Value-Based Reimbursement Updates Under the 2026 Medicare Physician Fee Schedule

The 2026 Medicare Physician Fee Schedule (MPFS) final rule provides insight into how the current administration is thinking about value-based reimbursement. Adam Laughton, Shareholder, Greenberg Traurig LLP, speaks with Alex Kirkland, Senior Vice President, Coker Group, about the trajectory of value-based reimbursement and what is happening in traditional Medicare under the 2026 MPFS. They discuss issues related to alternative payment models (APMs) and conversion factors, steps that providers need to take to qualify as an APM (including investments in electronic health records and an analysis of costs versus benefits), and compliance considerations. Alex recently co-authored an article in Health Law Connections magazine about this topic. From AHLA’s Physician Organizations Practice Group.

Watch this episode: https://www.youtube.com/watch?v=D-ZCaG-clNI

Read the Health Law Connections article: https://www.americanhealthlaw.org/content-library/connections-magazine/article/6e583147-a398-42ab-85c6-293440c564da/Review-of-the-Challenges-and-Requirements-of-Becom

Learn more about AHLA’s Physician Organizations Practice Group: https://www.americanhealthlaw.org/practice-groups/practice-groups/physician-organizations 

Essential Legal Updates, Now in Audio

AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Comprehensive members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Stay At the Forefront of Health Legal Education

Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/.