Lexology November 4, 2025
Last week, the U.S. Centers for Medicare & Medicaid Services (CMS) released a display copy of the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Final Rule (PFS Final Rule). CMS finalized several notable proposals from the CY 2026 PFS Proposed Rule that will have a significant impact on Medicare reimbursement for physician services, including a 3.85% increase in physician reimbursement rates following five consecutive years of rate cuts.
CMS also finalized certain proposals, or is seeking comment on items, of significant importance with respect to Medicare reimbursement for telehealth services, chronic disease and behavioral healthcare, and digital health.
The PFS Final Rule is effective January 1, 2026. Below, we address certain key proposals that CMS finalized and also...
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