MedCity News September 14, 2025
Healthcare groups are pushing back on CMS’ proposed physician fee schedule for next year, raising concerns over payment cuts, administrative burdens and mandatory participation in a new value-based model. Organizations including MGMA, NAACOS and Premier are calling on the agency to revise its plan.
Healthcare groups are reacting to CMS’ proposed 2026 Physician Fee Schedule mainly with concern, arguing that it needs significant revisions in order to avoid destabilizing providers and undermining value-based care momentum.
The proposal, issued in July, seeks to establish two new conversion factors — one for physicians in advanced alternative payment models (APMs) and another for those who aren’t. CMS plans to increase the APM rate by 3.83% in 2026, while the non-APM rate would go...
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