CMS 2027: Beyond the Cut

The 2027 proposed rules cut the conversion factor and quietly revalue practice expense. Which one wins depends on your setting and your modality mix.

Hosted by Dianne Keen · with Kit Crancer, SVP of Public Policy at RAYUS

Guest

Kit Crancer

SVP of Public Policy at RAYUS

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About this episode

What the 2027 proposed rules mean once you get past the headlines

In this timely Voices of Experience conversation, Dianne Keen, FRBMA is joined by Kit Crancer, SVP of Public Policy at RAYUS, for a deeper look at the 2027 CMS proposed rules and what the headlines may be missing. Together, they unpack how MPFS conversion factor cuts, specialty-table offsets, and sweeping OPPS site-neutral proposals could affect radiology practices very differently depending on setting, modality mix, and payer dynamics

This episode goes beyond a surface-level policy recap. Kit explains why some practices may see modest relief even inside a difficult reimbursement environment, why others could face meaningful pressure from site-neutral changes, and how those decisions could ripple into commercial leverage, hospital partnerships, imaging access, and long-term patient care

In this episode

Four things worth your time

Conversion Factor Against Specialty Table: Why the headline cut to the Medicare Physician Fee Schedule is only half the story, and how CMS revaluing practice expense for radiology can offset it depending on whether you bill in a facility or non-facility setting.

Site Neutrality Reaches Imaging: How the proposed reduction for previously grandfathered off-campus outpatient departments works, how much of CT and MRI it captures, and why the savings from it are handled differently from the pharmacy changes in the same rule.

Commercial Leverage After Site Neutrality: What happens to the price argument freestanding centers have used in payer negotiations once hospital and non-hospital rates converge, and how that could reshape hospital partnership conversations.

Reading the Data Files, Not the Headlines: Where to look inside a thousand-page rule to model your own practice, why modality mix and CPT weighting change the answer, and how to engage Congress before the final rule lands.