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2027 Proposed Physician Fee Schedule Cuts Payments
On July 14, 2026, the Centers for Medicare & Medicaid Services (CMS) released its proposed Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2027. The proposed rule would decrease both statutory conversion factors used to calculate physician payment, reversing the prior year’s increase, while proposing substantial changes to physician payment methodology, accountable care, and quality reporting. According to CMS Administrator Dr. Mehmet Oz, the proposed rule reflects “some of the most significant Medicare reforms in recent years to strengthen primary care, expand accountable care, and modernize physician payment.” This Health Capital Topics article discusses the CY 2027 MPFS proposed rule’s payment update and significant policy proposals. (Read more...)
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CMS Proposes 2027 OPPS Rule: Renewed 340B Cuts
On July 2, 2026, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for calendar year (CY) 2027. Among other changes, the agency proposes a renewed reduction in reimbursement for drugs acquired under the 340B Drug Pricing Program, an expansion of site-neutral payment policies to certain imaging services, and continuation of the phased elimination of the Inpatient Only (IPO) List. This Health Capital Topics article discusses these proposed updates and their implications for outpatient reimbursement. (Read more...)
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Home Health Payment and Enrollment Rule Proposed for 2027
On July 1, 2026, the Centers for Medicare & Medicaid Services (CMS) issued its proposed Home Health Prospective Payment System (HH PPS) rule for calendar year (CY) 2027. CMS estimates that the rule would increase aggregate Medicare payments to home health agencies (HHAs) by 2.4%, or $420 million, relative to CY 2026, even as the agency applies a temporary payment reduction and advances a set of provider enrollment provisions directed at reducing fraud, waste, and abuse. This Health Capital Topics article examines the proposed payment update, the behavioral adjustments that continue to shape home health rates, the cross-cutting enrollment provisions, and the industry response. (Read more...)
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Valuation of Neurological Services:
Reimbursement Environment
As discussed in the first installment of this Health Capital Topics series, neurological services are characterized by rising demand and a constrained supply of neurologists, trends expected to continue as the U.S. population ages. This second instalment examines the reimbursement environment applicable to neurological services, including the Medicare Physician Fee Schedule (MPFS) payment framework, telehealth reimbursement policy, and neurological services-specific considerations arising from recent and forthcoming Centers for Medicare & Medicaid Services (CMS) rulemaking. (Read more...)
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"The Current State of Ambulatory Surgery Centers and Future Trends," authored by HCC's Todd A. Zigrang and Jessica Bailey-Wheaton, as well as Bhagwan Satiani, MD, and Anil Hingorani, MD, will be featured in an upcoming issue of Annals of Vascular Surgery.
Get an Exclusive
First Look HERE!
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"Urgent Care Centers: Finding Value in the Continuum of Care - Part I of II" authored by HCC President, Todd A. Zigrang, MBA, MHA, FACHE, CVA, ASA, ABV, and, HCC Senior Vice President and General Counsel, Jessica Bailey-Wheaton, Esq., was featured in the recent issue of The Value Examiner, published by the National Association of Certified Valuators and Analysts (NACVA) .
For more recently published material written by HCC, please visit www.healthcapital.com
Read Here
HCC will also present a webinar on this topic as part of the NACVA Advanced Learning Series on October 28, 2026.
Register Here
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