Blog | MDinteractive

2027 Medicare Physician Fee Schedule Proposed Rule: Major Changes for MSSP ACOs

On July 14, 2026, the Centers for Medicare & Medicaid Services (CMS) released the 2027 Medicare Physician Fee Schedule (PFS) proposed rule, which includes some of the most significant proposed changes to the Medicare Shared Savings Program (MSSP) in recent years. While the rule touches on benchmarking, beneficiary assignment, and engagement, the quality reporting and CEHRT provisions deserve particular attention. The public comment period closes September 14, 2026. Because these policies are proposed, they are not yet final. CMS will review public comments before issuing the final rule later this year.

Beginning January 1, 2027, the Centers for Medicare & Medicaid Services (CMS) will launch the Ambulatory Specialty Model (ASM), a mandatory payment model designed to expand value-based care into outpatient specialty practice. Unlike previous CMS Innovation Center models that largely focused on hospitals or primary care, ASM is aimed specifically at specialists managing high-cost chronic conditions in ambulatory settings.

With the 2026 performance year well underway, MSSP ACOs should be using ongoing quality measure submissions and performance review to evaluate how reporting workflows, data completeness, and measure performance are trending across participating organizations. More than a reporting exercise, ongoing performance monitoring helps organizations identify workflow gaps, validate data capture, and stay on track throughout the performance year. As organizations review mid-year performance, each APP measure presents its own operational, documentation, and reporting considerations heading into the second half of 2026.

APP Quality Reporting

How MDinteractive Transforms EHR Data Into Successful APP eCQM Submissions

For many ACOs, the shift to eCQM reporting creates a real operational challenge because participating practices often use different EHR systems, some of which may not be certified for all required APM Performance Pathway (APP) eCQM measures. With more than 25 years of CMS quality reporting experience, MDinteractive helps ACOs navigate this shift by transforming clinical and administrative data from disparate EHR systems — accessed via direct export or FHIR APIs — into compliant APP eCQM submissions, even when participating EHRs may not support all measures natively.

ACO Voluntary Termination: 30-Day Advance Notice Required

If your Accountable Care Organization (ACO) is considering ending its participation in the Medicare Shared Savings Program, it is important to understand the timing rules and financial consequences before you act.

MSSP ACOs

2026 MIPS Reporting Checklist: Steps to Prepare for a Successful Reporting Year

2026 MIPS reporting requires practices to stay proactive, organized, and prepared throughout the performance year. With updates to quality measures, MIPS Value Pathways (MVPs), and measure benchmarks that can significantly affect scoring, early planning can help reduce reporting burdens, improve scores, and help avoid negative payment adjustments. In this article, we’ve outlined a step-by-step checklist to help your practice stay organized, reduce reporting burdens, and achieve success with 2026 MIPS.

2026 MIPS Reporting

2026 MIPS Reporting – Key Dates and Deadlines to Know

Success in the 2026 MIPS performance year starts with staying ahead of important deadlines. From data collection to final submission, knowing what’s due and when can make all the difference in your performance outcomes. Use the timeline below to keep your team aligned, prepared, and on track all year long.

2026 MIPS Deadlines

eCQM Quality Reporting Under CMS’s New ACO LEAD Model: What You Need to Know

The Centers for Medicare & Medicaid Services (CMS) is ushering in a new era of accountable care with the Long-term Enhanced ACO Design (LEAD) Model, set to launch in 2027 as the successor to ACO REACH. Designed as a 10-year value-based care model, LEAD aims to provide greater stability, improved benchmarking, and stronger incentives for providers serving complex and high-needs populations. While many aspects of the model build on familiar ACO frameworks, one area undergoing meaningful evolution is quality measurement—particularly electronic Clinical Quality Measure (eCQM) reporting.

ACO Reporting

Your Final 2025 MIPS Eligibility Is In—Here’s What to Do Next

The Centers for Medicare & Medicaid Services (CMS) has updated the QPP Participation Status Tool for the 2025 performance year, and clinicians can now confirm their final 2025 MIPS eligibility. By entering a National Provider Identifier (NPI) into the tool—or checking the MDinteractive account dashboard—clinicians can see whether they must report for MIPS this year. The tool also provides Advanced APM eligibility information and preliminary MIPS status for 2026. Now that your final status is available, this blog will walk you through what it means, how MIPS eligibility is determined, and what to do once you know your reporting status..

MIPS Eligibility

MIPS Eligible Clinicians

QPP Participation Status Tool

Low Volume Threshold

APM

CMS Finalizes 2026 Updates to the Medicare Shared Savings Program

The Centers for Medicare & Medicaid Services (CMS) released the Final Rule for the Calendar Year (CY) 2026 Medicare Physician Fee Schedule, featuring significant updates to the Medicare Shared Savings Program (MSSP). These policies aim to fine-tune program operations, enhance beneficiary alignment, promote quality improvement, and reduce administrative burden while aligning the program more closely with CMS’s broader quality and financial policies.

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2027 Medicare Physician Fee Schedule Proposed Rule: Major Changes for MSSP ACOs

Ambulatory Specialty Model (ASM): What Specialists Need to Know for 2027

2026 APP Reporting: A Mid-Year Performance Check-In for MSSP ACOs