News Briefs: CMS Finalizes 2.8% Physician Fee Cut, While 2026 MA Rule Is Still at OMB

  • Nov 07, 2024

    CMS on Nov. 1 released the 2025 Medicare Physician Fee Schedule Final Rule, which called for a 2.8% pay cut. That’s despite an estimated 3.5% increase in the costs of delivering care, pointed out the American Medical Association (AMA). “For physician practices operating on small margins already, this means it is harder to acquire new equipment, harder to retain staff, harder to take on new Medicare patients, and harder to keep the doors open, particularly in rural and underserved areas,” said AMA President Bruce Scott, M.D., in a statement issued the same day. CMS on Nov. 1 also issued the 2025 Home Health Prospective Payment System Final Rule, which included a 0.5% aggregate increase in payments to home health agencies, compared to 2024. Read more
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  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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