CMS proposes 2027 Physician Fee Schedule, major shift towards ACOs and away from MIPS

The Centers for Medicare & Medicaid Services has released its proposed rule for the 2027 Physician Fee Schedule. The plan includes a significant structural change to shift physician pay away from the Merit-based Incentive Payment System and toward participation in accountable care organizations. CMS also proposes to recalibrate the conversion factor, which will affect payments for all fee-for-service Medicare claims. The proposal includes specific details on budget neutrality adjustments and new payment rates for evaluation and management services. The comment period is open for 60 days, with a final rule expected by November 1, 2026. Track the docket for the final conversion factor numbers and any changes to the MIPS wind-down timeline.