Don’t miss the latest Thinking Thoracic episode as host Erin Gillaspie, MD, is joined by Stephanie Worrell, MD, associate professor, University of Arizona, and thoracic surgeon, Banner Health, for a lively and insightful post-ASCO discussion. Together, they unpack the significance of the CheckMate 577 and Matterhorn trials, and explore what these groundbreaking studies mean for the future of esophageal and gastroesophageal junction cancer care.

Tune in to hear their take on:

45 min.
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mentorship

When I was selected for the Looking to the Future Scholarship Program by The Society of Thoracic Surgeons (STS), I expected the 61st Annual Meeting in Los Angeles, California to be an inspiring academic experience. But it was much more than that. 

3 min read
Jad Elharake, The Ohio State University College of Medicine

WASHINGTON, DC – July 16, 2025 – The Society of Thoracic Surgeons (STS) strongly supports the reintroduction of the Mobile Cancer Screening Act, a bipartisan bill aimed at expanding access to lifesaving cancer screening services, especially low dose CT scans for lung cancer, in rural and underserved communities. The legislation was introduced this week by Representatives Raul Ruiz, MD (D-CA), Gabe Evans (R-CO), and Debbie Wasserman Schultz (D-FL).

Jul 16, 2025

This afternoon, the Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2026 Medicare Physician Fee Schedule Proposed Rule. STS has compiled a summary of the rule’s key provisions affecting cardiothoracic surgery.  

Physician Payment

Starting in calendar year (CY) 2026, the Centers for Medicare & Medicaid Services (CMS) will introduce two distinct conversion factors under the Medicare Access and CHIP Reauthorization Act (MACRA). Clinicians participating in Advanced Alternative Payment Models (APMs) will receive a conversion factor of $33.59, which reflects a 3.83 percent increase. Meanwhile, all other fee-for-service clinicians under the Merit-based Incentive Payment System (MIPS) will have a conversion factor of $33.42, representing a 3.32 percent increase. This new structure of two conversion factors replaces the previous lump-sum bonuses for physicians participating in APMs. Additionally, this is the first time in several years that CMS has proposed a positive adjustment to the conversion factor.

It is important to note that reimbursement still lags behind inflation.

Efficiency Adjustment 

CMS also is proposing a new efficiency adjustment that will affect work relative value units (RVUs) and the intra-service time component of non-time-based services, where it believes efficiencies have been gained over time in the delivery of care. This adjustment has the potential to reduce overall payments by approximately 1% for most surgeons. STS is conducting further analyses to assess the impact of this adjustment on our membership. 

Practice Expenses 

CMS has updated the indirect practice expense methodology, which involves shifting costs from facility-based to non-facility-based services. Under this new approach, only 50% of the physician work related to facility-based services will be included in the indirect cost calculation. As a result, there will be a significant shift in payments across different sites of service.  Specifically, physician payments for facility-based care are expected to decrease by 7%, while payments for non-facility-based care will increase by 4%. STS is currently reviewing how this change in practice expense will affect CT procedures.

Quality Payment Program (QPP)

CMS is moving forward with the requirement for mandatory subgroup reporting for all multispecialty groups participating in a MIPS Value Pathway (MVP) during the 2026 performance year, which affects payment for CY 2028. Currently, cardiothoracic surgery measures are included in the Surgical Care MVP. This group of measures is designed for surgical specialists to report separately from traditional MIPS. STS has submitted detailed recommendations to CMS to improve the Surgical Care MVP.

Deregulation Request for Information (RFI)

CMS is seeking feedback on ways to streamline regulations and reduce administrative burdens on providers and other stakeholders participating in the Medicare program. STS has previously responded to similar RFIs, offering recommendations to use existing clinical data registries instead of extraneous quality programs like MIPS, to reconsider global surgical package poster-operative data reporting, and to rescind the Appropriate Use Criteria program.

Jul 14, 2025
3 min read

The conversion factor for the CY 2026 Medicare Physician Fee Schedule is projected to remain stable, offering a welcome break from years of fluctuating reimbursement policies.

Jul 14, 2025

In this episode of Thinking Thoracic, Dr. Elliot Servais, Lahey Hospital & Medical Center, joins host Dr. Erin Gillaspie to share how he developed a robotic 1st rib resection program. Initially trained in the traditional transaxillary open approach, Dr. Servais was candid about his early reluctance to take on these technically challenging cases. That changed when he saw the potential of a minimally invasive, robotic technique that aligned with his existing surgical skill set. Recognizing an unmet need at his institution, he seized the opportunity to build a dedicated program.

1 hr
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DC Capitol

Congress has passed a finalized reconciliation package that includes a 2.5% increase in physician payment for 2026. This is a substantial win for our community, especially after experiencing a 2.8% reduction in Medicare physician payments in 2025. STS will continue to advocate for long-term reform in Medicare physician payment policies.    

2 min read
Molly Peltzman, STS Advocacy
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international

Transcatheter aortic valve implantation (TAVI) has dramatically changed the landscape of care for patients with severe aortic stenosis (AS), evolving from a palliative option for those deemed inoperable to a widely accepted alternative to surgical aortic valve replacement (SAVR) in high-risk groups.

7 min read
Mateo Marin-Cuartas, MD, Leipzig Heart Center in Germany

In the latest episode of Same Surgeon, Different Light, host Dr. Sara Pereira welcomes three recent “You Belong” Scholarship recipients — medical student Manuel De La Garza, Dr. Sanjhai Ramdeen, and Dr. Humberto Rodriguez-Quintero — to discuss the career paths they are forging as future leaders in medicine.

48 minutes
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halub

The 2025 STS Leadership Institute meeting held in Chicago was a fantastic experience that far exceeded my expectations.  I was not only able to network and get to know many people in the field, but was also able to take away many lessons that helped me to determine the path I would like to take to become a better leader as I grow and mature as a surgeon.

2 min read
Meghan Halub, MD

In this episode of Thinking Thoracic, hear from Christopher Seder, MD, professor of surgery and chief of the thoracic surgery division at Rush University, and Robert Habib, vice president of research and analytics at STS, about the development of the Society’s short-term risk calculators for pulmonary resection and esophagectomy, powered by the General Thoracic Surgery Database with more than 800,000 pat

40 min