In a letter to the Centers for Medicare & Medicaid Services (CMS), the Alliance of Specialty Medicine expressed deep concerns with the proposed reduction to the Medicare physician fee schedule (PFS) conversion factor and proposed policies that would further reduce payment for key specialty care services.

The Alliance noted that the planned cuts, coupled with the anticipated Medicare and PAYGO sequesters (2 percent and 4 percent, respectively), may force specialty practice closures and more consolidation, thus undermining the Administration’s efforts to improve beneficiary access to care, particularly in rural and underserved communities.  The Alliance also voiced concern about CMS’ Quality Payment Program, which remains a challenge for specialists to meaningfully engage, and it’s Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging program, which is duplicative and unnecessary as providers move toward risk-based models of care.

Given the importance of expanded telehealth and virtual care services during the pandemic, the specialty Alliance also urged CMS to finalized some and modify other proposals to ensure continued access to this care beyond the COVID-19 public health emergency.

Read more in the Alliance’s comment letter by clicking this link