The Centers for Medicare & Medicaid Services signaled it may restrict Medicare payment for remote patient monitoring (RPM) services when delivered by third-party vendors under its proposed 2027 Physician Fee Schedule. The move follows Office of Inspector General reporting that flagged widespread fraud in some RPM arrangements. The policy direction would affect how RPM solutions are billed and could force RPM vendors and providers to restructure reimbursement strategies. For health-tech companies and care-delivery operators, the proposal increases the compliance burden and risk of revenue disruption. The CMS action also intensifies a familiar theme in digital health: regulation is catching up to fast-moving reimbursement models, and enforcement actions are now shaping product and partnership decisions across RPM workflows.