{"id":1505,"date":"2025-07-17T01:33:16","date_gmt":"2025-07-17T01:33:16","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/1505\/"},"modified":"2025-07-17T01:33:16","modified_gmt":"2025-07-17T01:33:16","slug":"medicare-proposes-pay-cuts-for-specialty-physicians-in-2026-rule","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/1505\/","title":{"rendered":"Medicare proposes pay cuts for specialty physicians in 2026 rule"},"content":{"rendered":"<p class=\"author-bio\">Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers \u2014 reporting on how money influences those businesses and shapes what we all pay for care. He is also the author of the <a href=\"https:\/\/www.statnews.com\/signup\/health-care-inc\/\" rel=\"nofollow noopener\" target=\"_blank\">Health Care Inc. newsletter<\/a>. You can reach Bob on Signal at bobjherman.09.<\/p>\n<p class=\"author-bio\">Tara Bannow covers hospitals, providers, and insurers. You can reach Tara on Signal at tarabannow.70.<\/p>\n<p>Medicare is proposing across-the-board cuts to what Trump administration officials believe are overpriced medical procedures, scans, and tests \u2014 a consequential decision designed to even the score between <a href=\"https:\/\/www.statnews.com\/2024\/07\/15\/medicare-doctor-payments-primary-care-specialists\/\" rel=\"nofollow noopener\" target=\"_blank\">highly paid specialists<\/a> and primary care doctors.<\/p>\n<p>The federal Medicare agency justified its action by saying that more than half of the 10,000 billing codes used by physicians have never been reevaluated in the 30-plus years of this payment system. Medicare also criticized the way these services are currently priced \u2014 through surveys of physician practices that have unreliably low response rates \u2014 and wants to exclude that input going forward.<\/p>\n<p>Doctors for decades have been paid using rates developed largely under the advice of the industry\u2019s main lobbying group, the American Medical Association. Experts have <a href=\"https:\/\/www.statnews.com\/2022\/09\/12\/medicare-secretive-panel-overhaul-ruc-ama\/\" rel=\"nofollow noopener\" target=\"_blank\">railed against the system<\/a> for decades, calling it complex and filled with self-interested factions that ultimately favor surgeons and higher-priced specialists over primary care clinicians.\u00a0<\/p>\n<p class=\"restricted-text\">STAT+ Exclusive Story<\/p>\n<p class=\"restricted-login\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t<img decoding=\"async\" class=\"restricted-content-breaker-bg\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2025\/07\/stat-plus-breaker-bg.png\" alt=\"STAT+\"\/><\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n\t\t\t\t\t\t<img decoding=\"async\" class=\"stat-plus-logo\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/stat-plus-logo-white.svg\" alt=\"STAT+\"\/><br \/>\n\t\t\t\t\t<\/a><\/p>\n<p>\t\t\t\tThis article is exclusive to STAT+ subscribers<br \/>\n\t\t\t\tUnlock this article \u2014 plus daily intelligence on Capitol Hill and the life sciences industry \u2014 by subscribing to STAT+.<\/p>\n<p class=\"restricted-content-breaker-wrapper-cta mobile\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta mobile\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t\t\t\tIndividual plans<\/p>\n<p>\t\t\t\t\t\tGroup plans<\/p>\n<p>\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button view-all\" data-stat-paywall-cta=\"breaker view all plans\" aria-label=\"View All Plans\" rel=\"nofollow noopener\" target=\"_blank\">View All Plans<\/a><\/p>\n<p class=\"restricted-content-text\">\n\t\t\t\t\t\tTo read the rest of this story subscribe to STAT+.\t\t\t\t\t<\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button restricted-button\" data-stat-paywall-cta=\"breaker subscribe cta 1\" rel=\"nofollow noopener\" target=\"_blank\">Subscribe<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers \u2014 reporting on how money influences&hellip;\n","protected":false},"author":2,"featured_media":1506,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[49,48,812,2097,84,392,2098,2099,2100,2101],"class_list":["post-1505","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-ca","tag-canada","tag-cms","tag-congress","tag-health","tag-healthcare","tag-medicare","tag-physicians","tag-policy","tag-stat"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/1505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=1505"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/1505\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/1506"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=1505"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=1505"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=1505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}