
Medicare doctor pay plan would hit specialists
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The Centers for Medicare and Medicaid Services (CMS) proposes a significant shift in how Medicare reimburses doctors, moving away from the traditional method of calculating rates based on survey data from the Relative Value Scale Update Committee (RUC). This change, outlined in the 2026 Medicare Physician Fee Schedule, aims to reduce payments for many specialist services—such as surgery and diagnostic imaging—by an estimated 2.5%, while prioritising investment in primary care. The American Medical Association (AMA) and other physician groups strongly oppose this, arguing it could compromise patient safety and quality by encouraging increased service volume to offset lost revenue. CMS, however, characterises this as an "efficiency adjustment" for services that have become more streamlined over time, with the overarching goal of better aligning payment with modern clinical practice and supporting value-based care, although some medical societies cautiously endorse the agency's focus on primary care. this podcast discuss this in short for american based audience