Surgeon's Record January 20, 2026
Introduction
We’ve all heard some version of the axiom: “If you’re not at the table, you’re on the menu.” Lost in the excitement of healthcare AI and a slew of new CMS/CMMI models is the implementation of the 2026 Final Rules.
On a positive note, the rules include a 3.26% increase in the conversion factor (dollar amount CMS pays per RVU). Unfortunately, that’s about where the good news stops. Most of the increase is temporary, stemming from a one-time 2.5% boost that expires on January 1st, 2027.
The remainder of the Final Rules are far less favorable:
A -2.5% “efficiency adjustment” affecting procedural and diagnostic specialties
Reductions in RVU practice expense allocation in facility settings
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