{"abstract":"This major final rule addresses changes to the physician fee schedule and other Medicare Part B payment policies, such as changes to the Value Modifier, to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute. This final rule also includes changes related to the Medicare Shared Savings Program, requirements for Medicare Advantage Provider Networks, and provides for the release of certain pricing data from Medicare Advantage bids and of data from medical loss ratio reports submitted by Medicare health and drug plans. In addition, this final rule expands the Medicare Diabetes Prevention Program model.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2016/11/15/2016-26668.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42},{"chapter":null,"citation_url":null,"part":410,"title":42},{"chapter":null,"citation_url":null,"part":411,"title":42},{"chapter":null,"citation_url":null,"part":414,"title":42},{"chapter":null,"citation_url":null,"part":417,"title":42},{"chapter":null,"citation_url":null,"part":422,"title":42},{"chapter":null,"citation_url":null,"part":423,"title":42},{"chapter":null,"citation_url":null,"part":424,"title":42},{"chapter":null,"citation_url":null,"part":425,"title":42},{"chapter":null,"citation_url":null,"part":460,"title":42}],"citation":"81 FR 80170","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on January 1, 2017.","disposition_notes":null,"docket_ids":["CMS-1654-F"],"dockets":[],"document_number":"2016-26668","effective_on":"2017-01-01","end_page":80562,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/11/15/2016-26668.xml","html_url":"https://www.federalregister.gov/documents/2016/11/15/2016-26668/medicare-program-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-26668?publication_date=2016-11-15","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-11-15/2016-26668/mods.xml","not_received_for_publication":null,"page_length":393,"page_views":{"count":67777,"last_updated":"2026-07-27 16:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-11-15/pdf/2016-26668.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-26668.pdf?1478117728","publication_date":"2016-11-15","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/11/15/2016-26668.txt","regulation_id_number_info":{"0938-AS81":{"issue":"201610","html_url":"https://www.federalregister.gov/regulations/0938-AS81/cy-2017-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions-to-medica","title":"CY 2017 Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Medicare Part B (CMS-1654-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201610&RIN=0938-AS81&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AS81"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS81/cy-2017-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other-revisions-to-medica","title":"CY 2017 Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Medicare Part B (CMS-1654-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2016-0116","supporting_documents_count":0,"docket_id":"CMS-2016-0116","regulation_id_number":"0938-AS81","title":"Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model  (CMS-1654-P)","checked_regulationsdotgov_at":"2016-12-05T06:00:16Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":80170,"subtype":null,"title":"Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements","toc_doc":"Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Bid Pricing Data Release; Medicare Advantage and Part D Medical Loss Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Medicare Shared Savings Program Requirements","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Aged","Biologics","Drugs","Emergency medical services","Grant programs-health","Health care","Health facilities","Health insurance","Health maintenance organizations (HMO)","Health professions","Health records","Kidney diseases","Laboratories","Loan programs-health","Medicaid","Medical devices","Medicare","Penalties","Privacy","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Rule","volume":81}