DecisionHealth, DecisionHealth - 2025 Issue 11 (November)

Getting paid: Chart the impact of 2026 reimbursement changes on pain management

Your reimbursement will be influenced by three key factors in 2026. Participation in a qualified advanced alternative payment model will determine a provider’s conversion factor. A recalculation of practice expense relative value units will cut payment for service performed in the facility setting and an efficiency adjustment will reduce work relative value units for a wide range of procedures, including common nerve blocks.

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