CMS’s 2026 proposed fee schedule introduces new Medicare payment model but offers limited new reimbursement for palliative care.

In an article published by Palliative Care News, palliative care providers are reviewing CMS’s proposed 2026 physician fee schedule and its new Ambulatory Specialty Model (ASM) targeting heart failure and low back pain. While the ASM may aim to improve care coordination and referrals, CAPC's Allison Silvers, MBA, and Andy Esch, MD, MBA, note it is unlikely to create significant new reimbursement opportunities for palliative care. The article also highlights the ability for home-based care providers such as palliative care to bill the complexity add-on code, G2211.

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