CMS Sets Preliminary Cuts to Medicare Lab Reimbursement Rates
CMS said the changes would save the government an estimated $1 billion a year and phase in cuts capped at 15% annually.
6 Articles
6 Articles
Medicare Overpaid for Lab Services for Years, Will Reduce Fees: Dr. Oz
Medicare has been overpaying for laboratory services for years but will reduce rates to match the commercial market in 2027, the federal government announced Sept. 21. The reduction should net $1 billion in annual savings for taxpayers, according to a statement from the Centers for Medicare and Medicaid Services. Administrator Dr. Mehmet Oz acknowledged that the agency had paid excessive rates for some time, but added, “[The agency] is working t…
CMS issues preliminary 2027 clinical laboratory fee schedule rates
The Centers for Medicare & Medicaid Services has released preliminary calendar year 2027 Medicare clinical laboratory fee schedule payment rates. The rates are based on the weighted median of private payer rates for certain clinical diagnostic laboratory test codes. The public has 30 days to review and submit comments to CMS on the preliminary CY 2027 CLFS rates, as the final rates are scheduled to be published in November. The AHA is concerned …
CMS Releases Preliminary 2027 CLFS Rates as CAP Calls for Payment Reform
Preliminary CMS data show lower weighted median rates for more than 1,100 laboratory test codes, with payment reductions capped at 15% annually from 2027 through 2029. The Centers for Medicare & Medicaid Services (CMS) has released preliminary weighted median private payor rates for the 2027 Clinical Laboratory Fee Schedule (CLFS), with new private payor data pointing to lower rates for a majority of laboratory test codes included in the analysi…
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