American Hospital Association July 10, 2024
The Centers for Medicare & Medicaid Services July 10 released its calendar year 2025 proposed rule for the physician fee schedule. The rule proposes to cut the conversion factor by 2.8%, to $32.36 in CY 2025, as compared to $33.29 in CY 2024. This reflects the expiration of the 2.93% statutory payment increase for CY 2024; a 0.00% conversion factor update under the Medicare Access and Children’s Health Insurance Program Reauthorization Act; and a .05% budget-neutrality adjustment.
CMS also makes several proposals designed to improve payment for and access to behavioral health care services. This includes a proposal to expand payments for opioid treatment programs for new FDA-approved overdose reversal medications and extend flexibilities for the use of telehealth modalities...
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