Physician Fee Schedule

CMS’s proposed 2027 Medicare Physician Fee Schedule is becoming an early test of the Trump administration’s physician-payment agenda, with specialty groups pressing on conversion-factor adequacy, code valuation, and rural payment updates that could affect ACO participation economics and specialty alignment under value-based contracts. Cardiology and legal-policy stakeholders are focusing on how the proposed MPFS intersects with Medicare access, rural sustainability, and downstream incentives for care management, while the AASM is mobilizing around fair valuation for new unattended sleep testing codes—an example of how service-specific coding decisions can shape population health strategies for high-prevalence conditions like sleep apnea. See ACC’s summary of the proposed 2027 Medicare PFS and Hooper Lundy’s analysis of rural MPFS updates.