®: CRE Regulatory Action of the Week
Proposed Medicare and Medicaid Changes
The U.S. Department of Health and Human Services’ Centers for Medicare & Medicaid Service has proposed a “major” rule that addresses changes to the physician fee
schedule and other Medicare Part B payment policies, such as changes to the
Value Modifier, to update CMMS’ payment systems to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This proposed
rule also includes proposals related to the Medicare Shared Saving Program,
and the release of certain pricing data from Medicare Advantage bids and
medical loss ratio reports from Medicare health and drug plans. In addition, this proposed
rule expands the Medicare Diabetes Prevention Program model. CMMS must receive comments must on the proposed rule no later than 5 p.m. on September 6, 2016.
Click here to read Federal Register notice of this proposed rule, which contains more details.