The Pay PCPs Act of 2026 proposes hybrid payments for primary care providers under Medicare, reducing beneficiary cost-sharing for primary care.

The Pay PCPs Act of 2026 seeks to establish hybrid primary care payments within the Medicare program, combining prospective, per-member-per-month payments with fee-for-service payments for other services. This bill aims to create a more predictable revenue stream for primary care practices, supporting practice transformation and better valuing services not currently recognized for payment. It also allows for a 50% reduction in beneficiary cost-sharing for primary care services reimbursed through these hybrid payments, provided the beneficiary designates a primary care provider.

The Pay PCPs Act of 2026 proposes hybrid payments for primary care providers under Medicare, reducing beneficiary cost-sharing for primary care.

The Pay PCPs Act of 2026 seeks to establish hybrid primary care payments within the Medicare program, combining prospective, per-member-per-month payments with fee-for-service payments for other services. This bill aims to create a more predictable revenue stream for primary care practices, supporting practice transformation and better valuing services not currently recognized for payment. It also allows for a 50% reduction in beneficiary cost-sharing for primary care services reimbursed through these hybrid payments, provided the beneficiary designates a primary care provider.