Health Affairs This Week17 Des 2025

BEST OF: Medicare Physicians Are Getting a Raise...But At What Cost?

Health Affairs' Jeff Byers welcomes Senior Editor Leslie Erdelack back to the pod to discuss the proposed rule change to the Medicare Physician Fee Schedule for 2026, which includes payment conversion factors for doctors, alternative payment models, add-on codes for Advanced Primary Care Management services, a new mandatory value-based payment model, and more.

Order the August 2025 issue of Health Affairs.

Join us for a live taping of A Health Podyssey on Tuesday August 12 where Rob Lott will discuss recent findings about changes in clinician's participation across Medicare value-based payment models with Kenton Johnston.

Upcoming Events include:

8/20: 340B w/ Sayeh Nikpay (INSIDER EXCLUSIVE)
8/26: Provider Prices in the Commercial Sector: Independent Dispute Resolution (FREE TO ALL)
9/23: Prior Authorization: Current State and Potential Reform (INSIDER EXCLUSIVE)

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Related Articles:

PRESS RELEASE: Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule (CMS-1832-P)
CMS proposes rule aligning Medicare physician payment with ‘Big Beautiful Bill,’ MACRA (Healthcare Dive)
CMS proposes 3.6% pay bump for docs, takes aim at chronic conditions in physician fee schedule (Fierce Healthcare)
Physicians will see Medicare payments rise in 2026 (AMA)
Medicare proposes ‘efficiency’ pay cuts that would hit highly paid specialists the most (STAT News)

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