CMS Proposes CY 2026 Physician Fee Schedule Featuring Two-Sided Risk Model, Digital Health Support, and 340B Program Update

The Centers for Medicare & Medicaid Services (CMS) has proposed the Calendar Year (CY) 2026 Physician Fee Schedule rule, which includes a new mandatory, two-sided risk payment model targeting heart failure and low back pain. The proposed rule also emphasizes support for digital health initiatives, aligning with the current administration's policy direction. Additionally, updates related to the 340B drug pricing program for the week of July 8 to 14, 2025, have been highlighted alongside the release of the proposed fee schedule. These developments reflect ongoing efforts to refine Medicare payment structures and enhance healthcare delivery through technology integration.