Expert Insight

6 minute read

Inside CMS' final rule changes for 2026

Unpack CMS' final rule changes for 2026 — from site-neutrality expansions to adjustments in reimbursement methodologies — and the potential impact on providers' revenue, margin, and compliance requirements.

CMS finalizes rule changes for 2026

On October 31, 2025, CMS issued a final rule for the Medicare Physician Fee Schedule (PFS), for calendar year 2026. The Outpatient Prospective Payment System (OPPS), and ambulatory surgical centers (ASCs) issued final rules November 21. The updates include new payment policies, quality programs, and care delivery models to modernize Medicare, improve care quality, reduce waste, and strengthen provider accountability.

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AFTER YOU READ THIS
  • You'll understand key changes to the Medicare Physician Fee Schedule, the Outpatient Prospective Payment System, and ambulatory surgical centers.
  • You'll understand the potential impact of these changes.
  • You'll have steps to prepare for the financial and operational impacts of these changes.

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