--- title: 'Morning Brief — Friday, August 28, 2026' type: 'episode' url: 'https://doc.social/episodes/morning-brief-2026-08-28' show: 'doc social Morning Brief' show_url: 'https://doc.social/podcasts/morning-brief' published: '2026-08-28' audio: 'https://media.doc.social/podcasts/morning-brief/2026-08-28.mp3' --- # Morning Brief — Friday, August 28, 2026 CMS proposes work RVU cuts of 16.6% to 20.8% on primary hip, knee and shoulder arthroplasty in the CY2027 fee schedule · AlloPort opens an allograft procurement network Sept 1, leaving two platforms competing to disintermediate tissue-bank ordering · ACDF matches laminoplasty on neurological recovery in cervical myelopathy with spinal cord-canal mismatch ## Summary 3 stories this morning, for surgeons and the people who support them. - **CMS proposes work RVU cuts of 16.6% to 20.8% on primary hip, knee and shoulder arthroplasty in the CY2027 fee schedule** — The CY2027 PFS proposed rule (CMS-1848-P) revalues primary arthroplasty: THA 27130 19.11 to 15.37 wRVU (-19.6%), TKA 27447 -16.6%, TSA 23472 -19.0%, shoulder hemiarthroplasty 23470 -20.8%. Orthopaedic surgery aggregate impact -7% (-8% facility, -5% non-facility). CMS cites a site-of-service anomaly: >50% outpatient but still valued with 90-day globals. AAHKS opposes, coordinating with AAOS. Comments close Sept 14, 2026. [Source](https://www.aahks.org/cms-proposes-arthroplasty-cuts-in-2027-fee-schedule/) - **AlloPort opens an allograft procurement network Sept 1, leaving two platforms competing to disintermediate tissue-bank ordering** — AlloPort goes public September 1, 2026 ahead of the AATB annual conference in San Francisco, connecting accredited non-profit and commercial tissue banks directly to hospital supply chains and ASCs with real-time inventory for structural bone, osteochondral and soft-tissue tendon allografts. Competitor AlloDirect already runs a direct-to-tissue-bank marketplace and has opened it to hospitals and IDNs nationwide. [Source](https://www.orthogate.org/medtech-innovation/industry/84688-orthopaedic-industry-daily-briefing-2026-08-24) - **ACDF matches laminoplasty on neurological recovery in cervical myelopathy with spinal cord-canal mismatch** — Retrospective cohort published August 14, 2026 in Clinical Spine Surgery: 323 ACDF vs 244 laminoplasty, operated 2014-2020, minimum 2-year follow-up. Comparable neurological recovery; laminoplasty showed lower adjacent segment disease risk; ACDF comparable where decompression was sufficient. Authors conclude SCCM alone should not contraindicate an anterior approach. [Source](https://www.ovid.com/jnls/jspinaldisorders) ### Contribute to the Brief Faculty can send the show a note — a reaction to a paper, a correction, a read on a rule change — either written, which we shape for broadcast and read in the show's voice, or as a voice note under three minutes, which airs in your own voice. Send one from [Studio](https://next.doc.social/studio). Not on doc social yet? [Contribute a lecture or join the network](https://next.doc.social/contribute) — doc social is a clinical education platform for clinicians, and this show is one part of it. _Narration is synthesized. Reporting and editorial judgement are ours, and every story above links to its source._