Reimbursement
The omnibus spending bill continues telehealth waivers for two years past the PHE, but was silent on the issue of reimbursement.
CMS estimates that efficiencies introduced through the new rule would save practices and hospitals over $15 billion over a 10-year period.
On Tuesday, a federal court ruled to allow HHS to propose an appropriate remedy for its past underpayments.
The date for providers to get the promised 60-day notice is February 10.
CMS concurs with OIG's recommendation and says it will determine whether additional guidance would help ensure more accurate ASP calculations.
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.