CMS Proposes Slight Doc Pay Cut in 2023 and Reforms to ACOs, Dental Service Coverage

CMS

Doctors could get a small decline in their Medicare payments next year under a new rule proposed by the Centers for Medicare & Medicaid Services (CMS), which is also proposing new options to cover dental services and boost accountable care participation, Fierce Healthcare reports.

The agency released Thursday the proposed 2023 Physician Fee Schedule rule. In addition to revenue adjustments, the rule includes major reforms to the accountable care organization program such as a new equity adjustment and upfront investments to lower-revenue organizations and changes to coverage for certain behavioral health services.

CMS proposed a 2023 fee schedule conversion factor of $33.08 for each relative unit, which determines how Medicare payments to doctors are calculated. That factor is a slight decline of the 2022 factor of $34.61. Read more.

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