• Medicare Proposes 2022 Payment and Quality Reporting Changes

• Medicare to Weigh Nationwide Coverage Rules for Biogen Alzheimer's Drug

Medicare Proposes 2022 Payment and Quality Reporting Changes

The Centers for Medicare & Medicaid Services (CMS) released the proposed 2022 Medicare physician fee schedule (PFS) rule this week, which includes proposed changes to the Merit-based Incentive Payment System (MIPS) and alternative payment model (APM) participation options and requirements for 2022.

The changes include a decrease in the "conversion factor" -- the multiplier that Medicare applies to relative value units (RVUs) to calculate reimbursement for a particular service or procedure under Medicare's fee-for-service system.

·      CMS Fact Sheet – Physician Fee Schedule (webpage)

·      CMS Fact Sheet – Quality Payment Program (PDF download)

·      CMS Fact Sheet – Medicare Diabetes Prevention Program (webpage)

·      Complete CY 2022 Physician Fee Schedule and Quality Payment Program proposed rule.

CMS is accepting comments on the proposed rule until September 13.

Medicare to Weigh Nationwide Coverage Rules for Biogen Alzheimer's Drug

CMS will formally consider whether to adopt nationwide rules for coverage of Biogen's new Alzheimer's drug Aduhelm, announcing Monday the opening of a determination process that could shape how millions of Americans are able to access the controversial treatment. (Healthcare Dive)