Proposed 2027 Medicare payment changes could put pressure on orthopedic practice revenue. These five year-end planning questions help surgeons assess reimbursement exposure, review commercial contracts, evaluate procedure margins, and prepare tax strategies and budgets before committing to next year’s expenses.

Medicare’s 2.5% efficiency adjustment feels like a small cut with big consequences for orthopedic surgeons. This article walks through why “doing more cases” is often the least efficient response, and how tightening overhead, rethinking income flows, and coordinating tax and entity structure can help protect your practice’s profitability without adding more OR time.