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Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program; Correction
Plain English Summary
The recent announcement corrects some mistakes in the final rule regarding Medicare and Medicaid payment policies for 2026. This includes updates to how doctors are paid under Medicare and changes to Medicare Part B coverage. These corrections ensure that the information is accurate and clear for everyone involved. Insurance agents should review these updates to understand the correct payment policies and inform their clients accordingly.
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This document corrects typographical and technical errors in the final rule that appeared in the November 5, 2025 Federal Register titled "Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program" (hereinafter referred to as the CY 2026 PFS final rule), specifying finalized changes to the Medicare physician fee schedule (PFS) that is applicable for calendar year (CY) 2026, and other changes to Medicare Part B payment policies.