Resources
for You and Your Team
Can Health Coaches Bill Medicare in 2027? CMS’s Proposed Payment and Supervision Rules Explained
CMS has proposed national Medicare pricing for health and well-being coaching (CPT codes 0591T–0593T) starting in CY 2027. While this creates a promising reimbursement pathway under physician supervision, health coaches cannot bill independently, and crucial operational questions around supervision levels remain unresolved. Explore what healthcare organizations, ACOs, and CBOs need to know to prepare.
CMS Sharpens Focus on “Upstream Drivers” of Health in the 2026 Medicare Physician Fee Schedule
The final 2026 Medicare Physician Fee Schedule (MPFS) solidifies Medicare’s shift toward paying for the assessment and mitigation of "upstream drivers" (e.g., nutrition, housing, social support). Discover how the revised HCPCS G0136 for physical activity/nutrition assessment and the broadened HCPCS G0019 descriptor for Community Health Integration (CHI) unlock new, aligned reimbursement streams for digital health and comprehensive care models. Also, learn how MFTs and MHCs can now initiate CHI services.