Practice Expense Methodology and Data Collection Research and Analysis: Interim Phase II Report

Key data used to set practice expense (PE) payment rates under the Medicare Physician Fee Schedule have not been updated since 2008, though the U.S. economy and health care system have changed since then. There are concerns that continued reliance on these data might result in misvalued PE rates. In this report, the authors address how the Centers for Medicare and Medicaid Services can improve the methodology or update data used to set PE rates.