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Physicians Will See Medicare Payment Cuts Next Year

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What’s happening: The Centers for Medicare & Medicaid Services’ (CMS) 2024 physician fee schedule final rule reduces Medicare payments to physicians by 1.23% compared to the prior year.  

What else to know: The final 2024 physician fee schedule conversion factor is $32.74, a decrease of $1.15, or 3.4%, from 2023.   

Independent Dispute Resolution Portal Reopening for Certain Disputes

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What’s happening: The departments of Health and Human Services, Labor, and Treasury are reopening the independent dispute resolution (IDR) portal for all batched disputes and single air ambulance disputes.  

What else to know: The portal has been closed since federal agencies suspended all IDR process operations in August to align with the district court’s opinions and orders in TMA III and TMA IV.  

Stay in the Know as Seismic Reporting Deadline Approaches

This post has been archived and contains information that may be out of date.

What’s happening: The Department of Health Care Access and Information’s (HCAI) Nov. 16 webinar will cover Assembly Bill 1882 and nonstructural performance category requirements due Jan. 1. 

What else to know: CHA and HCAI recently held webinars and released materials that may be helpful resources.  

Access to Mental Health Services Could Increase for Medicare Advantage Enrollees

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What’s happening: The Centers for Medicare & Medicaid Services (CMS) proposes policy changes for Medicare Advantage (MA) plans in contract year (CY) 2025.  

What else to know: Comments on the proposed rule, which addresses MA policies such as prior authorization, outpatient behavioral health and supplemental benefits, are due Jan. 5.   

CMS Finalizes Inadequate Outpatient Payment Update

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What’s happening: The Centers for Medicare & Medicaid Services (CMS) has finalized the calendar year (CY) 2024 outpatient prospective payment system rule.  

What else to know: It includes a net market basket update of 3.1%, which is a slight increase over the proposed 2.8%.  

Final Home Health Rule Reduces Impact of Behavioral Adjustments on Providers

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What’s happening: The Centers for Medicare & Medicaid Services (CMS) has issued the final rule for the home health prospective payment system for calendar year 2024.  

What else to know: Medicare payments to home health agencies will increase in the aggregate by 0.8% instead of the 2.2% decrease that was originally proposed.  

Certain 340B Hospitals to Receive Lump-Sum Settlement

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What’s happening: A final rule from the Centers for Medicare & Medicaid Services (CMS) contains a remedy for the agency’s 340B-acquired drug payment policy that was in effect from 2018 to 2022. 

What else to know: Eligible hospitals will receive a lump-sum settlement for claims, including beneficiary cost sharing, as a result of CMS’ invalidated policy that reduced payments for separately payable outpatient drugs acquired under the 340B program.