On November 1, 2022, the Centers for Medicare & Medicaid Services (CMS) released the CY 2023 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B [CMS-1770] Final Rule, which includes final policies related to Medicare physician payment and the Quality Payment Program (QPP). The final rule includes other significant changes, including changes related to accountable care organizations (ACOs), the launch of the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs), telehealth services, initiatives promoting access to behavioral health services, and other changes to further develop physician quality initiatives.
The CY 2023 PFS final rule highlights continued problems with physician payment, and great uncertainty remains about final Medicare reimbursement rates. Stakeholders are turning to Congress to seek relief, and some congressional action on these issues is likely by the end of the year. Lawmakers’ appetite to continuously patch physician payments is also unclear. While stakeholders are urging Congress to address cuts in 2023, there are also calls for Congress to find a more permanent solution to avoid the annual patches to the PFS.
Key Takeaways from the CY 2023 PFS Final Rule
Read on for a topline summary of the major provisions in the final rule.
Click here to download the detailed summary of the key provisions in the final rule.
