Page 2 - Anders Gilberg News Today

The Centers for Medicare and Medicaid Services has announced two value-based care alternative payment models set to launch in July 2024, one focused on dementia and one on primary care.

Specialty practices say the current models often don't work for them

The proposed fee schedule for 2024 would reduce payments by 3.4%. Most responses were swift and negative.

Healthcare

Cut 'raises significant concerns for medical groups,' one organization says

CMS recently revealed its proposals to raise reimbursement rates for hospital outpatient departments and cut payments for physicians. Next year, the agency is planning to decrease physicians’ pay by 1.25% and increase outpatient payment rates by 2.8%. Provider groups are unhappy with the news — AMA President Dr. Jesse Ehrenfeld said the new physician fee schedule will be “almost biblical in its impact.”

CMS seeks to ensure people in Advantage plans have the same access to necessary care as those in traditional Medicare. The agency also cracked down on Medicare Advantage marketing for "sowing confusion."

Agency wants to stop schemes that mislead beneficiaries and prohibit unfair denials of care

Healthcare

Federal advisers recommended a 1.45% increase in a factor used to set Medicare pay, which is now inflation neutral. They also sought extra pay for clinicians who see many patients with low incomes.