Fighting the 9% Medicare Cut

On August 3, CMS published the proposed 2021 physician fee schedule

  1. APTA SUMMARY OF PROPOSED FEE SCHEDULE IS HERE.
  2. APTA SUMMARY OF PROPOSED 2021 QUALITY PAYMENT PROGRAM HERE.
  3. THERAPY ASSOCIATIONS JOINT STATEMENT ON FEE SCHEDULE IS HERE.
  4. FEE SCHEDULE COALITION PRESS RELEASE IS HERE.
  5. APTA STAFF HAS RECORDED A 35-MINUTE PRESENTATION ABOUT THE PROPOSED 2021 CMS PHYSICIAN FEE SCHEDULE RULE
  6. APTA RESOURCE ADVOCACY CENTER WITH REGULATORY & LEGISLATIVE TEMPLATE

93 bipartisan House lawmakers on Tuesday (Aug. 11) asked House leadership from both parties to allow CMS in 2021 and 2022 to raise pay for some evaluation and management codes, which tends to benefit primary care providers, without cutting other providers’ pay to offset those costs. The lawmakers say that House leadership should include in “any upcoming and relevant legislation” a policy to waive the budget neutrality requirement for the physician fee schedule in 2021 and 2022. Tuesday’s letter is not the first time House lawmakers have pushed leadership to fix this issue. In late May a group of 46 law-makers also asked leadership to deal with the issue citing the concerns of its impact on PT, OT and SLP. Tuesday’s letter also asks that House leadership have CMS report to Congress on the overarching effects of the public health emergency, specifically on how the pandemic has affected access to care in underserved areas and the impact of the E/M pay cuts if budget neutrality isn’t waived.

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Public Policy Quarterly Newsletter
Spring 2021

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