CY2027 Physician Fee Schedule Rule: September 1 Small Business Roundtable

The Small Business Administration's Office of Advocacy has scheduled a Small Business Roundtable on the Department of Health and Human Services' (HHS) Centers for Medicare and Medicaid Services (CMS) CY27 Physician Fee Schedule proposed rule on September 1, 2026 from 1:00 pm to 2:30 pm ET.

The proposed rule provides an annual update to Medicare Part B reimbursement rates for physician services and outpatient therapy, among other services and proposes to update and amend other Part B payment and coverage policies effective on or after January 1, 2027. These rates apply to Part B services furnished in a variety of settings, such as physician offices, hospitals, skilled nursing facilities and other post-acute care settings, hospices, and patients' homes.

The rule includes proposals that would modify the Medicare Shared Savings Program, as well as limit payment for remote patient monitoring services to clinical staff of the billing practitioners. There are also a number of Requests for Information contained within the rule, which include the following topics: potential fraud, waste, and abuse in community-based palliative care; resource costs and requirements for future Alzheimer's disease and Alzheimer's disease-related dementias intensive lifestyle intervention services; and implementation timeframes for Fast Healthcare Interoperability Resources-based quality reporting.

The Office of Advocacy is responsible for monitoring compliance with the Regulatory Flexibility Act, which seeks to minimize the regulatory burden on small entities. Small entities consist of small businesses, small governmental jurisdictions, and small organizations-the latter of which are generally defined as any not-for-profit enterprise which is independently owned and operated and is not dominant in its field. The Roundtable affords small entities potentially impacted by the proposed rule the opportunity to share their opinion on the rule with the Office of Advocacy virtually.