Bill > HR6371

This bill, the Provider Reimbursement Stability Act of 2023, aims to make several adjustments to the physician fee schedule under the Medicare program. Key provisions include: 1. Updating the budget neutrality threshold, which limits the financial impact of changes to the relative value units (RVUs) used to calculate Medicare payments. The bill increases this threshold from $20 million to $53 million in 2025, and annually adjusts it thereafter based on the Medicare Economic Index (MEI). 2. Requiring the Secretary to correct for overestimates or underestimates in utilization when applying budget neutrality adjustments, making retrospective adjustments to payments in the following year to reconcile any difference. 3. Mandating the Secretary to update the direct cost inputs (e.g., clinical staff wages, medical supplies, equipment prices) used to calculate practice expense RVUs at least once every 5 years. 4. Limiting the year-to-year variation in the conversion factor, which is used to determine final Medicare payment rates, to no more than 2.5 percent, with exceptions for the transition to multiple conversion factors in 2026. These provisions aim to improve the accuracy and stability of the Medicare physician payment system, ensuring more predictable reimbursement for healthcare providers.

Business and Industry, Health and Social Services

https://www.congress.gov/bill/118th-congress/house-bill/6371/all-info