HealthIT Answers November 12, 2025
Amy Ardisana

The Centers for Medicare & Medicaid Services has released the 2026 Physician Fee Schedule Proposed Rule, proposing several changes to the Quality Payment Program (QPP) and its reporting frameworks. Unlike previous years marked by extensive regulatory overhauls, CMS has proposed a limited number of policies, emphasizing its commitment to program stability while continuing the strategic transformation of healthcare quality measurement.

For healthcare organizations navigating these evolving frameworks, these changes represent both strategic opportunities and operational considerations that will shape quality reporting approaches for years ahead.

CMS Proposals 2026: Strategic QPP Stability Through 2028

CMS is maintaining the MIPS performance threshold at 75 points through the 2028 performance period, affecting payments through 2030. This multi-year commitment allows practices and ACOs to...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Payment Models, Provider, Value Based
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