Banner Health Clinicians Vote to Form State's First Physician Union

September 3, 2026

More than 240 physicians, nurse practitioners, and physician assistants at Banner Health have voted to form what would be Arizona's first union representing physicians. The clinicians, who work in Banner's outpatient primary care clinics across the Phoenix area, voted by roughly a two-to-one margin to be represented by the Union of American Physicians and Dentists (UAPD).


What Prompted the Union Vote

Organizers cited several concerns driving the effort, including:

  • Patient panel sizes
  • Staffing resources
  • Scheduling processes
  • Administrative workload
  • Their ability to provide consistent patient care


A Scheduling Dispute Preceded the Filing

The union filing followed a dispute involving a Banner family medicine physician who raised concerns about a scheduling issue that, if left unresolved, could have affected patient access to appointments. The physician later became the subject of an unfair labor practice complaint filed with the National Labor Relations Board. The allegations remain part of an ongoing labor matter.


How the Vote Unfolded

More than 240 physicians and advanced practice clinicians employed by Banner Medical Group in the Phoenix metropolitan area filed for union representation, marking one of the largest physician-organizing efforts in Arizona in recent years. Clinicians across more than 30 Banner locations received ballots by mail. The National Labor Relations Board tallied the votes on September 2 and recorded that 149 workers voted in favor of unionizing and 66 were opposed.


Banner Health's Response

After the vote was tallied, Banner Health issued the following response:
"The majority of AZ Banner Medical Group clinicians who participated in the recent union election voted to be represented by the Union of American Physicians and Dentists. We respect that decision, and if the results are certified by the National Labor Relations Board, we’ll consider our next steps in meeting our obligations to the Union, our clinicians and the community we serve."


What Comes Next

Pending certification, the next step will be negotiations between the union and Banner over a contract — a process that could take significant time.

Arizona Prison Health Care Oversight Moves Forward

By Admin User • October 2, 2026
State Attorneys Denied Emergency Stay on Court-ordered Receivership of Prison Health Care System The U.S. Supreme Court on Thursday denied Arizona's last-ditch effort to temporarily halt a court-ordered takeover of health care operations and management within state-run prisons. Without an emergency stay of the court's order, Arizona's Department of Corrections, Rehabilitation and Re-entry must turn over the management of its health care operations for roughly 25,000 incarcerated people to Annette Chambers-Smith, former director of the Ohio Department of Rehabilitation and Correction, beginning on October 19. Roots of the Case The dispute began in 2012 when inmates sued the department, alleging the prison system's inadequate medical, mental health, and dental care amounted to cruel and unusual punishment under the Eighth Amendment. The case went through years of litigation and a failed settlement agreement. In 2023, U.S. District Judge Roslyn Silver ruled that the health care system was "grossly inadequate." The court ordered the prison healthcare system to comply with more than 150 "quality indicators," but according to court-appointed monitors, the department failed to comply with 131 of the measures. In light of this finding, Silver mandated that health care in Arizona prisons would be overseen by Annette Chambers-Smith, former director of the Ohio Department of Rehabilitation and Correction, to take over as receiver effective Oct. 19. A Last-Ditch Appeal Attorneys for the Arizona Department of Corrections, Rehabilitation and Reentry asked the U.S. Supreme Court to delay a court-ordered receivership of the state's prison health care system. The request came after both a federal district court and the 9th U.S. Circuit Court of Appeals declined to pause the takeover. In the application, former U.S. Solicitor General Paul Clement, a representative of the department, argued that the state deserves more time to make its case before surrendering control of its operations, including oversight of its employees and health care budget. Arguments on Both Sides Clement argues receivership should have been the last resort and that Silver moved to it too quickly. He asserted that the department made measurable progress, including growing its health care staffing by more than 50%, expanding substance-use treatment access, and adopting a new care model. Corene Kendrick, deputy director of the American Civil Liberties Union National Prison Project, which represents the roughly 25,000 people incarcerated in Arizona prisons, called the department's request a "Hail Mary" and said Silver gave the department years of opportunities to comply before ordering receivership. What Happens Next Health care for thousands of incarcerated people will be managed under Chambers-Smith's oversight, as mandated by Silver, beginning on Oct. 19. The receivership affects all nine of Arizona's state-run prisons but will not impact health care for inmates in private facilities. Information in this article was sourced from the Arizona Mirror and Arizona's Family .

CMS Releases 2025 MIPS Final Scores — Physicians Have 60 Days to Contest

By Admin User • October 2, 2026
Eligible clinicians and group practices can request a targeted review of their final score before 2027 payment adjustments take effect. Final Scores Are Out, Adjustments Follow in About a Month The Centers for Medicare & Medicaid Services has released Merit-based Incentive Payment System performance feedback and final scores for the 2025 performance year. The 2025 final score determines the payment adjustment eligible clinicians and group practices will receive in 2027, and 2027 MIPS payment adjustments will be available in approximately one month. If an eligible clinician or group practice believes CMS calculated their final score or 2027 payment adjustment incorrectly, they must file a targeted review with CMS within 60 days. How the Targeted Review Window Works The targeted review window opened with the release of final scores and will close 30 days after the release of MIPS payment adjustments. CMS will announce the release of payment adjustments through the QPP listserv in approximately one month. CMS generally requires documentation to support a targeted review request, which varies by circumstance, and a CMS representative will contact applicants about any specific documentation required. If a targeted review request is approved and results in a scoring change, CMS will update the final score and, if applicable, the associated payment adjustment as soon as technically feasible. Common Reasons to File a Targeted Review Data were submitted under the wrong Tax Identification Number or National Provider Identifier. The clinician has Qualifying APM Participant status and shouldn't receive a MIPS payment adjustment. Performance categories weren't automatically reweighted despite qualifying for reweighting due to extreme and uncontrollable circumstances. How to Request a Targeted Review Sign in at qpp.cms.gov using HARP credentials, or ACO-MS credentials for Shared Savings Program ACOs — the same credentials used to submit 2025 MIPS data. Then click "Targeted Review" in the left-hand navigation. Source: American Medical Association, Centers for Medicare & Medicaid Services, Quality Payment Program