Not everyone will be happy.
November 2 the Centers for Medicare and Medicaid Services exposed the final rule implementing the changes. The rule is 1,250 pages long. You may wish to read it here. Thoughtfully included are the names and phone numbers of staff that can be contacted for more information , listed by topic areas.
For the short story, read the Six Things to Know from Becker’s Hospital CFO Report. You will find:
1. Physician payment rates will increase 0.41 percent in 2018 compared to this year.
2. CMS will reduce current physician fee schedule payment rates for services provided at certain off-campus provider-based departments.
3. Hospital groups are concerned. Becker’s quotes America’s Essential Hospitals President and CEO Bruce Siegel, MD:
We’re particularly troubled that these cuts for off-campus, provider-based departments — an additional 20 percent reduction to rates already cut in half by regulation last year — come without an analysis of how they might harm patient care. The cuts run counter to CMS’ goal of integrated, coordinated healthcare.
4. CMS will pay for five new telehealth services.
5. CMS is delaying implementation of the Medicare Appropriate Use Criteria Program for advanced diagnostic imaging until Jan. 1, 2020.
6. The final rule establishes payment to rural health clinics and federally qualified health clinics for regular and complex chronic care management services, general behavioral health integration services and psychiatric collaborative care models.
Read the reactions to the final rule by five major provider groups, American College of Physicians (ACP), Federation of American Hospitals (FAH), College of Healthcare Information Management Executives (CHIME), American College of Radiology (ACR), and Healthcare Financial Management Association (HFMA). They are presented in an article by HealthExec