FOR IMMEDIATE RELEASE:
November 4, 2026
Media Contact:
Samantha Tirado
Director of Policy Communications
stirado@mgma.org
MGMA Statement on 2027 Medicare Physician Fee Schedule Final Rule
Anders Gilberg
Senior Vice President, Government Affairs
Medical Group Management Association
"Notwithstanding modest policy improvements to enhance value-based care through MSSP, MGMA is disappointed by CMS’s decision to finalize several destabilizing policies in the 2027 Medicare Physician Fee Schedule. Conversion factor cuts of 1.83% for qualifying APM participants and 2.31% for all other clinicians further degrade an already fragile payment system and amplify severe financial challenges caused by years of inadequate Medicare reimbursement. Compounding this ongoing reimbursement decline, CMS will cut payments by 20% when office visits billed with modifier 25 are performed on the same day as certain procedures, interfering with physician practices’ ability to offer same-day care.
Congress must intervene to prevent further harm by immediately fixing cuts to the conversion factor, along with changes to modifier 25. To prevent annual disruption, Congress should prioritize comprehensive MACRA reform by passing the Patients First Act."
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About MGMA
Founded in 1926, the Medical Group Management Association (MGMA) is the nation's largest association focused on the business of medical practice management. MGMA consists of 15,000 group medical practices ranging from small private medical practices to large national health systems representing more than 350,000 physicians. MGMA helps nearly 60,000 medical practice leaders and the healthcare community solve the business challenges of running practices so that they can focus on providing outstanding patient care. Specifically, MGMA helps its members innovate and improve profitability and financial sustainability, and it provides the gold standard on industry benchmarks such as physician compensation. The association also advocates extensively on its members' behalf on national regulatory and policy issues.
