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Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program

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Highlights

GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) new rule on the Medicare Program; revisions to payment policies under the physician fee schedule and other revisions to Part B for CY 2018; Medicare Shared Savings Program requirements; and the Medicare Diabetes Prevention Program. GAO found that (1) the final rule (a) addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies such as changes to the Medicare Shared Savings Program, to ensure that CMS's payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute; and (b) includes policies that CMS stated are necessary to begin offering the expanded Medicare Diabetes Prevention Program model; and (2) with the exception of the 60-day delay in effective date requirement, CMS complied with the applicable requirements in promulgating the rule.

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