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CMS Proposes Major Updates in the CY 2026 Medicare Physician Fee Schedule Proposed Rule
The CY 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule (Proposed Rule) introduces significant policy changes affecting Medicare Part B payments and drug pricing as well as other provisions impacting Inflation Reduction Act (IRA) rebates. This document highlights the proposals most relevant to pharmaceutical pricing, contracting, reporting, and reimbursement, particularly focusing on Average Sales Price (ASP) calculations, bona fide service fees (BFSFs), and Inflation Reduction Act of 2022 (IRA) provisions. It also notes other important proposals and topics.
