Given the potentially significant changes in payment that would occur, in the CY 2019 PFS final rule, we finalized a policy to phase in our use of the new direct PE input pricing over a 4-year period using a 25/75 percent (CY 2019), 50/50 percent (CY 2020), 75/25 percent (CY 2021), and 100/0 percent (CY 2022) split between new and old pricing
This can result in cancer of the oral cavity, pharynx, larynx, and esophagus
We further finalized additional adjustments to the bundled payment for an episode of care, such as intake activities and periodic assessments
Scores falling below one-quarter of the performance threshold receive a negative adjustment of minus 9 percent, while scores between one-quarter of the performance threshold and the performance threshold receive a negative payment adjustment less than 0 percent and up to minus 9 percent based on a linear sliding scale
Smoking is also associated with greater depressive symptoms, psychiatric hospitalization, and suicidal behavior, according to a different study in the New England Journal of Medicine and a study in the Journal of Psychiatric Research