Medicare's base payment rate for doctors and other clinicians drops about 2 percent
Medicare's fee schedule conversion factor falls from $33.4009 to $32.6286 for most clinicians and from $33.5675 to $32.9548 for qualifying payment-model participants, as a one-year 2.5 percent raise from Congress ends. When an office visit and a 0-day procedure are billed the same day, every service but the highest-paid one is paid 20 percent less.
Who it affects
Doctors and other clinicians paid under Medicare's physician fee schedule
When
This rule takes effect on January 1, 2027.
- : Published in the Federal Register
- : This rule takes effect: new Medicare physician payment rates and policies apply
Official text
FR Doc. 2026-22743: Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
On Federal Register. The official text is what counts; read it before you act.
Not legal advice. Plain-English summaries to help you find what changes and when. Not legal advice: read the official text, and ask a lawyer about your situation.