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NCCI: CMS Price Changes Not Significant Cost Driver

Friday, August 29, 2025 | 0

Adjustments that the U.S. Centers for Medicare and Medicaid Services made to its reimbursement rates this year are not a significant work comp cost driver, the National Council on Compensation Insurance said Thursday in a research brief. CMS in 2025 reduced the conversion factor for physician services to 32.3465% from 33.2875% while increasing facility base rates and factors for medical goods and supplies.  Physician services account for about 40% of countrywide medical payments, with most states using CMS factors to set reimbursement rates. In addition to the conversion factors, ...

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