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- Medical coalition urges Congress to pass RESULTS Act
The CAP and a coalition of leading organizations representing laboratories, physicians, hospitals, diagnostic manufacturers, and others are urging Congress to enact the RESULTS Act to safeguard patient access to clinical laboratory services.
Background: The Medicare Clinical Laboratory Fee Schedule (CLFS) sets payment for lab services, and pathologists around the country worry that the next round of cuts could affect patient care.
- The RESULTS Act aims to reform CLFS by using comprehensive market data to set lab fees.
The backdrop: Historical data inaccuracies have led to significant payment cuts, with less than 1% of labs’ private payor data influencing rates.
If passed, the RESULTS Act would:
- Direct the CMS to contract with an independent, not-for-profit commercial claims database for widely available lab tests.
- Exclude Medicaid managed care rates, which are not reflective of market values, for setting lab fees.
- Place a cap on annual payment reductions to prevent destabilizing cuts.
What's next: Congress must act now to prevent the 15% payment cuts on January 1.
Take action: Join your colleagues in using our Action Center to ask your elected officials to stop the cuts and pass the RESULTS Act.