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Your 2027 Medicare track
Why these questions?
B1 or B2. B2 (32%) is limited to MSSP ACOs, in any track, and the LEAD model. Everyone else billing for complexity uses B1 (16%), including other Advanced APMs.
Conversion factor. QP status runs two years ahead: 2024 QPs get the QP rate in 2026 ($33.5675 vs $33.4009 per RVU), and 2025 QPs get it in 2027 ($32.9548 vs $32.6286). The model uses one answer for both years, so if you became a QP only in 2025, its 2026 baseline is slightly too high. It applies to the TIN where you were a QP.
Each answer defaults to the lower-paying option. Compare all four outcomes in the 2026 → 2027 panel.
What changes from 2026 to 2027
Monthly Medicare payment with the same visits and mix in both years, after the 2% sequestration. 2027 fees are scheduled; 2027 inflation is projected.
PCP monthly payment over the years
National Medicare allowed amounts, including the 20% patient share, after the 2% sequestration on Medicare’s share. MEI-adjusted values account for growth in practice costs.
MEI: the Medicare Economic Index of practice costs, as CMS publishes it (net of a productivity adjustment). It rose 59% from 2001 to 2025.
*2027 fees are scheduled; 2026–27 CPI and MEI are projections.
List of policy events
Shaded through 1995: national reference values, without the local charge-transition blending that applied then. 2026 uses the January 2026 RVU file. The 2025 CPI averages 11 months; October 2025 was not published.