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Association Comments on Proposed 2018 Physician Fee Schedule

America’s Essential Hospitals has responded to the Centers for Medicare & Medicaid Services’ (CMS’) proposed physician fee schedule for calendar year 2018.

The proposed rule would further cut payments to non-excepted provider-based departments (PBDs) to 25 percent of the Medicare Outpatient Prospective Payment System (OPPS) rate and change certain quality reporting requirements.

In its comments, the association recommended that CMS:

  • ensure that non-excepted PBDs are reimbursed at no lower than 75 percent of OPPS payment rate;
  • continue to refine quality measures for accountable care organizations under the Medicare Shared Savings Program (MSSP), including risk adjustment for sociodemographic factors;
  • finalize proposals to reduce administrative burden within the MSSP and find ways to further encourage participation by essential hospitals; and
  • further delay implementation of patient relationship categories and codes.

Contact Director of Policy Erin O’Malley at or 202.585.0127 with questions.


About the Author

Rachel Schwartz is a policy associate at America's Essential Hospitals.

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