Important Updates in the 2018 CMS Final Rule for Physician and Behavioral Health Services! IMPORTANT UPDATE #1:The Rule Shows Improvement of Payment Rates for Non-facility and Office-based Behavioral Health Services. CMS is in the process of finalizing an improvement in the way Medicare Physician Fee Schedule (MPFS) rates are set that will positively impact office-based behavioral health services.
CMS released proposed rules for expansion of the bundled payment program for Medicare fee-for-service beneficiaries. This expands the current Comprehensive Care for Joint Replacement (CJR) program implemented in 67 Metropolitan Statistical Areas (MSA) across the country.
The focus on value-based care and the associated initiatives that support it (accountable care, managed care, bundled payments, DSRIP, etc.) has forced providers to address the mind-body connection and its impact on utilization of health care resources.