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2022 Physician Fee Schedule Impact

Proposed Changes in Medicare Payments

The 2022 Medicare Physician Fee Schedule (PFS) final rule issued on November 2, 2021 cuts a broad array of office-based specialists as a result of so-called “budget-neutral” effects of the CMS policy to update clinical labor data in the PFS.  These cuts will continue to accelerate the health system consolidation trend and exacerbate health inequities in a variety of diseases. 

The table below describes all specialties cut more than 5% in the 2021 PFS Final Rule.  It is important to note that the impact table below taken from the 2022 PFS Final Rule does not disaggregate specialty impact by site-of-service and, as a result, masks the true (even worse) impact to the office-based setting.  

As a result of the Consolidated Appropriations Act of 2021, these cuts also include the 3.75% cut to the PFS conversion factor effect from the 2021 PFS Final Rule, which was delayed until 2022.  Pursuant to the CAA, a third conversion factor cut of a similar magnitude is slated for January 1, 2024.  

Taking Action

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Our Mission

USPA’s vision is for a Physician Fee Schedule that provides payment stability for office-based specialists and fundamental reform of the so-called "budget-neutrality" provision. 

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USPA is gearing up for action on multiple fronts. If you think your organization would like to contribute towards this important effort, contact us here so we can learn more about each other.