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US Capitol building with blue skies

As the government funding Dec. 20 deadline approaches, Congress is working to finalize plans for either a continuing resolution (CR) or an omnibus spending package. House Republicans are advocating for a CR that would extend funding through March, allowing the new GOP trifecta (President, House, and Senate) to have greater leverage in the upcoming year.

3 min read
Derek Brandt, JD, STS Advocacy
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lung cancer awareness month

As Lung Cancer Awareness Month begins, it’s important to reflect on the significant efforts made by STS over the past year to advocate for improved lung cancer outcomes and raise awareness. Key initiatives have included:  

2 min read
Derek Brandt, JD, STS Advocacy

Zoom credentials will be shared with registrants closer to the event date.

Join STS-PAC Chair Keith S. Naunheim, MD, and STS Council on Health Policy and Relationships Chair Joseph C. Cleveland Jr., MD, for a conversation about the outcome of the 2024 election and how it will affect cardiothoracic surgeons, their practices, and their patients. 

Discussion topics include: 

Date
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US Capitol building with trees

Congress recently passed a continuing resolution to fund the government through Dec. 20, providing a reprieve before another potential budget showdown. Despite the urgency of keeping the government running, significant progress has been made on key STS advocacy priorities in the House of Representatives.  
 

2 min read
Derek Brandt, JD, STS Advocacy
Be the voice of the cardiothoracic surgery specialty in Washington, DC.
Event dates
Mar 3–4, 2025
Location
Washington, DC
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advocacy

This month, the Centers for Medicare & Medicaid Services (CMS) finalized a new mandatory episode-based alternative payment arrangement called the Transforming Episode Accountability Model (TEAM).

3 min read
Molly Peltzman, STS Advocacy
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lung cancer awareness month

It's the August recess and lawmakers are back home in their districts campaigning and meeting with their constituents, providing a prime opportunity for STS members to support STS’s advocacy priorities.

2 min read
Iain Mackay Adams, STS Advocacy
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US Capitol building with blue skies
STS submitted a joint letter recommending specific coverage guidelines to the Centers for Medicare & Medicaid Services for transcatheter tricuspid valve replacement therapy. 
3 min read
Derek Brandt, JD, STS Advocacy
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US Capitol building with trees

Despite the rapidly evolving presidential political scene, Washington remains uncharacteristically busy this election year. 

2 min read
Derek Brandt, JD, STS Advocacy

Washington, DC - Today, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the CY 2025 Medicare Physician Fee Schedule. In this proposal, CMS again recommends substantial cuts to physician reimbursements. The Society of Thoracic Surgeons (STS) is concerned that recurring significant cuts will endanger patient care and undermine the financial stability of cardiothoracic surgery practices and hospitals. 

Jul 10, 2024

This afternoon the Centers for Medicare & Medicaid Services (CMS) released the CY 2025 Medicare Physician Fee Schedule Proposed Rule. STS has compiled a summary of key provisions affecting thoracic surgery in the rule. 

Payment Cuts

CMS is again proposing significant cuts to cardiothoracic surgery reimbursement, this time by 2.8%. CMS estimates the CY 2025 conversion factor (CF) to be $32.36. Unlike hospital payments with a built-in yearly increase, physician payments do not have such adjustments. STS will continue lobbying Congress and CMS for systematic reforms and an inflationary update to Medicare payments.

Changes to physician reimbursement often stem from the budget neutrality requirement, which lacks a mechanism for inflationary adjustments. Disruptions occur when the value of specific services change, affecting the reimbursement of other services to maintain budget neutrality. STS and the physician community are advocating for Congress to legislate an inflationary update to the CF and adjust budget neutrality thresholds. For more details, see our recent response to the Senate Finance Committee’s request for information on physician payment. 

Quality Payment Program (QPP)

Thanks to advocacy efforts from STS and other stakeholders, Congress has stepped in to extend a 3.5% incentive payment for Advanced Alternative Payment Model (APM) participation in CY 2025 (based on CY 2023 participation). Additionally, starting in payment year 2026, APM participants will be eligible for a higher CF update than other clinicians: 0.75% compared to 0.25%. 

STS previously worked with CMS to provide specialty-specific, meaningful measures for our members who participate in the Bundled Payments for Care Improvement (BPCI) Advanced APM. Additionally, this will be relevant for CT surgeons performing CABG procedures under the new TEAM payment model proposed in the inpatient payment rule. CMS is considering, with STS support, allowing TEAM participation to count towards Advanced APM participation under the QPP.

Global Surgical Codes 

CMS is proposing to expand the use of transfer of care modifiers for global packages. They would require the use of modifiers (-54, -55, and -56) for all 90-day global surgical packages in cases where a practitioner (or another from the same group) expects to provide only the pre-operative (-56), procedure (-54), or post-operative (-55) portions. This applies to both formally documented and informally expected transfers of care. CMS aims to use the information collected to refine global surgical codes in the future.  

In the past, STS has actively promoted the benefits of maintaining the 90-day global code and has refuted flawed data used to advocate for their repeal. We will continue to promote the value of these bundled payments and urge policymakers to extend the increased reimbursement for E/M visits to those packaged in procedural global payments.  

Telehealth

CMS has extended telehealth flexibilities where possible, including adding new services to the telehealth list and permitting two-way and real-time audio-only communication technology for any telehealth service. Absent congressional intervention, the future of telemedicine hangs in the balance as the current telehealth flexibilities are scheduled to expire on December 31, 2024. STS urges Congress to permanently extend telehealth flexibilities established during the COVID-19 public health emergency. 

Jul 10, 2024
3 min read