What Does the New Physician Fee Schedule Rule Mean for Community Based Organizations Offering Health and Wellness Activities?

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Every year, the Department of Health and Human Services’ Centers for Medicare & Medicaid Services (CMS) issues a Notice of Proposed Rule Making for the Physician Fee Schedule (PFS) that define services and reimbursement rates for physicians and other providers providing care to people with Medicare. As of Jan. 1, 2024, Medicare will reimburse for various services including Community Health Integration services, Social Determinants of Health risk assessments, and Principal Illness Navigation services. Furthermore, the final rule provided supportive language for clinical providers to contract with community-based organizations (CBOs) to meet the needs of beneficiaries. Join the webinar for a discussion of how the final rule may impact CBOs implementing, expanding, and sustaining evidence-based health and wellness programs through individual organizations or community care hubs (CCH).

Timothy McNeill, RN, MPH

Founder

Freedmen’s Health

Timothy P. McNeill is the founder of Freedmen’s Health, a Washington, DC healthcare consulting firm specializing in implementation of innovative models of care. Mr. McNeill has led the firm’s consulting efforts serving customers including the U.S. Department of Health and Human Services (HHS), U.S. Administration on Aging (AoA)/Administration for Community Living (ACL) and various Foundations and National Non-profit organizations. Under an HHS/ACL contract, Mr. McNeill has been the lead technical assistance provider to establish and support integrated networks to deliver new models of care that address medical risks and social determinants of health supporting value-based contracting in 26 States.

Mr. McNeill has started or expanded multiple sustainable health programs including two Medicare Shared Savings Program (MSSP) ACOs, an IPA made up of FQHCs and independent physicians, a network of community-based free clinics, managed the operations of a network of Federally Qualified Health Centers, and established multiple regional networks to deliver Long-Term Services and Supports, contracting with MCOs, in support of State Medicaid Waiver implementation. Mr. McNeill is a Registered Nurse with a bachelor’s degree from Howard University and a Master of Public Health from Eastern Virginia Medical School. Mr. McNeill is also a retired U.S. Navy Nurse Corps Officer.

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