Big Policy Shifts Ahead, Here’s the Quick Rundown

MGMA recently released its 2025 Washington Policy Mid-Year Update and it’s packed with changes that could affect your bottom line.

At Peregrine, we’ve pulled together a quick, high-level summary of what’s most relevant to independent and specialty practices. From Medicare payment bumps to stricter prior authorization rules, here’s what’s coming:

Key Highlights:

• 2.5% Medicare increase in 2026 under OBBBA ** Stay tuned, later today we’ll be sharing updates on the NEW Medicare prior authorization requirements!
• Major Medicaid changes and ACA subsidy rollbacks
• Telehealth flexibilities expiring Sept 30 ** More updates coming soon!
• Prior authorization reform and CMS pilot rollout
• New value-based care model launches + APM phaseouts

We’ve summarized the highlights so you can get the essentials fast.

Download the Slide Deck

Concise. Practice-friendly. Made for you.

Want to discuss how this may affect your billing, revenue, or compliance?

We’re happy to talk through the details.

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