Medicare's updated physician fee schedule includes efficiency adjustments and recalculations that will reduce payments for many doctors, impacting physician income and patient access. Workforce shortages and policy adjustments underscore significant challenges in Medicare reimbursement.
Medicare's 2025 payment updates introduce advanced primary care and behavioral health codes poised to reshape reimbursement landscapes, addressing primary care financial challenges and influencing specialist payment cuts.
CMS proposes 2.4% Medicare payment increase for outpatient and surgery centers in 2026 with a new two-tier physician payment model to promote value-based care participation, amid concerns over long-term financial sustainability for providers.
Medicare reimbursement for physician GI procedures fell over 22% (2018-2023), while facility payments to ASCs and HOPDs increased, impacting healthcare economics and physician practice structures.
