On November 2, 2023, CMS placed on public display a final rule relating to the Medicare physician fee schedule (PFS) for CY 2024 and other revisions to Medicare Part B policies. The final was published in the November 16, 2023, issue of the Federal Register. Policies in the final rule generally would take effect on January 1, 2024. HFMA is providing a summary in three parts. Part I covers sections I through III.S (except for Section III.G: Medicare Shared Savings Program Requirements) and the Regulatory Impact Analysis. Part II covers the Medicare Shared Savings Program Requirements. Part III covers the updates to the Quality Payment Program. The policies related to the Medicare Shared Savings Program are designed to strengthen financial incentives for long-term participation and further Medicare’s overall value-based care strategy of growth, alignment, and equity. The policies in this final rule are incremental refinements to the broader changes CMS finalized in the 2023 PFS final rule (87 FR 69777 through 69968).