Point32Health’s fee schedules — including facility, professional (medical and behavioral) and ancillary/allied — are reviewed regularly to ensure that they are comprehensive and consistent with industry standards.
Commercial professional fee schedules
Commercial professional schedules will continue to be updated in a manner consistent with prior years.
- For Tufts Health Plan, the updated fee schedules will become effective on Jan. 1, 2024.
- For Harvard Pilgrim Health Care, updates to the commercial physician fee schedules for 2024 will occur on April 1, 2024.
Due to the timing of contractual updates, Tufts Health Plan will continue to base Jan. 1, 2024 changes on the proposed CMS relative value units (RVUs)/rates, while Harvard Pilgrim will continue to apply the final CMS RVUs/rates to the April 1, 2024 scheduled updates.
Behavioral health fee schedules:
- For both Tufts Health Plan and Harvard Pilgrim, the integrated behavioral health fee schedule will be updated on April 1, 2024.
Director, Provider Relations & Communications
Senior Manager, Provider Communications
Joseph O’Riordan, Susan Panos, Stephen Wong,