This panel discussion focused on the CMS 2026 Medicare Physician Fee Schedule proposed rule and its impact on primary care. Key points included the cautious optimism about the rule's potential benefits, such as expanded behavioral health integration and telemedicine enhancements. Concerns were raised about the sustainability of financial bumps and the need for comprehensive payment models. The panel emphasized the importance of community care hubs, caregiver support, and technology integration. They also highlighted the need for transparency in ACO payments and the challenges faced by small, independent practices in adapting to these changes.