Private Practices Would Bear 80% of the Nearly $1B Impact of CMS's Modifier 25 Proposal
Why now
Thesis: Medicare payment shift threatens specialty practice economics
Catalyst to watch: CMS final rule on Modifier 25
Main risk: Proposal may be softened or delayed
Why it matters
Medicare payment change would shift roughly $1B of impact onto private practices, pressuring specialty margins.
Details
Jiro's analysis of Medicare claims finds the impact concentrated in six specialties, with dermatology alone accounting for nearly $400 million. AUSTIN, Texas, Sept. 24, 2026 /PRNewswire/ -- A new analysis from Jiro Health estimates that a proposed change to Medicare payments involving...
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- prnewswire · 2026-09-24 15:00 UTC