The U.S. Centers for Medicare and Medicaid Services (CMS) has proposed that Medicare beneficiaries see a decrease in out-of-pocket costs for services from hospital outpatient departments (HOPDs) in calendar year 2011.
The proposed final rule from CMS updates payment rates and policies for services furnished in HOPDs and ambulatory surgical centers, and it implements changes required by the Affordable Care Act of 2010.
The Affordable Care Act waives beneficiary cost sharing for most Medicare-covered preventive services, such as screening mammograms and screening colonoscopies. For most preventive services, beneficiaries would not have to satisfy their Part B deductible before Medicare will pay.
In addition, beneficiaries will not have to pay their copayment for these services, which typically are 20% of the Medicare payment amount, for the physician's or the facility's portion of the service.
The final rule will appear in the November 24 edition of the Federal Register. Comments on provisions are due by 5 p.m. EST on January 3, 2011.
Related Reading
CMS issues final rule on preventive services, November 3, 2010
FDA, CMS propose parallel product review, September 20, 2010
CMS alters PET policy for treatment planning, August 6, 2010
CMS to offer EHR education series, July 29, 2010
CMS unveils imaging decision-support initiative, July 23, 2010
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![A normal mammogram confirmed by three-year radiologic follow-up illustrates reader-marked regions of interest (ROIs) during (A) unaided (round 1) and (B) artificial intelligence (AI)–assisted (round 2) reading. Each colored dot represents an ROI for recall by a human reader. Readers could mark more than one ROI per case, represented by multiple dots of the same color. During AI-assisted reading, the AI system displayed three visible prompts: two with suspicion of malignancy scores of 35% (left mediolateral oblique [L MLO] and craniocaudal [L CC]) and one with a suspicion of malignancy score of 10% (right craniocaudal [R CC]), shown as polygonal overlays. Without AI, six of 10 readers (60%) marked a false-positive ROI. With AI assistance, this fell to two of 10 (20%). R MLO = right mediolateral oblique.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/07/2026-07-14-radiology-mammogram-ai-auto-bias.H0bYO8QlWs.jpg?auto=format%2Ccompress&dpr=2&fit=crop&h=167&q=70&w=250)
