CY 2027 Orthopedic Medicare Exposure Diagnostic
Proposed CY 2027 Medicare Physician Fee Schedule changes can alter professional-fee economics, same-day service economics, joint-replacement reimbursement, site-of-service decisions, and operating margin. CMS proposals are presented separately from third-party estimates; for example, the OrthoForum's approximate 20% hip and knee estimate is a third-party projection, not a CMS figure.
Request Medicare Exposure DiagnosticWho it's for
Independent orthopedic groups and physician enterprises with meaningful Medicare procedural volume.
Based on
CMS CY 2027 PFS proposed policy, validated CMS reference data, site-of-service payment mechanics, and the organization's own procedural and payer mix.
Why it matters
Professional-fee and site-of-service changes can move margin in different directions across settings, so exposure has to be modeled against actual case mix rather than headline estimates.
What we analyze
Professional-fee exposure; the same-day payment provision; affected service families; office, ASC, and HOPD operating implications; three scenarios; behavioral-response sensitivity.
What you receive
Executive summary, CPT-level exposure analysis where supported by validated reference data, site-of-service analysis, scenario report, and a board-ready presentation. Final modeling precision depends on client CPT mix and validated CMS reference data.
Format
Executive exposure diagnostic.
Investment
contact us for pricing
Discuss this engagement
Tell us about the organization and the decision you are facing. We will confirm the scope before work begins.