Healthcare Administration Leadership & Management Journal
Labor and Delivery Coverage Models in a Changing Coding Environment: Implications for Coverage Economics, Compensation Design, and Governance
The AMA's 2027 CPT maternity care changes will shift coding, affecting provider compensation, staffing, and governance, requiring system-wide adjustments.
May/June 2026 Vol. 4, No. 3 pp. 91–94 DOI: 10.55834/halmj.4070844455
Abstract
Starting January 1, 2027, the American Medical Association (AMA) will revise the Current Procedural Terminology (CPT) coding framework for maternity care, marking a structural shift in how professional work is defined and measured. These changes will impact provider arrangements, including compensation structures, laborist support models, and professional services agreements, while maintaining clinical coverage and staffing expectations. The updates emphasize attribution methodologies, compensation alignment, and governance oversight, requiring health systems to adapt to new operational and financial frameworks.
