Will Medicare Physician Fee Schedule Changes Drive Value-Based Care?

The proposed changes in the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2023 may offer incentives for provider groups to consider alternative payment models. Still, the policies will likely require more apparent benefits to significantly impact the shift to value-based care.

The CY 2023 PFS proposed rule included changes to the Medicare Shared Savings Program(MSSP) and a conversion factor decrease—two updates that are unlikely to have a blanket effect on accountable care organization (ACO) participation, according to Jake Harper and Felicia Alexander, healthcare attorneys with Morgan Lewis.

While the proposed changes may not have an overwhelming effect on the shift to value-based care, the policies support the trend of CMS initiatives that incentivize participation in alternative payment models, the attorneys told RevCycleIntelligence.

In particular, the proposed adjustments to the MSSP, Medicare’s largest ACO program, may pique provider interest.

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