2027 Medicare Policy Center
What the Proposed 2027 Medicare Rule Could Mean for Remote Patient Monitoring
Intro
CMS has proposed changes that could significantly affect how remote patient monitoring (RPM) and remote therapeutic monitoring (RTM) services are staffed and delivered.
CoachCare is working alongside healthcare providers, industry organizations and policy stakeholders to advocate for standards that strengthen clinical accountability while preserving patient access and practice flexibility.
This page serves as CoachCare’s central resource for updates, educational materials, advocacy tools and upcoming events related to the proposed 2027 Medicare Physician Fee Schedule.
This is a proposed rule – not a final policy.
Current Medicare RPM and RTM services remain in effect, and CoachCare-supported programs continue operating under existing requirements while CMS reviews public comments and continues the federal rulemaking process.
Featured Resources
Frequently Asked Questions
Get answers to the most common questions about the proposed rule, what it means today and what healthcare organizations should expect moving forward.
Understanding CMS’s Proposed Changes to Remote Patient Monitoring
Download CoachCare’s overview of the proposed policy, potential operational impacts and recommended actions for healthcare organizations.
National Advocacy Resources
Explore additional advocacy resources, educational materials, and opportunities to stay engaged with organizations working to protect patient access to remote monitoring.
Advocacy Resources by Audience
Every stakeholder experiences remote patient monitoring differently. CMS benefits from hearing from physicians, care teams, healthcare organizations, patients, and caregivers about how the proposed 2027 Medicare Physician Fee Schedule could affect care between office visits.
The resources below are tailored to each audience and include background information, questions to consider, a sample comment, and step-by-step instructions for submitting an official comment to CMS.
Select the section that best matches your role—or review multiple perspectives if they apply to you.
FOR PHYSICIANS
Physician Perspective Guide
Help CMS Understand the Clinical Impact of Remote Monitoring
Physicians see firsthand how remote patient monitoring supports care between office visits. Your perspective can help CMS understand not only how RPM programs operate, but how the proposed changes could affect clinical decision-making, continuity of care, physician capacity, and patient outcomes.
The proposed 2027 Medicare Physician Fee Schedule is not final, and CMS is currently accepting public comments before issuing a final rule.
Describe How You Use Remote Monitoring
Consider explaining:
- Why you prescribe or recommend remote monitoring
- Which patients benefit most
- How RPM supports care between office visits
- How it helps identify clinical deterioration earlier
- How it informs medication adjustments or treatment decisions
- How it affects communication with patients and caregivers
Explain the Role of the Care Team
Help CMS understand how team-based care supports your clinical oversight.
Consider discussing:
- The role of nurses, care managers, pharmacists, and other qualified clinical staff
- How your extended care team reviews patient data and escalates concerns
- How delegated clinical support helps you focus on higher-level decision-making
- Why employment status alone does not determine clinical quality or accountability
- How appropriate supervision, documented workflows, and timely escalation protect patients
Describe the Potential Clinical Impact
Consider how the proposed changes could affect:
- Early intervention
- Medication optimization
- Continuity of care
- Physician capacity
- Patient engagement
- Response times
- Hospital and emergency department utilization
- Access for rural, underserved, and high-risk patients
Address Program Sustainability
The proposal may affect both how RPM programs are staffed and whether reimbursement remains sufficient to support responsible care delivery.
Consider discussing:
- Whether your practice could absorb new staffing requirements
- How workforce shortages could affect implementation
- Whether reduced reimbursement would support the clinical resources required
- Whether your organization might need to limit enrollment or discontinue services
- How those decisions would affect patients currently benefiting from RPM
Offer Constructive Recommendations
Explain what CMS could do to strengthen program integrity without reducing access to legitimate remote monitoring services.
Potential areas to address include:
- Appropriate physician or qualified-practitioner oversight
- Clear clinical accountability
- Documented escalation protocols
- Qualified clinical personnel
- Transparent billing and documentation
- Evidence-based safeguards targeted at abusive programs
- Flexibility for responsible team-based and third-party-supported care models
Tips for Writing an Effective Comment
The strongest physician comments include:
✔ A specific clinical example
✔ An explanation of how the care team supports physician oversight
✔ The likely effect on patients
✔ The combined staffing and reimbursement impact
✔ Constructive alternatives to broad restrictions
Take Action
Complete the brief form below to receive a sample physician comment and step-by-step instructions for submitting your official comment to CMS.
You may use the sample as written or personalize it after pasting it into the official CMS comment form.
Your Clinical Experience Matters
Real-world examples help CMS understand how remote monitoring affects care beyond billing codes and staffing structures. Your perspective can show what these proposed changes could mean for the physicians, care teams, and Medicare patients who rely on continuous support between visits.
FOR PHYSICIAN PRACTICES & PROVIDER ORGANIZATIONS
Practice & Care Team Comment Guide
Help CMS Understand How Remote Monitoring Works in the Real World
The proposed 2027 Medicare Physician Fee Schedule could significantly affect how physician practices and provider organizations deliver remote patient monitoring (RPM) services.
While the proposal is not final, CMS is currently accepting public comments before issuing a final rule. This is an important opportunity for practices—and the clinical teams operating these programs every day—to explain how the proposed staffing and reimbursement changes could affect patient care, workforce needs, physician capacity, and long-term program sustainability.
Every organization is different. The most useful comments describe both the organizational impact and what actually happens between visits.
Describe Your Organization
Help CMS understand who you serve and the scale of your remote monitoring program.
Consider including:
- Medical specialties
- Number of providers and locations
- Approximate number of active RPM patients
- Medicare patient population
- Rural or underserved communities served
- High-risk or chronic disease populations
- Geographic footprint
- Average monthly enrollment, if relevant
Describe Your Current Care Model
Explain how your remote monitoring program operates today.
Consider discussing:
- How the RPM program is staffed
- The roles of physicians, nurses, care managers, pharmacists, and other qualified clinical professionals
- How patient information is reviewed
- How often patients are contacted
- How concerns are escalated to physicians or other qualified practitioners
- How remote monitoring extends physician capacity
- How patients receive timely support between office visits
- How third-party clinical or operational support contributes to the program
Include the Clinical Staff Perspective
Care managers, nurses, pharmacists, and other clinical professionals understand the day-to-day reality of remote monitoring better than almost anyone.
Their perspective can help explain:
- What a typical monitoring day looks like
- How concerning trends are identified
- How medication adherence is supported
- How patients are educated and engaged
- How issues are escalated
- How care is coordinated with physicians
- How early intervention may prevent emergency department visits or hospitalizations
- What would happen if staffing structures or monitoring capacity changed
The most effective examples focus on real patient interactions rather than policy language.
Explain the Potential Impact
Operational Impact
Consider discussing:
- Staffing changes that would be required
- Recruiting or workforce challenges
- Additional training requirements
- Increased administrative burden
- Workflow disruption
- Reduced efficiency or scalability
- Longer response times
- Reduced ability to coordinate care effectively
Financial Impact
Consider discussing:
- Whether proposed reimbursement would support continued program operations
- Additional staffing costs
- Technology and infrastructure costs
- Administrative expenses
- Investments that may no longer be financially viable
- Whether the program could remain sustainable at the proposed reimbursement level
Patient Impact
Help CMS understand what these changes could mean for patients.
Consider discussing:
- Reduced access to remote monitoring
- Fewer patients able to enroll
- Reduced monitoring frequency
- Longer response times
- Delayed clinical intervention
- Fewer high-risk patients served
- Reduced rural or underserved access
- Increased emergency department visits or hospitalizations
- Reduced ability to manage chronic disease proactively
If These Changes Are Finalized
Consider explaining what your organization would most likely need to do.
☐ Reduce the number of patients enrolled in RPM
☐ Restructure the staffing model
☐ Hire additional clinical staff
☐ Reduce monitoring frequency or service intensity
☐ Absorb additional operating costs
☐ Scale back or discontinue certain RPM services
☐ Delay future program expansion
☐ Other: __________________________
Tips for Writing an Effective Comment
The strongest comments include:
✔ Organization-specific examples
✔ Input from the clinical staff doing the work
✔ Real operational and financial consequences
✔ Patient impact
✔ Data or outcomes when available
✔ Constructive recommendations
The more specific you can be, the better. Include information such as the number of patients served, participating providers, staffing model, clinical outcomes, workforce requirements, or how many patients could be affected if the proposals are finalized.
Practice Comment Planning Worksheet
Use the downloadable worksheet to gather input from practice leadership, physicians, care managers, nurses, pharmacists, finance, and operations before preparing your CMS comment.
The worksheet helps your organization document:
- Practice and patient profile
- RPM program size
- Current care-team structure
- Workforce implications
- Estimated reimbursement impact
- Additional costs
- Patient-access consequences
- The most important message CMS needs to hear
Take Action
Complete the form below to receive a sample organizational comment and step-by-step instructions for submitting your official comment to CMS.
You may use the sample as written or customize it with details from your organization and care team.
For the CMS comment category, instruct most practices and provider organizations to select:
- Health Care Provider/Association – HPA01
Rural Health Clinics should select:
- Rural Health Clinic – HPA65
FOR HEALTH SYSTEMS & HOSPITAL LEADERS
Health System Executive Comment Guide
Help CMS Understand the System-Wide Impact of Remote Monitoring
Health systems and hospitals operate remote patient monitoring programs across large, diverse patient populations. The proposed 2027 Medicare Physician Fee Schedule could significantly affect how these organizations deliver care, allocate clinical resources, and expand access to patients beyond the hospital or clinic.
While the proposal is not final, CMS is currently accepting public comments before issuing a final rule.
Large healthcare organizations can provide valuable insight into how the proposed staffing and reimbursement changes could affect workforce planning, operational efficiency, financial sustainability, and patient access across entire communities.
Describe Your Organization
Help CMS understand the scope of your health system.
Consider including:
- Number of hospitals, clinics, or care sites
- Number of employed or affiliated providers
- Geographic footprint
- Rural or underserved communities served
- Medicare patient population
- Specialty programs utilizing remote monitoring
- Approximate number of active RPM patients
Describe Your Current Care Model
Explain how remote monitoring supports care across your organization.
Consider discussing:
- Integration across hospitals, physician groups, and outpatient clinics
- Team-based care models
- Centralized monitoring teams
- Coordination among physicians, nurses, pharmacists, care managers, and other qualified clinical professionals
- How remote monitoring supports care transitions and chronic disease management
- How it improves continuity of care between visits
Explain the Potential Impact
Workforce & Operations
Consider discussing:
- Clinical staffing requirements
- Hiring challenges
- Workforce shortages
- Training requirements
- Administrative burden
- Operational complexity
- Scalability across multiple sites
Financial Sustainability
Describe how the proposed changes could affect:
- Program sustainability
- Workforce investments
- Technology investments
- Expansion of remote monitoring services
- Long-term strategic planning
- Return on investment for established programs
Patient Access
Help CMS understand the broader impact on patients and communities.
Consider discussing:
- Access for rural and underserved populations
- High-risk and medically complex patients
- Chronic disease management
- Specialty care access
- Care transitions following hospitalization
- Emergency department utilization
- Hospital readmissions
If These Changes Are Finalized
Consider explaining what your organization would most likely need to do.
☐ Reduce enrollment in remote monitoring programs
☐ Restructure clinical staffing models
☐ Delay or cancel expansion initiatives
☐ Reduce monitoring capacity
☐ Absorb additional operational costs
☐ Scale back or discontinue certain programs
☐ Reduce access for some patient populations
☐ Other: __________________________
Tips for Writing an Effective Comment
The strongest health system comments include:
✔ System-wide operational examples
✔ Workforce planning considerations
✔ Financial and infrastructure implications
✔ Effects on patient access
✔ Clinical outcomes and population health data
✔ Constructive recommendations
The more specific you can be, the better. Include information such as the number of patients served, providers participating, care sites, staffing model, clinical outcomes, or how many patients could be affected if these proposals are finalized.
Every Health System Is Different
We encourage hospitals and health systems to submit comments based on their own operational experience. Large-scale implementation examples, workforce considerations, and patient outcomes help CMS understand how proposed policies could affect healthcare delivery across entire communities.
Take Action
Complete the brief form below to receive a sample health system comment and step-by-step instructions for submitting your official comment to CMS.
You may use the sample as written or customize it to reflect your organization’s experience.
For most hospitals and health systems:
- Hospital – HPA35
If you are a Critical Access Hospital:
- Critical Access Hospital – HPA15
FOR PATIENTS, CAREGIVERS & FAMILY MEMBERS
Your Experience Matters
Help CMS Understand the Value of Remote Monitoring
If you participate in a remote patient monitoring program—or help care for someone who does—your experience can help policymakers understand what this care means in everyday life.
The Centers for Medicare & Medicaid Services (CMS) has proposed changes that could make it more difficult for some physician practices to continue offering remote monitoring services as they do today. The proposal is not final, and CMS is currently accepting public comments before making a final decision.
Personal experiences can help explain what policy language and statistics cannot: how remote monitoring affects real patients, caregivers, and families between office visits.
What Is Remote Monitoring?
Remote monitoring allows a care team to stay connected with a patient between appointments by reviewing health information such as blood pressure, weight, glucose readings, oxygen levels, or other clinical data.
For patients and families, this may mean:
- Identifying health concerns earlier
- Avoiding unnecessary emergency department visits or hospitalizations
- Feeling more confident managing a chronic condition
- Improving communication with the care team
- Making caregiving more manageable
- Providing greater peace of mind
- Helping a loved one remain safely at home
Why Your Voice Matters
Patients experience remote monitoring firsthand. Caregivers and family members often see its broader impact: the reassurance of knowing someone is watching for concerning changes, the phone call that comes before a medical emergency, or the support that makes caring for a loved one feel less overwhelming.
Your perspective can help CMS understand what access to care between visits means for both patients and the people who support them.
Questions to Help Tell Your Story
There is no single right way to describe your experience. You might consider:
- How has remote monitoring helped you or your loved one?
- Has it helped identify a concern before it became an emergency?
- Has it reduced stress or uncertainty for your family?
- Has it helped avoid a trip to the emergency department or hospital?
- Has it improved communication with the care team?
- Has it helped you or your loved one feel safer or more confident at home?
- What would concern you most if this support were no longer available?
- What would you want CMS to understand about managing a chronic condition between office visits?
Tell the Story in Your Own Words
The most meaningful comments are personal, honest, and specific.
You do not need to explain the policy in detail. Instead, describe what remote monitoring has meant in your daily life.
Examples might include:
- Receiving a call after the care team noticed a concerning change
- Feeling reassured that someone was monitoring a loved one’s health
- Getting treatment adjusted before a condition became more serious
- Avoiding an unnecessary trip to the hospital
- Feeling supported between office visits
- Helping a loved one remain safely at home
There is no perfect story—only your experience.
Take Action
Use the brief form below to access a sample comment and step-by-step instructions for submitting your official comment to CMS.
You may use the sample as written or add a few sentences about your own experience after pasting it into the official CMS comment form.
Important: The proposed CMS policy has not been finalized. Your current care should continue unless your healthcare provider tells you otherwise.
Every Story Is Unique
We encourage patients, caregivers, and family members to share their experiences in their own words. Authentic, personal perspectives are often the most meaningful way to help policymakers understand the real-world impact of healthcare policy.
Stay Informed
CoachCare will continue updating this page as CMS releases additional guidance and new educational resources become available.