10/20/2026
Will recent Medicare changes drive up workers’ comp medical costs? According to NCCI, overall pressure should remain minimal, though impact varies by state fee schedule.
At MedAdvo, our mission is simple: we take the scare out of Medicare.
Key 2026 updates:
🌑 Physician rates: The conversion factor increased 3.3% (the first bump in 5 years), though surgical relative-value cuts (-1.2% in workers' comp) may partially offset gains.
🌑 Facility care: Base rates rose 2.6% for outpatient/ASCs and 2% for inpatient care.
🌑 High-cost inpatient cases: CMS lowered the outlier threshold by 13% to $40,397, potentially increasing comp payouts across 10 jurisdictions tied to this rule.
🌑 DMEPOS: Rates increased 2%, matching last year.
Ray Shoemaker, CEO
Phone: 662-678-3290
Email: [email protected]
Free Consultations Available
NCCI