On Monday, September 9, ASH submitted comments on the CY 2025 Medicare Physician Fee Schedule proposed rule. ASH commented on several provisions in the proposed rule, including continued support for updates to the conversion factor and Practice Expense data, payment for telehealth services and expanding the telehealth provision to include audio-only in the definition, the valuation and implementation of various codes that impact our members, and continuing advocacy to expand dental services for individuals with Sickle Cell Disease (SCD).
ASH also submitted comments on the CY 2025 Hospital Outpatient Prospective Payment System proposed rule. ASH focused comments on reimbursement policies for cell and gene therapy bundled payments, recommending separate payments for these therapies reflective of the unique nature of each therapy, and reimbursement for CAR T-cell therapy, similarly recommending separate payments to reflect each stage of treatment.
ASH will share updates on the finalized policies when they are released.