In this episode of Fighting for Family Medicine, host David Tully, vice president of Government Relations at the AAFP, speaks with Kate Gilliard, the Academy's senior manager for federal policy and regulatory affairs, about the newly finalized 2026 Medicare physician fee schedule (MPFS). The conversation covers the MPFS' efficiency adjustment policy, adjustments for practice expense and the creation of new add-on codes for advanced primary care management (APCM) services.

Topics By Timestamp

00:00 Introduction

00:24 Breaking down the 2026 Medicare physician fee schedule

01:14 Understanding the conversion factors

01:59 The catch in the fee schedule

03:07 Efficiency adjustment explained

05:01 Practice expense information

06:44 New add-on codes and cost-sharing

08:43 Conclusion

Additional Resources

• AAFP News: Final 2025 MPFS brings primary care payment boost and other wins

• AAFP Voices blog post: Some good news for primary care: the 2026 Medicare physician fee schedule

• AAFP executive summary of the 2026 Medicare physician fee schedule final rule

• AAFP News story on the Academy's letter to CMS on the proposed MPFS

• AAFP advocacy focus: Medicare physician payment

• AAFP H.R. 1 member resource

• FPM: What is the RUC?

• AAFP Medicare physician payment Speak Out campaign

• AAFP Advocacy Ambassadors

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