Federal Policy
CMS Proposes CY 2027 Physician Fee Schedule with QPP Updates
On July 14, 2026, CMS released the proposed rule for the calendar year 2027 Medicare Physician Fee Schedule, covering physician payment rates and Quality Payment Program policies. The proposed rule affects Medicare Part B physician reimbursement and MIPS/APM requirements. Comments are typically due 60 days after Federal Register publication. While the PFS primarily governs Medicare fee-for-service payments, changes to payment methodologies and quality measures often influence Medicaid managed care rate-setting, value-based purchasing arrangements, and provider network strategies.
Why it mattersMedicare payment and quality measure changes in the PFS often cascade into Medicaid managed care through shared provider networks, benchmark rate calculations, and alignment of value-based payment models.