Becker's Healthcare November 3, 2025
Francesca Mathewes

On Oct. 31, CMS issued its final policy changes for Medicare payments under the Physician Fee Schedule, alongside other shifts in Medicare policy.

The update comes after suspicion from ASC leaders that the update may be delayed amid the ongoing federal shutdown, which has caused other delays and disruptions across healthcare.

Here are eight things for ASC leaders and physicians to know about CMS’ final rules:

1. The conversion factor for practitioners participating in a qualified alternative payment model is $33.56, a 3.77% increase from 2025. Non-QPM practitioners’ conversion factor is $33.4, a 3.26% increase from 2025.

2. Changes to the QP and non-QP conversion factors for 2026 include increases of 0.75% and 0.25%, respectively, according to...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Physician, Provider
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