MIMEDX Comments on CY 2026 Medicare Physician Fee Schedule Final Rule

Rhea-AI Summary

MiMedx (Nasdaq: MDXG) commented on the CY 2026 Physician Fee Schedule (PFS) final rule published by CMS on Nov 3, 2025. The company says the final rule is "essentially what was proposed in July" and believes the changes and other CMS initiatives aim to reduce industry fraud, waste and abuse, restoring stability and predictability to the market.

MiMedx states it is positioned to benefit from the reform given its scalable operations, commercial reach, technology, IP portfolio, and an excellent balance sheet, while noting details and mechanics still require review and some company recommendations were not adopted.

Positive

• CMS published CY 2026 PFS final rule on Nov 3, 2025
• Final rule described as essentially the July proposal
• Company expects opportunity to gain market share as market adjusts
• Company highlights scalable operations and large commercial organization
• Company cites robust IP portfolio and strong balance sheet

Negative

• Company notes some recommended changes were not adopted
• Details and implementation mechanics remain uncertain during transition

Insights

Healthcare reimbursement analyst

CMS finalized CY 2026 PFS changes for skin substitutes; company says it is positioned to compete during the reimbursement transition.

MiMedx describes the CY 2026 Physician Fee Schedule final rule as a regulatory change aimed at reducing fraud, waste, and abuse in the skin‑substitute market and as the same framework proposed in July. The company states it has operational scale, a large commercial organization, proprietary technology, and an intellectual property portfolio it views as competitive advantages to gain share as reimbursement mechanics change.

The principal dependency is how CMS implements the payment mechanics and any follow‑on guidance; those implementation details will determine payer behavior and provider adoption. The statement contains management’s viewpoint and plans but no quantifiable financial metrics or concrete timelines, so the near‑term financial impact remains uncertain. Watch for CMS implementation guidance, any contractor pricing or local coverage determinations, and the company’s forthcoming updates on reimbursement modeling and customer contract activity over the next several quarters.

Company is Well Positioned to Continue to Compete and Grow

MARIETTA, Ga., Nov. 03, 2025 (GLOBE NEWSWIRE) -- MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”) today commented on the Centers for Medicare and Medicaid Services (“CMS”) release of the CY 2026 Physician Fee Schedule (“PFS”) final rule, which was published on Friday.

“Over the last several years, we have actively engaged with numerous stakeholders to advocate for much-needed reform of the Medicare reimbursement system for skin substitutes. CMS is now acting, in the form of the new PFS, as well as other initiatives, to reduce the rampant fraud, waste and abuse that has plagued this industry. We believe these steps will help restore far more rational behavior, bringing stability and predictability to the market,” stated Joseph H. Capper, MIMEDX Chief Executive Officer.

“As we mentioned on last week’s earnings call, we have been thoughtfully preparing for a range of potential outcomes regarding reimbursement reform. As we now know, this final rule is essentially what was proposed in July, and we believe it provides a large opportunity for MIMEDX given our many competitive advantages. We have fully integrated, highly efficient, scalable operations; a large and proprietary commercial organization; best-in-class technology; a robust and defensible I.P. portfolio; and an excellent balance sheet. We will certainly leverage these strengths to gain share as the market adjusts to the new reimbursement environment. There are details and mechanics we need to sort through, and we would have preferred to see our recommendations included in the final rule. However, this reform represents a major step in the right direction, and we will continue to advocate for further improvements over time. Our highest priority as we work through the transition is to ensure patients have continued access to our proven technology,” concluded Mr. Capper.  

Forward Looking Statements

This press release includes forward-looking statements, including statements regarding our expectations regarding the impact of reimbursement changes. Additional forward-looking statements may be identified by words such as "believe," "expect," "may," "plan," “goal,” “outlook,” "potential," "will," "preliminary," and similar expressions, and are based on management's current beliefs and expectations.

Forward-looking statements are subject to risks and uncertainties, and the Company cautions investors against placing undue reliance on such statements. Actual results may differ materially from those set forth in the forward-looking statements. Any forward-looking statements speak only as of the date of this press release and the Company assumes no obligation to update any forward-looking statement.

About MIMEDX

MIMEDX is a pioneer and leader focused on helping humans heal. With more than a decade of helping clinicians manage chronic and other hard-to-heal wounds, MIMEDX provides a leading portfolio of products for applications in the wound care, burn, and surgical sectors of healthcare. The Company’s vision is to be the leading global provider of healing solutions through relentless innovation to restore quality of life. For additional information, please visit www.mimedx.com.

Contact:
Matt Notarianni
Investor Relations
470-304-7291
mnotarianni@mimedx.com

FAQ

What did MiMedx (MDXG) say about the CY 2026 PFS final rule on Nov 3, 2025?

MiMedx said the final rule is essentially what was proposed in July and called it a step toward reducing fraud, waste and abuse.

How does MiMedx (MDXG) expect the CY 2026 PFS final rule to affect its business?

The company expects the rule to create an opportunity to gain market share based on its scalable operations and commercial reach.

Does MiMedx (MDXG) identify any risks from the Medicare reimbursement changes?

Yes. MiMedx says details and mechanics of implementation remain to be sorted through and some company recommendations were not adopted.

Will MiMedx (MDXG) change patient access after the CY 2026 PFS final rule?

The company states its highest priority is to ensure patients have continued access to its technology during the transition.

What competitive advantages did MiMedx (MDXG) cite in response to the CY 2026 PFS final rule?

MiMedx cited integrated, efficient operations; a large commercial organization; best-in-class technology; a robust IP portfolio; and a strong balance sheet.

Did MiMedx (MDXG) say the CY 2026 PFS final rule reversed prior proposals?

No. The company said the final rule is largely consistent with the July proposal, not a reversal.