CY 2023 Physician Fee Schedule Proposed Rule Summary Part II – Medicare Shared Savings Program Requirements

On July 7, 2022, CMS placed on public display a proposed rule relating to the Medicare physician fee schedule for CY 2023, and other revisions to Medicare Part B policies. The proposed rule is scheduled to be published in the July 29, 2022, issue of the Federal Register. If finalized, policies in the proposed rule generally would take effect on January 1, 2023. The 60-day comment period ends at close of business on September 6, 2022. HFMA is providing a summary in three parts. Part I covers sections I through III.N (except for Section G: Medicare Shared Savings Program Requirements) and the Regulatory Impact Analysis. Part II will cover the Medicare Shared Savings Program Requirements. Part III will cover the updates to the Quality Payment Program. Part II includes proposals related to the Medicare Shared Savings Program. These are designed to strengthen financial incentives for long-term participation by modifying the benchmarking methodology, expanding opportunities for certain low revenue ACOs and those serving high risk and dual eligible populations. It also aims to make operational improvements to reduce administrative burden and makes numerous revisions to the quality reporting and the quality performance requirements.

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