ACP Comments on 2026 Physician Fee Schedule, Medicare Shared Savings Program, and Medicare Prescription Drug Inflation Rebate Program Proposed Rule

ACP shares comments on the Centers for Medicare and Medicaid Services (CMS) notice of proposed rulemaking regarding changes to the Medicare Physician Fee Schedule (PFS), Medicare Shared Savings Program (MSSP), Medicare Prescription Drug Inflation Rebate Program, and other federal programs for Calendar Year (CY) 2026 and beyond.

ACP shares comments on the Centers for Medicare and Medicaid Services (CMS) notice of proposed rulemaking regarding changes to the Medicare Physician Fee Schedule (PFS), Medicare Shared Savings Program (MSSP), Medicare Prescription Drug Inflation Rebate Program, and other federal programs for Calendar Year (CY) 2026 and beyond.

Danielle Sakowitz

Medicare Physician Fee Schedule; PFS; Medicare; Quality Payment Program; QPP; conversion factor; budget neutrality; efficiency adjustment; practice expense; PE; site of service; PE allocation; CMS; Medicare Economic Index; MEI; urgent care center; UCC; community health integration; evaluation and management; E/M; telehealth; telemedicine; telehealth services; behavioral health services; enhanced care management; APCM; advanced primary care management; BHI; behavioral health integration; add-on code; Medicare Part A; Medicare Part B; rural health clinicians; RHCs; FQHCs; federally qualified health centers; Medicare Shared Savings Program; MSSP Medicare Diabetes Prevention Program; MDPP; Medicare Part D; MIPS; MVPs; EHR; advanced primary care hybrid payment; APM; digital mental health; DMHT; chronic disease; RFI; request for information; upstream drivers of health; global surgery payment; service fees; care coordination; ambulatory specialty model; ASM; prescription drug inflation rebate; 340B; inflation; ACO; accountable care organization; quality payment program; QPP; FHIR; artificial intelligence; AI; collaborative care model; CoCM; patient centered medical home; PCMH; direct supervision; HCPCS; CPT; G code; clinical quality measures; CQMs; eCQMs; quality reporting; interoperability

Fri, 09/12/2025 - 1:25 PM EDT

Fri, 09/12/2025 - 3:59 PM EDT

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acp_comments_on_2026_physician_fee_schedule_medicare_shared_savings_program_and_medicare_prescription_drug_inflation_rebate_program_proposed_rule_2025.pdf

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2025