The CY2027 Physician Fee Schedule Proposed Rule Cuts the Conversion Factor, Rewires Practice Expense, Kneecaps Outsourced RPM, and Reworks MSSP, and Here Is the Startup Map for Each Piece

CMS dropped the CY2027 physician fee schedule proposed rule on July 14th. The conversion factor cut is real but it is not the story. Here are the four changes that actually reshape the economics.

1. Practice expense methodology: CMS is explicitly moving away from the AMA specialty survey as the primary driver of indirect cost allocation. This affects rou…