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The Trump administration is proposing sweeping changes to Medicare payment and value-based care programs that it says will expand accountable care, modernize physician payment, and help shift the healthcare system toward prevention rather than treatment.
On Tuesday, the Centers for Medicare and Medicaid Services issued Medicare Part B payment policy changes for physicians under the calendar year 2027 Physician Fee Schedule draft rule. CMS said in a press release that the proposals would make Medicare accountable care organizations (ACOs) easier to join, transition clinicians away from traditional Merit-based Incentive Payment System (MIPS) reporting and update physician payment policies to better reflect modern clinical practice.
An unpublished PDF version of the 1,592-page proposal can be found here.
“We’re proposing some of the most significant Medicare reforms in recent years to strengthen primary care, expand accountable care, and modernize physician payment,” said CMS Administrator Mehmet Oz, M.D., in a statement. “These changes would make it easier for clinicians to focus on prevention, improve coordination for patients, and ensure Medicare rewards better outcomes rather than more services.”