Value-Based Contracting

CMS’ proposed 2027 Medicare Physician Fee Schedule is the main VBC development, pairing a projected 1.68% physician payment cut with changes that stakeholders say could strengthen primary care, overhaul MIPS, and improve Medicare Shared Savings Program participation—creating a familiar tension between near-term fee pressure and longer-term APM/ACO incentives. ACO and physician groups are responding positively to the MSSP and primary care provisions even as they press Congress and CMS for more stable payment updates, with ACP also backing the Patients First Act’s hybrid primary care payment approach as aligned with value-based care goals. See coverage of the [MSSP proposed changes](https://news.google.com/rss/articles/CBMi7gFBVV95cUxNa0RVVFF2R3A3R2trclNydkd0ZUtybUJGNzZkRmZScG54bU1kZHJfRm92RlhTME1tQ25Qc09qRGRpMmRWTHBVRFdPVEV4TTNKdVBRanprOXB4Wm94QzNxSFoxY1h1MWI4N2VBTXNJQkNrUzRMck5EQk9SNk1jejljNnpMMlF1eE50WVB2amFTTlRZMzJSQnVQY0NYZklXbmhCQXBRWnlyMVpL