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Jeffrey Davis Director of Regulatory and External Affairs at ACEP

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  • Field testing for the first EM-focused cost measure started on January 10. It's emergency physicians’ opportunity to influence a measure that will have specific impact on Medicare reimbursement. Get more background.
  • On January 26, ACEP responded to a proposed rule that includes payment parameters and provisions for private plans on the Affordable Care Act (ACA) Exchange for 2023.
  • On January 25, HHS announced that it was making $2 billion in Provider Relief Fund (PRF) Phase 4 General Distribution payments. These payments are in addition to the nearly $9 billion in funding that was already released by HHS in December 2021. With this distribution, a total of nearly $11 billion in PRF Phase 4 payments has now been distributed to more than 74,000 providers in all 50 states, Washington D.C., and five territories. More information is available here.
  • On January 25, CMS released an infographic to share preliminary participation data for Merit-based Incentive Payment System (MIPS) in 2020. Despite the ability to get automatically exempted from MIPS in 2020 due to COVID-19, over 89 percent of eligible clinicians actively engaged in MIPS reporting. The vast majority of clinicians avoided a penalty, so there were limited funds available to pay out bonuses. CMS estimates that a perfect score in MIPS in 2020 would only yield a 1.87 percent bump-up to Medicare payments in 2022.
  • On January 25, OSHA announced that it would withdraw its vaccination/testing Emergency Temporary Standard (ETS). This standard, which required large employers to impose vaccination or testing requirements upon their employees, was invalidated by the Supreme Court. OSHA “continues to strongly encourage the vaccination of workers against the continuing dangers posed by COVID-19 in the workplace.”


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