Final 2027 Physician Fee Schedule Takes Essential Steps Forward for Whole-Person Primary Care
Washington, D.C. (November 4, 2026) – The Primary Care Collaborative (PCC) praised the Centers for Medicare and Medicaid Services (CMS) for taking essential steps toward whole-person primary care and more accurate payment in the 2027 Medicare Physician Fee Schedule (MPFS) final rule.
“We’re grateful that CMS appears to have doubled-down on its commitment to strengthening whole-person primary care by establishing reimbursement for health coaching, shared medical appointments and more resources for behavioral health integration,” said PCC President and CEO Ann Greiner. “These changes—especially when paired with an effort to more accurately price primary care—are important steps toward a more effective system focused on better health.”
The 2027 MPFS finalized several policies sought by the PCC and its members, including:
- Practice expense reforms that reduce reliance on flawed survey data driving mis-valuation of primary care services
- A new option to waive beneficiary cost-sharing for Part B services, including primary care, by Medicare Accountable Care Organizations
- New incentives for Medicare Accountable Care Organizations to serve beneficiaries with complex needs
The final rule also reflected key policy requests from the PCC and its members, including:
- Clarifying that health coaching can be offered under general supervision
- Increased reimbursement for the Psychiatric Collaborative Care Model (CoCM) and updated pricing for behavioral health care managers
- More flexibility for shared medical appointments, clarifying that they may be used for lifestyle-modifiable conditions
However, due to statutory budget neutrality requirements, Medicare will apply across the board payment reductions to the Medicare physician fee schedule on January 1, absent action from Congress.
“These changes are an important step forward, but we still have a long journey until we reach the health system Americans deserve,” continued Greiner. “We urge Congress to take immediate steps to address the harmful payment cuts imminent in the new year. And we look forward to working with CMS and lawmakers to enact bold reforms that promote happier, healthier communities and more affordable care.”