AMA Releases Summary and Analysis of 2026 Medicare Physician Fee Schedule Final Rule

November 20, 2025

On November 14, the AMA released a comprehensive Summary and Analysis of the 2026 Medicare Physician Payment Schedule and Quality Payment Program Final Rule.  

Items discussed include: 

  • CY 2026 Medicare Conversion Factors 

  • Practice Expense Relative Value Units 

  • Potentially Misvalued Services 

  • Telehealth  

  • Valuation of Specific Codes 

  • Efficiency Adjustment 

  • E/M Visit Complexity Add-On Code (G2211) 

  • Enhanced Care Management 

  • Policies to Improve Care for Chronic Illness and Behavioral Health Needs 

  • Payment of Skin Substitutes 

  • Global Surgery Payment Accuracy 

  • Professional Liability RVUs 

  • Geographic Practice Cost Indices (GPCIs) 

  • Medicare Diabetes Prevention Program (MDPP) 

  • Medicare Shared Savings Program (MSSP) 

  • Quality Payment Program Updates and Policies 

For more information, please contact Adrian Uphoff, manager of health policy and regulatory affairs.  

Latest News

Allina Health Physicians Vote to Authorize Strike

July 9, 2026

More than 130 Allina Health hospital physicians represented by Doctors Council SEIU voted last week, by a 90% margin, to authorize a strike after nearly two years of bargaining.  

MMA Launches New Program to Strengthen Physician Well-being

July 9, 2026

The MMA is launching a new program, exclusive to members, to strengthen physician well-being, reduce professional isolation, build a culture of connection, and foster sustained peer connections over time.  

State Pursuing Medicaid Expansion to Treat Incarcerated People

July 9, 2026

Minnesota is pursuing a new initiative that, if approved by the federal government, will allow state Medicaid programs to cover certain behavioral health services and medical care for chronic health conditions for incarcerated people, for up to 90 days before release.