Reinvesting in primary care will encourage a shift in American health care from treating sickness to maintaining health, resulting in saved money and better health outcomes. As part of its reinvestment, CMS released its Proposed rule for the Medicare Physician Fee Schedule (PFS) for calendar year (CY) 2017. If finalized, the proposed regulations would improve Medicare payment for services provided by primary care physicians for patients with multiple chronic conditions, mental and behavioral health issues, and cognitive impairment or mobility-related disabilities. It also includes proposals to expand the Diabetes Prevention Model, modify the Medicare Shared Savings Program (MSSP) to align it with the Quality Payment Program, update the Medicare Advantage (MA) provider network requirement, and add data transparency requirements for MA and Part D. Comments are due to CMS by September 6, 2016 (Proposed rule, 81 FR 46161, July 15, 2016).
In a blog post, CMS Acting Administrator Andy Slavitt said that the Proposed rule builds on years of "meaningful steps" by taking "significant actions" to better value primary care and care coordination. CMS also provided a fact sheet on its proposals.
For Wolters Kluwer’s full analysis of the Proposed rule, see Physician fee schedule plans ‘significant actions’ emphasizing primary care, July 13, 2016.
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