Diabetes

CMS Continues Efforts to Improve Patient Care, Spending, and Population Health

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On November 2, 2016, the Centers for Medicare and Medicaid Services (CMS), released the 2017 Medicare Physician Fee Schedule (MPFS) final rule, which finalized a number of new policies designed to improve Medicare payment for services provided by primary care physicians to patients with multiple chronic conditions, behavioral health issues, and cognitive impairment conditions.  The final rule also updates quality measures, audit, and reporting under the Medicare Shared Savings Program. It includes revisions to permit eligible professionals in Accountable Care Organizations (ACOs) to report quality separately from the ACO, incorporates updates to align with the Physician Quality Reporting System and the Quality Payment Program, and implements modifications to the assignment algorithm to align beneficiaries to an ACO when a beneficiary has designated an ACO professional as responsible for his/her overall care.

The final rule provides new requirements mandating the release of data associated with Medicare Advantage Organizations, in an effort to foster transparency and better educate beneficiaries making enrollment decisions.  It also expands the Medicare Diabetes