CY 2027 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies (CMS-1848-P)

This major proposed rule introduces significant changes to the PFS and other Part B payment policies, ensuring updates reflect shifts in medical practice, service values, and statutory changes. It codifies new policies for the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022, and includes updates to the Ambulatory Specialty Model, Medicare Diabetes Prevention Program, drugs and biologicals paid under Part B, and Medicare Shared Savings Program. Additionally, it revises Quality Payment Program policies, Rural Health Clinics, Federally Qualified Health Centers, electronic prescribing, Ambulance Fee Schedule, and Clinical Laboratory Fee Schedule regulations.