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'Almost biblical in its impact': Physicians balk at CMS' proposed 3.34% pay cut

Groups like AMA & MGMA are raising concerns over CMS proposed 2024 Medicare physician payment schedule. ....

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CMS final rule aims to strengthen Medicare, drug affordability

In a bid to put protections in place for Medicare Advantage, the Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, is finalizing a rule it said would strengthen MA and hold health insurance companies to higher standards. Specifically, the 2024 Medicare Advantage and Part D Final Rule looks to crack down on misleading marketing ....

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MedPAC recommendations on 2024 payment rates get mixed reaction

The Medicare Advisory Payment Commission recommends a higher-than-current-law fee-for-service payment update in 2024 for acute care hospitals and positive payment updates for clinicians paid under the physician fee schedule. It recommends reductions in base payment rates for skilled nursing facilities, home health agencies and inpatient rehabilitation facilities. MedPAC gave ....

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CMS releases Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule

In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing HL7 FHIR standards to support an electronic process. CMS is proposing to require certain payers, including Medicare Advantage organizations, to implement electronic prior ....

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Physician groups denounce 4.5% payment cut in final rule

While the Centers for Medicare and Medicaid Services is touting the behavioral health and other benefits of the physician fee schedule final rule released Tuesday, physicians are denouncing its 4.5% payment decrease caused by statutory-mandated cuts. The 2023 Medicare Physician Fee Schedule final rule reflects the end of the temporary 3% supplemental increase from 2022. The ....

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