08/04/2026
I don’t usually post stuff like this. But this one’s going to affect you, and no one is talking about it.
On July 14th, a new Medicare rule was proposed for 2027. Here’s the part that matters for you. Right now, if you see your dermatologist for a skin check and we find something suspicious, we can biopsy it the same day. One visit. One trip. Problem handled.
Under this proposal, when a visit and a procedure happen on the same day, one of them gets paid at only 50%. So that same-day care model, the one that’s convenient for you, becomes something practices can’t afford to keep doing. The likely result? You get sent back for a second appointment on a different day for something we used to handle in one.
Dermatology visits are already hard to get. Wait times are long. This makes it worse, and it splits one trip into two.
And here’s why it matters even if you’re not on Medicare: commercial insurance companies almost always follow Medicare’s lead. What starts here doesn’t stay here. Eventually it’s everyone’s care, everyone’s extra copay, everyone’s second trip off work.
CMS is taking public comments until September 14th. That’s the window. You can submit a comment, and you can email your representatives in Congress and tell them to oppose the 2027 same-day payment cut.
