PBN’s 2023 predictions: No Medicare pay reform but the PHE shocked

Why This Topic Matters

It helps readers quickly gauge which policy and reimbursement developments shaped 2023 and which areas may continue to affect billing, compliance, audits, and practice operations going forward.

Article Sections

1. 2023 predictions

   An overview of the retrospective format and the major policy and reimbursement topics evaluated across the year.

2. Permanent Medicare reimbursement reform

   Discussion of Medicare payment reform prospects and related federal policy activity affecting physician reimbursement.

3. External auditors and payment integrity

   Coverage of audit activity, improper payment oversight, and the broader pressure these trends place on providers.

4. Behavioral health growth and technology trends

   A look at behavioral health utilization trends, telehealth use, and emerging technology themes in the sector.

5. Behavioral health care management

   A brief status update on behavioral health care management and early claims-volume uncertainty.

6. No Surprises Act and independent dispute resolution

   Summary of dispute-resolution implementation issues, legal challenges, and federal process delays under the No Surprises Act.

7. The public health emergency

   A review of the expectation versus the actual timing of the end of the public health emergency.