On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) released the 2026 Medicare Physician Fee Schedule (MPFS) final rule, which includes payment provisions and policy changes to the Quality Payment Program (QPP) and Alternative Payment Model (APM) options and requirements for 2026. The final rule takes effect 1/1/26.
Beginning CY 2026 there will be two separate CFs resulting from the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA):
CMS finalizes its proposal to apply an efficiency adjustment of -2.5% to the work RVUs for non-time-based services. In addition, the agency finalizes significant updates to its practice expense methodology that it says will recognize greater indirect costs for practitioners in office-based settings compared to facility settings.
Read the 2026 MPFS Final Rule Summary. Click below to download the PDF.
About ZPAC: the Zotec Political Advocacy Committee (ZPAC), dedicates itself to making a difference for physicians and healthcare administrators nationwide. ZPAC advocates for equitable access to healthcare services for all individuals. Stay informed and engaged with ZPAC by following our podcast episodes, blog posts, and speaking engagements on our active Twitter/X and LinkedIn profiles. Together, we can shape policies that support healthcare providers and promote equitable access to quality care for all. To learn more about Zotec Partners, visit our website here.