CMS’s proposed 2026 Physician Fee Schedule, released July 14, 2025, includes a 3.6–3.8% Medicare pay increase for physicians and aims to modernize payments, strengthen primary and chronic care through new quality measures, and reduce spending on high-cost, low-value items.  

Key changes include value-based incentives, chronic disease prevention, reduced spending, and emphasis on outcomes and efficiency.  

What Industry Partners Should Do Now 

• Demonstrate Value with Data: Prepare strong clinical and economic evidence to justify your product’s cost. Emphasize ROI, reduced complications, or hospital avoidance. 

• Enable Measurement and Reporting: Offer solutions that help providers track and report on quality metrics, especially those tied to reimbursement under CMS models. 

• Position Yourself as a Strategic Partner: Highlight how your solutions contribute to health systems' long-term goals under value-based care, such as improved outcomes, efficiency, and sustainability.