MedPAC finds the hospital industry is on a more stable financial footing now
Hospitals do not need a Medicare payment boost for 2027 beyond the update to be provided in the statutory formula, says the Medicare Payment Advisory Commission (MedPAC). Whereas the commission had recommended that Congress increase hospital payments by an additional 1% or 1.5% ahead of each year from 2024 through 2026, the recommendation for 2027…
2026 Physician Fee Schedule Specialty Impact Tables
HFMA presents a specialty impact analyses contained in one spreadsheet based on the 2026 Medicare physician fee schedule final rule.
Comparison of CY 2026 Physician Fee Schedule Payment Rates to the 2025 Payment Rates
HFMA presents a spreadsheet comparing 2026 physician fee schedule payment rates to 2025 payment rates.
MedPAC December 2025 Public Meeting Summary
HFMA presents a detailed summary of the MedPAC public meeting held on the December 4-5, 2025.
Questions loom over the future of telehealth policy
Federal telehealth policy continues to prove confounding for healthcare providers. The recent 43-day government shutdown marked the first extended period since the early days of the COVID-19 pandemic that traditional restrictions on telehealth reimbursement were in place. Medicare waivers of those restrictions helped telehealth utilization surge during the pandemic and remain elevated in the years…
Contract Year 2027 Revisions to Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule Summary
HFMA presents a detailed summary of a proposed rule that would revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations for Contract Year 2027. Comments on the proposed rule are due by January 26, 2026.
CY 2026 OPPS/ASC Final Rule Summary
HFMA presents a detailed summary of the CY 2026 final rule for Medicare’s hospital outpatient prospective payment system and ambulatory surgical center payment system (CMS-1834-FC) published in the November 25, 2025,Federal Register. Policies in the final rule will generally go into effect on January 1, 2026, unless otherwise specified.
At the 11th hour, an Affordable Care Act subsidy accord remains elusive (updated Dec. 12)
Dec. 12 update House Republican leaders plan to hold a vote this coming week on legislation to address healthcare costs. The bill does not include an extension of the Affordable Care Act (ACA) enhanced subsidies, which are set to expire at year’s end. As a nod to moderates in the party who have pushed for…
CY 2026 Physician Fee Schedule Final Rule Summary Part III – Quality Payment Program Updates
HFMA presents part three of three detailed summaries of a final rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies. Policies in the final rule generally will take effect on January 1, 2026. Part III covers the updates to the Quality Payment Program, including the Traditional Merit-based Incentive Payment System (MIPS), MIPS Value Pathways, and the Alternative Payment Model Incentive.
CY 2026 Physician Fee Schedule Final Rule Summary Part II – MSSP Requirements
HFMA presents part two of three detailed summaries of the final rule relating to the Medicare physician fee schedule for CY 2026 and other revisions to Medicare Part B policies. The policies in this final rule generally take effect on January 1, 2026. Part II covers the Medicare Shared Savings Program Requirements.