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Medicare Payment Accuracy: Ensuring Physicians Can Keep Serving Patients.

This bill aims to improve how Medicare calculates payments to doctors by requiring the use of the most recent and accurate data on practice expenses. This change ensures fairer compensation for physicians, particularly in high-cost areas, helping them stay in the Medicare system and maintaining stable access to care for beneficiaries. These updates are scheduled to take effect starting January 2024.
Key points
Medicare must use current, actual data on physician wages and office rent, instead of outdated or proxy data, for calculating payments.
Permanent minimum payment levels (floors) for physician work and practice expenses are extended to all states, stabilizing provider income.
Payment increases in one geographic area will no longer require automatic offsetting cuts in other areas.
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Additional Information
Print number: 118_HR_6313
Sponsor: Rep. Smith, Adrian [R-NE-3]
Process start date: 2023-11-08