DecisionHealth, DecisionHealth - 2025 Issue 11 (November)

CMS finalizes fee disparity between facility and non-facility, sets two conversion factors

Your providers will see higher conversion factors (CF) in 2026, with a 3.8% boost to those participating in qualifying alternative payment models (APM) and a 3.3% increase for everyone else. Yet a yawning gap in reimbursement levels will confront practices in 2026, depending on whether your providers deliver care in the non-facility or facility setting.

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