The Centers for Medicare and Medicaid Services (CMS) recently released the proposed rule for 2023 Medicare physician fee schedule payments
. Most notably, the rule proposes a conversion factor of $33.0775, a 4.4% reduction from 2022. Additionally, the rule extends coverage for some telehealth services after the current public health emergency. To further their goals related to increasing quality of care and developing alternative payment models, CMS proposes beginning a new MVP track as a voluntary option in MIPS as well as changes to the Medicare Shared Savings Program.
Specific to spine care, CMS is proposing to lower values for numerous spine procedures from what was recommended by the RUC during recent code valuation processes with which NASS was involved. The NASS Health Policy Council is very concerned about the impact of these payment cuts, particularly in conjunction with the conversion factor cut, if they go into effect January 1. NASS is developing a comment letter and will advocate to CMS and Congress to mitigate the impact of the proposed policy changes prior to publication of the final rule in early November.