2027 Medicare Physician Fee Schedule and Remote Care

On July 14, 2026, the Centers for Medicare and Medicaid Services released the proposed 2027 Medicare Physician Fee Schedule. It is a proposal, not a final rule. The public comment period runs through September 14, 2026, and any changes that are finalized would take effect January 1, 2027. For anyone running a remote care program, it is worth understanding early, because it points to where Medicare wants remote monitoring to go.

What the 2027 Medicare Physician Fee Schedule proposes for remote care

The proposed rule runs nearly 1,600 pages and touches physician payment across Medicare Part B. A handful of provisions matter most for remote care teams.

• Conversion factor. CMS proposes a modest decrease to the physician conversion factor for 2027, the figure Medicare uses to translate clinical work into payment.
• Initiating visit. Remote physiologic monitoring (RPM) and remote therapeutic monitoring (RTM) would begin with a separately reportable initiating visit with the billing practice.
• Device valuation. The proposal revisits how monitoring devices are valued, reflecting lower device costs than when the codes were first set.
• Code consolidation. CMS is seeking comment on combining today’s remote monitoring codes into a smaller set of new codes.
• Care team emphasis. The proposal reinforces that monitoring be delivered in connection with the patient’s own practice and clinical staff.
• Care management input. CMS opens a request for information on the future of chronic care management (CCM), principal care management (PCM), and advanced primary care management (APCM), and proposes higher values for certain APCM behavioral health add-on services.

CMS has adjusted remote monitoring before. It added new RPM codes for 2026, and the 2027 proposal would go further by consolidating them. Read together, these provisions point in one direction. Medicare wants remote monitoring anchored to the patient’s own care team, documented clearly, and integrated with the rest of their care.

“Policy is moving toward care that is coordinated and accountable, and that is the standard we have always held ourselves to. Our job is to make it simple for providers to deliver on it. We are reading the proposed rule closely, we will share our perspective with CMS, and we will make sure our partners are ready for whatever the final rule brings.”Ryan Clark, CEO, Vivo Care

A model built for integration, not fragmentation

Vivo Care provides the clinical infrastructure that lets practices launch and sustain remote care inside their own workflow. Our care navigators are US-based, state-licensed clinicians who work as an extension of the provider’s team. The platform is model-agnostic by design. A practice can run a Practice Managed program using its own staff, or a Managed Clinical program supported by Vivo Care’s nursing team. Our consultative onboarding matches the model to the practice.

That flexibility matters when policy shifts. Providers need a partner who can adapt the program to the practice, not force the practice into a rigid product.

Software designed for how your clinic works

In a Practice Managed program, the practice’s own team runs the platform, and it is built to turn physiologic data and care management into clinical decisions without adding administrative work.

• Clinician-designed interface. Blood pressure, heart rate, weight, and glucose trend at a glance, and patients sort by reading so the team can prioritize clinical attention.
• Severity-based triage. Every patient lands in a clear status, red, yellow, or green, so clinicians spend their time on the patients who need them.
• Built-in patient communication. Calling with caller ID masking, texting, and note-taking happen inside the patient chart, with no external tools or workarounds.
• Documentation ready for the chart. A centralized care plan holds conditions, care team, assessments, and screenings in one view, with clean, searchable exports.
• CMS-aligned workflows. Documentation supports RPM and CCM billing standards, including the 2026 two-day floor, and 95.4 percent of monitored patients met the billing threshold in January 2026.
• Connected to your systems. Direct integration with major EMRs keeps documentation flowing the right way, so the platform fits the practice, not the reverse.

The approach shows up in results. Across our monitored population, goal-range systolic readings rose from 31.4 percent to 38.9 percent between the first and third months of enrollment. Vivo Care supports more than 300 healthcare organizations and has documented over 25.9 million engagement minutes from 2023 to 2025.

“As a physician, I have seen that remote monitoring only works when it is a true extension of my care team, not a service added on from the outside. That belief is built into how we design, staff, and support every program. Whatever the final rule looks like, the goal does not change. Keep patients connected to their own physician, and keep clinicians close to the data that drives better outcomes.”Dr. Aamir Iqbal, MD, Medical Director, Vivo Care

Working through the details with Elevare Law

We are not reading the proposal alone. Vivo Care is working with our partners at Elevare Law to analyze the rule and prepare formal comments to CMS before the September 14 deadline. Getting the details right matters, both for our own perspective and for the providers who rely on us to keep their programs sound.

What providers should do now

Nothing changes today. This is a proposed rule, and CMS routinely revises proposals before they are finalized. The most useful step right now is to understand the direction of travel and keep your remote care program clinically integrated and well documented. Our 2026 Remote Care Billing and Coding Guide breaks the current codes down in plain terms. Vivo Care will keep our partners informed as the final rule takes shape, and we will help each program adjust if anything changes.

Frequently Asked Questions

Related reading

• Remote Patient Monitoring: Overview and Guide
• 2026 Remote Care Billing and Coding Guide
• CMS 2026 Final Rule: New RPM CPT Codes (99445 and 99470)