Reimbursement
The bill extends for two years telehealth and hospital-at-home waivers put in place under the COVID-19 public health emergency.
The bill seeks to extend the 5% advanced APM incentive payment for providers for an additional two years.
The full-risk arrangements are expected to accelerate BCBSM's efforts to shift reimbursement away from the traditional fee-for-service model.
Congress has numerous bills, questions on cost and a "boatload" of data for CBO to sort through.
CMS is proposing a risk adjustment user fee for the 2024 benefit year of $0.21 per member per month.
What the groups want from Congress is action that would avert the entire 4.5% reduction to Medicare payment rates.
The authors framed coding practices as one element of an ongoing "tug-of-war" between payers and providers.
The physician organization is strongly urging Congress to stop the 4.5% payment cut scheduled for January 1, 2023.
A three-judge panel in Florida ruled TeamHealth was owed $10.8 million due to underpayments from UHC from 2017 to 2020.
Total expenses are cumulatively 20% above pre-pandemic levels.