Issued2026-07-07

Medicare CY 2027 OPPS/ASC Proposed Rule: Software as a Medical Service (SaMS)

Proposed RuleSector

Summary

Proposes a Medicare outpatient payment framework for software as a medical service, including new and revised payment treatment for certain algorithmic medical software and related HCPCS codes.

Healthcare Implications

Could create a clearer reimbursement pathway for qualifying clinical algorithmic software, affecting adoption incentives for health systems and developers.

Impact Level

Medium

Keywords

Clinical Quality & Efficacy; Transparency & Governance

Stakeholders

Providers & Health Systems; Payers & Purchasers; Developers & Vendors; Regulators & Government