Voices of Experience · Podcast
Season 2Episode 17November 2026

CMS Final Rules: What Changed, What Didn't, and What's Next

After practices and advocates responded to the proposed rules, what actually changed in the final version, and where are the most consequential issues still ahead?

Hosted by Dianne Keen  ·  with Kit Crancer
Guest
Kit Crancer
Kit Crancer
SVP of Public Policy at RAYUS
We need to screen them and we need to make sure that they’re getting the care that they need.
Kit Crancer
2.31%
Conversion factor cut in the final rule for many providers, up from about 1.8% proposed
~60%
Cut in 2027 for previously grandfathered hospital outpatient sites, in most non-contrast imaging
3%
Of members of Congress with a healthcare background
About this episode

Dianne Keen is joined by Kit Crancer, SVP of Public Policy at RAYUS, for a timely Voices of Experience conversation on the final CMS rules shaping radiology.

Kit breaks down the final Medicare Physician Fee Schedule and Outpatient Prospective Payment System rules, including the conversion factor and site-neutral payment changes. Together, they’ll look at how policy shifts could affect reimbursement, hospital and independent practices, and the sustainability of outpatient imaging, and why those financial pressures matter to patient access. The conversation also turns to the path forward: how practice leaders can explain radiology’s value, engage policymakers, and prepare for a changing care landscape.

In this episode

Key discussion points

What Changed, What Stayed: How the final rules compare with the proposals and where the details still matter for radiology.
Reimbursement and Site Neutrality: What the conversion factor and OPPS changes could mean for outpatient imaging and practice planning.
Practice Strategy Under Pressure: How to assess modality mix and competitive strengths, consider partnerships, and evaluate practical uses of AI amid tightening economics.
Advocacy That Reaches Policymakers: Why comments and direct outreach still matter, and how to make radiology’s impact visible.
The Stakes for Patients: How reimbursement policy, workforce constraints, and access to screening and imaging connect.

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