[2026 Fiscal Year Medical Fee Revision] How Will Salaries, Job Duties, and Working Styles Change? Experts Answer On

News Highlights

Experts answer on-site questions regarding changes in salaries, job duties, and working styles in the 2026 fiscal year medical fee revision. From the perspective of medical M&A and business succession, key discussion points include mid- to long-term management and succession strategies that consider the revision cycle, maintaining facility standards through economies of scale and distributing the burden of capital investment, and utilizing tax incentives including conversion to specific medical corporations and social medical corporations.

M&A Medical Editorial Department’s Perspective

The 2026 fiscal year medical fee revision is likely to be more than just a system change; it is highly probable that it will directly impact the management base of medical institutions, particularly the on-site realities of “working styles” and “salary levels” faced by individual institutions. For example, the promotion of community-based integrated care systems and the expanded evaluation of home healthcare and online medical services will force a shift away from the previous revenue structure centered on outpatient and inpatient care. This will further increase the necessity for business succession through M&A for small and medium-sized medical institutions for whom independent management is becoming difficult. Maintaining facility standards through group affiliation and distributing the burden of multifaceted capital investments are management stabilization measures that cannot be achieved independently and will likely be key to maintaining the healthcare delivery system, especially in rural areas. Furthermore, early consultation with experts will be essential for optimizing asset valuation and tax burdens at the time of succession when utilizing tax schemes with an eye toward conversion to specific medical corporations or social medical corporations.

Points Highlighted by This News

• The 2026 revision will directly lead to improvements in on-site conditions such as salaries and working styles, prompting a review of management strategies.
• Expanded evaluation of community-based integrated care, home healthcare, and online medical services increases the need for a shift in revenue structure.
• Maintaining facility standards and distributing capital investment burdens through group affiliation are effective measures for management stabilization.
• Utilizing tax schemes with a view to becoming a specific or social medical corporation contributes to reducing the burden at the time of succession.

Practical Questions Arising from This News

• To what extent will our institution’s revenue be specifically affected by this revision?
• What specific improvements can be expected regarding salary levels and working styles?
• What are the procedures, merits, and demerits when considering group affiliation or a change in corporate status?

If You Feel “Should I Consult Too?”

Medical institution managers who feel they have not concretely grasped how the direction of the 2026 fiscal year medical fee revision will affect their institution’s revenue structure and future management strategy should consider consulting with M&A and business succession experts. In particular, M&A can be an effective solution for challenges that are difficult to address independently, such as securing management resources to respond to changes like strengthening community healthcare collaboration and shifting to home healthcare, or enjoying the benefits of scale through group affiliation and utilizing tax benefits by becoming a specific medical corporation.

M&A Medical (CentralMedience Inc.) supports business succession for medical corporations, hospitals, and clinics on a complete success fee basis as an M&A support institution certified by the Small and Medium Enterprise Agency. We handle consultations with strict confidentiality. Free consultations here