News & Insights

All News & Insights


Farragut’s Five Trends to Expect for Physician Specialty Reimbursement in 2023 and Beyond

1. Macro forces are creating a degree of pressure across Medicare reimbursement for PPMs; however, the pressure in 2023 is significantly muted thanks to congressional intervention.
2. CMS’ updates to clinical labor pricing continues to create winners and losers through 2025, with the impact varying by specialty and site-of-service.
3. Reimbursement in ASCs continues to trend positively, but 2024 rulemaking will be crucial in determining if CMS will protect these tailwinds long-term.
4. Farragut expects near-term PFS rulemaking to create new waves of macro pressure for the mid-2020s, which will necessitate another round of congressional intervention or cuts between -3% to -12%, depending on the specialty.
5. As investment in PPMs mature and CMS enacts more nuanced approaches to reimbursement, investors will need to pay closer attention to strategy within a sector – including site-of-service, geography, and service lines – rather than thinking of whole sectors as positive or negative.

Please click here to request access to the full note which includes details for each of the above takeaways.

Join the List

Gain market-leading insights from the experts on regulatory, reimbursement, and compliance trends. Our executive leadership and research team offer refreshing perspectives via newsletters, articles, webinars, and nationally recognized conferences.