September 4, 2025
CMS Proposes Updates to Medicare Physician Fee Schedule Payments, Comment by September 12
On January 31, 2025, President Trump issued Executive Order (EO) 14192 “Unleashing Prosperity Through Deregulation,” which states the Administration policy to significantly reduce the private expenditures required to comply with Federal regulations to secure America’s economic prosperity and national security and the highest possible quality of life for each citizen.
CMS is seeking public input on approaches and opportunities to streamline regulations and reduce administrative burdens on providers, suppliers, beneficiaries, and other stakeholders participating in the Medicare program.
This major proposed rule addresses:
- changes to the physician fee schedule (PFS);
- other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice,
- relative value of services, and
- changes in the statute; codification of establishment of new policies for the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022;
- the Ambulatory Specialty Model;
- updates to the Medicare Diabetes Prevention Program expanded model;
- updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements;
- updates to the Quality Payment Program;
- updates to policies for Rural Health Clinics and Federally Qualified Health Centers
- update to the Ambulance Fee Schedule regulations;
- codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions;
- updates to the Medicare Promoting Interoperability Program.
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