The Centers for Medicare & Medicaid Services (CMS) issued a fact sheet and proposed rule on the Medicare Physician Fee Schedule (PFS) July 3. The proposed rule updates policy and payment changes to the Medicare Physician Fee Schedule for calendar year 2015.
According to the CMS fact sheet, “The proposed rule also proposes changes to several of the quality reporting initiatives that are associated with PFS payments – the Physician Quality Reporting System (PQRS), Medicare Shared Savings Program, and Medicare Electronic Health Record (EHR) Incentive Program, as well as changes to the Physician Compare tool on the Medicare.gov website. Finally, the rule continues the phased-in implementation of the physician value-based payment modifier (Value Modifier), created by the Affordable Care Act, that would affect payments to physicians and physician groups, as well as other eligible professionals, based on the quality and cost of care they furnish to beneficiaries enrolled in the traditional Medicare fee-for-service program.”
Society staff is reviewing the proposed rule and will submit comments to CMS by Sept 2. In previous years Society staff submitted comments on several sections of the Medicare PFS encouraging CMS to recognize that paying for care coordination may help improve outcomes and help keep health care costs in check. The Society also has commented extensively on the proposed implementation of the physician value-based modifier (VBM), encouraging CMS to implement the VBM in a way that moves toward a value-based system that will better reward high quality, low cost care.
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