The 2022 CMS PFS And QPP Final Rule: A Warning Shot To Provider Holdouts Of Value-Based APMs

November 10, 2021Garrett SchmittNo Comments2022 Physician Fee Schedule, alternative payment models, APMs, CMS, Medicare, Medicare Physician Fee Schedule, PFS, Physician Fee Schedule, value-based APMs, value-based care

CMS has released the 2022 Physician Fee Schedule and Quality Payment Program (QPP) Final Rule, and the message of these 2,414 pages is clear: CMS wants to push providers into value-based care arrangements. That intent was foreshadowed by the Proposed Rule released over the summer, which confirmed our predictions of trends under the Biden administration. Specifically, we saw a push…

The Good and Bad of the Medicare Physician Fee Schedule Proposal

July 14, 2021Garrett SchmittNo CommentsMedicare Physician Fee Schedule, MSSP, PFS, physicians, Telehealth

Physician groups are calling the Medicare Physician Fee Schedule proposed rule a mixed bag for practices, which now face a potential reduction in physician reimbursement next year, among other changes. “The proposed 2022 Medicare Physician Fee Schedule (PFS) represents a mixed bag for physician practices,” Anders Gilberg, senior vice president of government affairs at the…

Citing COVID-19, providers push back on CMS payment rule rate cuts, telehealth rollback in 2021

October 6, 2020Garrett SchmittNo CommentsCMS, PFS, Seema Verma

Providers are fiercely opposing changes in two CMS payment rules for 2021, decrying physician rate cuts amid the COVID-19 pandemic, pushing for more telehealth flexibility and urging a stop to a controversial plan to eliminate the list of procedures that can be done on an inpatient-only basis. CMS released its annual proposals for the Physician…

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