However, understanding the clinical vigor of the 2018 AHA cholesterol guidelines and the pre-COVID workflow of the family practice clinic provides a clear benchmark for how far primary care has come—and how far it still has to go. In 2018, 90% of family doctors participated in MIPS