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.
April 9, 2026
An amended piece of legislation that would exempt buprenorphine from prior authorization (PA) was heard in the Senate Health and Human Services Committee on April 9.
April 9, 2026
On April 9, the Senate Health and Human Services Committee heard a bill that would require coverage for psychiatric Collaborative Care Model (CoCM) services under Medical Assistance.
April 9, 2026
On April 9, the House Taxes Committee heard legislation focused on supporting the financial stability and ongoing operations of Hennepin Healthcare.