CMS proposes rule aligning Medicare physician payment with ‘Big Beautiful Bill,’ MACRA

The Trump administration proposed a sweeping physician payment rule on Monday that rewrites Medicare payment to comply with recently passed GOP tax and policy law — and decade-old healthcare legislation.

The CMS’ proposed physician fee schedule for 2026 includes a base rate hike of 2.5%. The increase was a handout to providers in the controversial “One Big Beautiful Bill,” which slashes federal Medicaid spending by $1 trillion and is expected to cause millions of Americans to lose health insurance, further pressuring reimbursement for hospitals and physicians. President Donald Trump signed the bill into law on July 4.

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