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Physician Fee Schedule Update and Improvements Act

The Act amends Title XVIII of the Social Security Act to make improvements to the physician fee schedule under the Medicare program. Changes include increasing support for physicians in adjusting to payment changes, extending incentive payments for participation in alternative payment models, and updating the methodology for calculating practice costs.
Key points
Increases the support percentage for physicians and other practitioners in adjusting to Medicare payment changes from 1.25 percent to 3 percent.
Extends incentive payments for participation in eligible alternative payment models through 2026.
Requires updates to direct cost inputs (clinical staff wage rates, medical supplies, and equipment prices) used to calculate practice expense relative value units at least every 5 years.
Extends the floor for the work geographic index through January 1, 2025.
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Additional Information
Print number: 118_HR_6545
Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1]
Process start date: 2023-12-01