CMS published proposed changes to the 2027 Medicare Physician Fee Schedule governing remote patient monitoring services on 2 November 2026.^[1] The proposal follows an audit from the HHS Office of Inspector General. The audit found 43% of 2022 Medicare remote patient monitoring patients did not receive all required service components.^[2] Under the proposed rules, clinical staff performing remote monitoring will be required to be direct employees of the billing practice.^[3] Study authors have separately proposed adjusting Medicare hospice payments to match patient clinical need as a potential policy fix.^[4] Nearly half of all US decedents are Medicare beneficiaries who use hospice care services.^[5]