National Law Review December 3, 2022
Jackie Selby, Marjorie T. Scher

The Centers for Medicare & Medicaid Services (CMS) recently issued its Medicare Physician Fee Schedule (PFS) final rule (the “final rule”), with most changes becoming effective January 1, 2023.

Each year, the final rule defines payment for physician services in various settings, including “physician offices, hospitals, ambulatory surgical centers, . . . skilled nursing facilities and other post-acute care settings, hospices, outpatient dialysis facilities, clinical laboratories, and beneficiaries’ homes.”[1] While the final rule addresses modifications to the methodology for calculating physician payment among several programmatic changes, this Insight focuses on the final rule’s changes to the Medicare Shared Savings Program (MSSP), which are a means to achieve CMS’s and the Biden administration’s goal of improving health equity by encouraging new...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare, Payment Models, Physician, Provider, Value Based
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