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CMS Proposes Cut to Conversion Factor in Medicare Physician Fee Schedule

email article WASHINGTON The Centers for Medicare & Medicaid Services (CMS) proposed 2022 Physician Fee Schedule (PFS) rule for Medicare would lower the amount physicians are paid under fee-for-service Medicare and change the requirements for incentives under the Quality Payment Program. The changes, announced at 8 p.m. Tuesday, include a decrease in the conversion factor the multiplier that Medicare applies to relative value units (RVUs) to calculate reimbursement for a particular service or procedure under Medicare s fee-for-service system. Due to budget neutrality changes required by law and the expiration of a 3.75% payment increase provided by Congress, the proposed CY [calendar year] 2022 PFS conversion factor is $33.58, a decrease of $1.31 from the CY 2021 PFS conversion factor of $34.89, CMS said in a fact sheet. The PFS conversion factor reflects the statutory update of 0.00% and the adjustment necessary to account for changes in relative value units an

CMS Next Generation Accountable Care Organization (NGACO) Model Set To End in December 2021 | Sheppard Mullin Richter & Hampton LLP

CMS Ending Next Generation Accountable Care Organization Model

Around the nation: CMMI opts not to extend Next Generation ACO Model

Around the nation: CMMI opts not to extend Next Generation ACO Model
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Healthcare organizations ask HHS to delay quality measure reporting for ACOs

(Photo by Jose Luis Pelaez\Getty Images) Citing rushed implementation, unanswered questions and potential negative consequences to patient care, 11 healthcare organizations are calling on the Biden administration to delay and make changes to mandated quality measure reporting for accountable care organizations. The healthcare organizations, including the American Hospital Association and the American Medical Association, sent a letter to Department of Health and Human Services Secretary Xavier Becerra asking for a delay or other options. The ACO Coalition has sent a separate letter to Becerra citing its concerns. The concern regards changes to quality reporting for the Medicare Shared Savings Program published in the Final 2021 Medicare Physician Fee Schedule Rule.

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