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.
7 Articles
7 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…
2027 Medicare lab fee schedule points to 15% cuts across many test codes
Preliminary data for the 2027 Clinical Laboratory Fee Schedule (CLFS) point to substantial downward pressure on Medicare reimbursement for lab services. CMS released information on the 2027 payment rates ahead of final rates expected in November, projecting that the methodology used to set the rates would save $1 billion annually for Medicare. Hospital-based and freestanding…
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 …
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