Medical Economics November 3, 2025
Key Takeaways
- Medicare’s 2026 Physician Fee Schedule emphasizes primary care, maintaining reimbursement levels while introducing efficiency adjustments for certain services.
- A new payment model for chronic disease management and revised reimbursement for skin substitutes aim to reduce costs and improve care quality.
- Two conversion factors will be established for qualifying and non-qualifying APM participants, with updates to geographic practice cost indices and malpractice RVUs.
- CMS will enhance prevention and wellness efforts, integrating behavioral health into primary care and expanding diabetes prevention initiatives.
CMS announces changes to ‘deliver better outcomes for patients’ while safeguarding funds.
Physician reimbursement will hold steady in 2026 as Medicare leaders aim to reinforce primary care as the foundation of American health care, according to...
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