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- CAP wants CMS to abandon proposed cuts to pathology services
The CAP told the CMS to abandon proposals that will reduce payment for pathology services in 2026.
We’re vigorously opposing adjustments for efficiency and practice expenses in our formal comments to the proposed 2026 Medicare Physician Fee Schedule submitted on September 11.
Efficiency adjustments are 2.5% across-the-board cut to physician work values and intra-service time for more than 7,000 services, including pathology.
- These are not based on new data or physician input, but on an assumed "efficiency."
Practice expense adjustments will reduce facility practice expense pay, disproportionately harming transfusion medicine and pathology services.
- These changes would create dramatic impacts across the health care system.
Next steps: The CMS will review and consider all submitted comments before determining whether and how to finalize its proposed policies, with the final rule scheduled for release in early November.