Medicare Payment Policy
Expert articles and analysis related to medicare payment policy.
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CMS’ Trump-era 2027 Medicare Physician Fee Schedule proposal would cut physician payment by an estimated 1.68% while advancing major VBC changes, including MSSP updates, an ACO/MIPS overhaul, and movement toward phasing out traditional MIPS—creating a split reaction from physician groups that oppose the fee cut but see upside for primary care and value-based participation. ACP called the proposal a positive step for internal medicine because of primary care payment and innovation provisions, while stakeholders also welcomed proposed MSSP changes that could affect ACO strategy, benchmarking, and participation decisions in 2027. The immediate tension for health systems and ACOs is whether CMS’ payment-model reforms and primary care investments can offset continued fee-schedule pressure without congressional intervention. ACP on 2027 PFS Healthcare Dive on physician pay cut
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Physician groups said the sweeping rule is a double-edged sword, given it includes an unwelcome fee cut but positive changes to Medicare’s value-based and quality payment programs.