MedPage Today November 3, 2025
Cheryl Clark

— In the process, CMS throws shade on AMA system for price-setting, alleges “conflicts of interest”

The Centers for Medicare & Medicaid Services (CMS) on Friday finalized its annual physician fee schedule

for 2026, giving doctors treating Medicare patients a 3.77% pay bump if participating in alternative payment models (APMs) and a 3.26% increase for those not participating in APMs.

The bulk of those percentages comes from a 2.5% 1-year increase Congress passed in its One Big Beautiful Bill Act in July, as well as a 0.49% adjustment CMS said was necessary to account for proposed changes in work relative value units (RVUs) for certain services. Without those additions, the conversion factor increases would be 0.75% for physicians participating in...

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