Medicare Proposed Rule for PFS, MA, MSSP and Diabetes

On July 7th, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that would update the Physician Fee Schedule (PFS) and other Medicare Part B payment policies for CY 2017. CMS estimates that these changes would provide $900 million in additional funding to physicians and practitioners. Other provisions of the rule include: enrollment and data transparency updates to the Medicare Advantage (MA) program, modifications to the Medicare Shared Savings Program (MSSP), and the expansion of the Diabetes Prevention Program to Medicare.

Attached please find a summary of several major provisions of the proposed rule. The full proposed rule is available here.