At its April meeting, the Medicare Payment Advisory Committee (MedPAC) voted to include in its June report to Congress the following recommendations, according to the American College of Radiology (ACR):
- Congress should replace current-law updates to the physician fee schedule with an annual update based on a portion of the growth in the Medicare Economic Index (MEI), such as MEI minus one percentage point.
- Congress should direct the U.S. Department of Health and Human Services secretary to improve the accuracy of Medicare's relative payment rates for clinician services by collecting and using timely data that reflects the costs of delivering care.
MedPAC is an independent congressional agency that advises Congress about issues affecting the Medicare program, the ACR noted.
















![Axial images from unenhanced calcium score cardiac CT (left) and curved planar reformation images from CT angiography (right) show that higher long-term exposure to air pollution is associated with greater coronary artery calcium and more obstructive coronary artery disease (CAD). Top row: Images in a 68-year-old male patient with higher 10-year mean ambient air pollution exposure (7.9 μg/m3 for particulate matter measuring ≤2.5 μm in diameter [PM2.5] and 17.4 parts per billion [ppb] for NO2) with extensive CAD (coronary artery calcium score [CACS] >1,000 and obstructive CAD [≥70% diameter stenosis]). Bottom row: Images in a 57-year-old female patient with lower 10-year mean ambient air pollution exposure (6.3 μg/m3 for PM2.5 and 4.6 ppb for NO2) with no CAD (CACS = 0 and no obstructive stenosis).](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/06/hanneman.r6SMLzkezo.png?auto=format%2Ccompress&fit=crop&h=112&q=70&w=112)


