News for Healthier Living

Evidence Fails to Support Proposed CMS "Efficiency Adjustment" Payment Rule, Clinical Data Review Shows

CMS is recommending a 2.5% "efficiency adjustment" payment reduction in the proposed 2026 Medicare Physician Fee Schedule based on the assumption that surgeons are faster today in completing procedures than they were five years ago. However, a new research shows that overall operative length and complexity have actually increased since 2019.

August 14, 2025


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