On July 13, 2023, CMS released a proposed rule on CY 2024 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Continued Implementation of Requirements for Manufacturers of Certain Single-dose Container or Single-use Package Drugs to Provide Refunds with Respect to Discarded Amounts; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program (CY 2024 PFS).

In this proposed rule, which makes payment and policy changes under Medicare Part B effective on or after January 1, 2024, CMS proposes changes to the Medicare Shared Savings Program; to expand access to and coverage of home-based care and caregiver supports; to expand reimbursement for services to address health-related social needs; to make additional adjustments to Evaluation and Management Visit coding and documentation; and to implement provisions of the Consolidated Appropriations Act, 2023, which extend telehealth services through 2024, among other proposals. In all, CMS received over 22,000 comments. We expect a final rule to be released in November 2023.

This document synthesizes comments on key provisions in the CY 2024 PFS proposed rule from health plans trade associations, provider groups/trade associations, quality groups, and patient and consumers advocacy groups.