2025 transformed healthcare compliance from year-end reporting to a continuous operational discipline. Precision, not panic, defined the year as explicit rules and tightened governance exposed structural gaps in real time. Success now depends on building integrated systems where clinical workflows, data accountability, and clear governance align, not on last-minute fixes. Forward-looking providers are already designing 2026's framework, treating compliance as the backbone of care delivery.

The CY 2026 Physician Fee Schedule Proposed Rule introduces major changes for ACOs, including accelerated risk progression, revised quality metrics, and new beneficiary requirements. Learn how these updates impact your financial strategy and operational workflows—and how to prepare before the September 12 comment deadline.

Specialists face unique challenges under MIPS, but with the right approach, they can avoid penalties and even earn bonuses. Here’s how:

• Quality (30% of score): Report at least six specialty-specific measures, including one outcome or high-priority measure. Use EHR-integrated reporting and benchmark against peers.

• Improvement Activities (15%): Choose activities that align with your workflow, such as chronic care management or patient education programs.

• Promoting Interoperability (25%): Ensure EHR compliance with e-prescribing, data sharing, and patient portals. Check for potential hardship exemptions.

• Cost (30%): Focus on efficient practices, minimize unnecessary procedures, and review CMS cost reports.

Avoid Common Mistakes:

• Skipping specialty-specific measures

• Overlooking Improvement Activities

• Missing CMS feedback or deadlines

Pro Tip: Use a MIPS registry for real-time tracking and automated reporting.