Two doctors see the same Medicare patient for the same ongoing-care visit. Starting Jan. 1, one gets a 32% bonus on that visit and the other gets 16%. The difference? One belongs to an ACO.
That’s the clearest signal in CMS’s 2027 Physician Fee Schedule final rule: Medicare is using its own payment rates to steer doctors into value-based care. And it’s not the only surprise. The base pay cut came in deeper than proposed, traditional MIPS now has an expiration date, and remote monitoring vendors bought themselves two more years before a rule that threatens their business model takes effect.
Keep reading for five key takeaways from the final rule, and who’s facing headwinds and tailwinds in 2027.
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