CMS Ponders the Path Ahead for AI Payments

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ARTICLE SUMMARY:

The Medicare agency acknowledges its methodologies to calculate payments are not well-suited to account for the costs and efficiencies of AI software. In its 2022 Physician Fee Schedule proposal out this week, CMS is seeking detailed input to help reform its systems while trying to come up with temporary solutions to provide sufficient reimbursement in the short term.

Medicare’s methods for calculating how much to pay doctors for performing services doesn’t account well for AI software tools. CMS admits as much in its 2022 Physician Fee Schedule proposal that was released July 13 and the agency is looking to leverage the annual rulemaking to help it hatch a plan to fill the gap.

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