Medical Economics November 17, 2025
Key Takeaways
- The 2026 MPFS prioritizes primary care and prevention, aligning with the “Make America Healthy Again” initiative to address chronic diseases and social determinants of health.
- CMS aims to transition from fee-for-service to value-based care, encouraging participation in alternative payment models and emphasizing preventive care.
- Payment accuracy is a focus, with CMS leveraging data sources and technology to improve reimbursement methodologies and decision-making.
- Telehealth remains a priority, with CMS maintaining flexibility and accessibility to meet beneficiaries’ needs without government interference in medical decisions.
Top CMS policymakers outline benefits to primary care for Medicare spending next year.
Primary care and prevention are key drivers of the 2026 Medicare Physician Fee Schedule (MPFS) and will be for Medicare.
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