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What Does the CY 2025 Medicare Physician Fee Schedule Proposed Rule Mean for Addressing Upstream Drivers of Health?

The Partnership & Freedmen's Health Consulting hosted a webinar that provided an overview and discussion of the CY 2025 PFS Proposed Rule, relevant CMS requests for information, and additional opportunities to inform the public comment process regarding Community Health Integration (CHI), Principal Illness Navigation (PIN), SDOH Risk Assessment, Caregiver Training Services (CTS), and other key priorities.

As part of the proposed CY 2025 Physician Fee Schedule, CMS issued a broad request for information (RFI) on Community Health Integration (CHI), Principal Illness Navigation (PIN), and Social Determinants of Health (SDOH) Risk Assessment services to engage stakeholders on policy refinements for consideration in future rulemaking. Additionally, CMS proposed updated payment policies concerning how FQHCs and RHCs bill for care management services (including CHI and PIN services) and add-on time for delivering those services.

CMS also proposed to expand coding and payment options for caregiver training services (CTS) and sought comment on proposed coding and payment changes to establish a new set of advanced primary care management (APCM) services.

The Partnership to Align Community Care & Freedmen's Health Consulting hosted a webinar, What Does the CY 2025 Medicare Physician Fee Schedule Proposed Rule Mean for Addressing upstream drivers?, that provided an overview and discussion of these updates, relevant CMS requests for information, and additional opportunities to inform the public comment process regarding Community Health Integration (CHI), Principal Illness Navigation (PIN), SDOH Risk Assessment, Caregiver Training Services (CTS), and other key priorities.

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