Proposed fee schedule details Diabetes Prevention Program payments
The 2018 Medicare Physician Fee Schedule proposed rule recently issued by the Centers for Medicare and Medicaid Services (CMS) includes proposals to boost coverage of diabetes prevention and telehealth services.
The CMS proposal includes “a number of positive changes that could improve patient care and save taxpayer dollars,” according to the AMA. Chief among these are a plan for expanding the Medicare Diabetes Prevention Program (MDPP), and new possibilities for telehealth services.
“The annual physician fee schedule update is a chance for CMS to modify Medicare policy to ensure the best possible treatment options for patients,” said AMA President David O. Barbe, MD (@DBarbe_MD). “The AMA is encouraged by many of the proposed changes and applauds the administration for working with the AMA to address physician concerns.”
Sept. 11 is the deadline to submit comments on the document’s proposed Medicare payment rules and policies—which includes an overall positive payment-rate update of 0.31 percent.
Diabetes Prevention Program setup
Included in the proposed rule are steps that would further implement a Medicare DPP, which the CMS describes as a structured intervention aimed at preventing a progression from prediabetes to type 2 diabetes in at-risk individuals. Previous research has shown that evidence-based lifestyle changes resulting in modest weight loss can sharply cut the rate at which people with prediabetes go on to develop type 2 diabetes.
In a news release, the AMA said it “commends” CMS for going forward to expand coverage of the DPP model the Ass Continue reading