{"id":767735,"date":"2026-07-17T06:10:24","date_gmt":"2026-07-17T06:10:24","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/767735\/"},"modified":"2026-07-17T06:10:24","modified_gmt":"2026-07-17T06:10:24","slug":"cms-signals-intent-to-revamp-how-it-pays-for-clinical-software-ai","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/767735\/","title":{"rendered":"CMS signals intent to revamp how it pays for clinical software, AI"},"content":{"rendered":"<p class=\"author-bio\">Katie covers the impact of health technology on patients, clinicians, and businesses. Her stories explore the price tag of clinical AI, digital health at the FDA, and the boom in direct-to-consumer telehealth. Confidential tips can be sent on Signal at palmer.01.<\/p>\n<p style=\"font-family: 'Circular'; font-size: 15px; border: solid 1px #D0D6DB; padding: 16px 24px\">You\u2019re reading Part 3 of Paying for AI, a series examining how new clinical artificial intelligence tools influence the affordability of health care and patients\u2019 long-term health. Read <a href=\"https:\/\/www.statnews.com\/2026\/04\/15\/coronary-artery-calcium-ai-opportunistic-screening-examined\/\" rel=\"nofollow noopener\" target=\"_blank\">Part 1 here<\/a>, and <a href=\"https:\/\/www.statnews.com\/2026\/05\/12\/ai-sepsis-detection-startups-challenge-epic-systems\/\" rel=\"nofollow noopener\" target=\"_blank\">Part 2 here<\/a>.<\/p>\n<p>For years, Medicare has been wrestling with how to pay for artificial intelligence and other software-based clinical tools. The Centers for Medicare and Medicaid Services is good at calculating the costs of physical items, from a cotton swab to the wear and tear on a CT scanner. But an algorithm to predict cardiac risk from a CT scan, or an AI-based map to visualize prostate cancer\u2019s spread? Less so.<\/p>\n<p>This month, in its proposed rules for hospital outpatient payments and physician fees for 2027, CMS has signaled that it\u2019s ready to build a more consistent payment structure for clinical software and AI that factors in their impact on patient outcomes. It\u2019s starting \u2014 as an interim step, just for 2027 \u2014 by proposing a practical change to the way it labels and pays for several clinical software and AI services.\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\/us\/wp-content\/uploads\/2025\/12\/1765280600_844_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 and get additional analysis of the technologies disrupting health care \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":"Katie covers the impact of health technology on patients, clinicians, and businesses. Her stories explore the price tag&hellip;\n","protected":false},"author":2,"featured_media":767736,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[181,97,252,37583,253,1343,248],"class_list":["post-767735","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-artificial-intelligence","tag-health","tag-health-care","tag-health-tech","tag-healthcare","tag-policy","tag-stat"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/767735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=767735"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/767735\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/767736"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=767735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=767735"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=767735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}