The Centers for Medicare & Medicaid Services (CMS) has unveiled a significant overhaul of the Medicare payment system, aiming to shift physician pay, phase out the Merit-Based Incentive Payment System (MIPS), and enhance participation in Accountable Care Organizations (ACOs). This proposal includes a slight decrease in doctor payments slated for 2027, which has drawn mixed reactions from health care groups. While stakeholders have applauded some of the proposed changes aimed at modernizing physician payment and expanding ACOs, concerns remain over the anticipated cuts to radiologist payments and overall physician compensation. The proposed reforms are seen as a pivotal move towards improving primary care and prioritizing healthcare over sick care.