CMS has proposed a series of significant changes to the 2027 Medicare Physician Fee Schedule, including a 1.68% reduction in physician payments (1.19% for clinicians in advanced alternative payment models) following the expiration of the temporary 2026 payment increase. Beyond reimbursement, the proposal would revise how physicians are paid by converting the G2211 complexity add-on into a percentage-based modifier, reducing payment for certain same-day evaluation and management visits performed with procedures, restricting the use of contractors for remote monitoring services, and beginning a shift away from the AMA’s long-standing practice expense survey methodology.
The proposal also signals broader payment reform, with CMS seeking to reshape primary care reimbursement and phase out the traditional Merit-based Incentive Payment System (MIPS) over time. If finalized, the changes could have wide-ranging financial and operational implications for physician practices, making the public comment period ahead of the September 14 deadline particularly important.