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FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts

FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts

Update: 2025-11-14
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Description

 

In this episode of Fighting for Family Medicine, host David Tully, vice president of Government Relations at the AAFP, speaks with Kate Gilliard, the Academy's senior manager for federal policy and regulatory affairs, about the newly finalized 2026 Medicare physician fee schedule (MPFS). The conversation covers the MPFS' efficiency adjustment policy, adjustments for practice expense and the creation of new add-on codes for advanced primary care management (APCM) services. 

 

Topics By Timestamp

00:00 Introduction 

00:24 Breaking down the 2026 Medicare physician fee schedule 

01:14 Understanding the conversion factors 

01:59 The catch in the fee schedule 

03:07 Efficiency adjustment explained 

05:01 Practice expense information 

06:44 New add-on codes and cost-sharing 

08:43 Conclusion 

 

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FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts

FFFM | 2026 Medicare Physician Fee Schedule: Key Updates and Advocacy Efforts