On July 16, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B policies, effective on or after January 1, 2027.
The calendar year (CY) 2027 PFS proposed rule is one of several proposed rules that reflect a broader Administration-wide strategy to create a healthcare system that results in better quality, efficiency, empowerment, and innovation for all Medicare beneficiaries.
Each year, RCPA Policy Staff work to develop public comments and recommendations that reflect our members’ feedback on the impacts of the annual Medicare Physician Fee Schedule. This year’s proposed rule for CY 2027 includes:
- PFS rate setting and conversion factors;
- Strengthening of Medicare ACO participation and accountability;
- Medicare Shared Savings Program requirements;
- Quality Payment Program proposals and requests for information (RFI);
- Evaluation and management (E/M) visits:
- Accounting for overlap between stand-alone E/M visits and global periods; and
- A complexity add-on code;
- Remote monitoring;
- Comment solicitation on:
- Redesigning primary care to make America healthy again; and
- Strategies for improving global surgery payment accuracy;
- Policies to improve care for chronic illness and behavioral health needs;
- Clinical Laboratory Fee Schedule payment and reporting requirements;
- The Medicare Prescription Drug Inflation Rebate Program;
- Limiting Medicare coverage of certain individuals; and
- An RFI on duplicate laboratory testing, imaging, result sharing, and interoperability.
Please refer to the
CY 2027 Physicians Fee Schedule fact sheet for details.
RCPA welcomes your feedback by September 1, 2026, to ensure we are able to meet the September 14 deadline. If you have additional questions, please contact RCPA COO
Jim Sharp.
