Fixing the Formula: How CMS’s 2026 Proposal Could Revive Community-Based Care

For years, office-based interventional providers — many of them independent physicians serving rural and underserved communities — have faced a slow and steady erosion of reimbursement under the Medicare Physician Fee Schedule. These are not large hospital systems; they are the small, patient-centered practices that deliver life-saving care for those without access to large hospitals. Yet the system has long penalized these small practices with inequitable practice expense (PE) policies that fail to reflect the real cost of modern care delivery.

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