Jeffrey Davis on MIPS

No Doc Fix or Advanced APM Bonus: What Happens Next?

Here we go again! For the second year in a row, we enter the new year without Congress enacting a doc fix or Advanced Alternative Payment Model (APM) bonus extension. While Congress did act last year on both counts (through...more

1/9/2025 / Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare Reform , Medicare , Medicare Advantage , MIPS , Physicians , Value-Based Care

Regulatory Implications of the Continuing Resolution Healthcare Package

Earlier this week, Congress released the text of a continuing resolution that includes a more-robust-than-anticipated healthcare package. While the bill’s primary purpose is to keep the government open through March 14, 2025,...more

12/19/2024 / Centers for Medicare & Medicaid Services (CMS) , Children's Health Insurance Program (CHIP) , Congressional Committees , Healthcare , Legislative Agendas , Medicaid , Medicare , Medicare Access and CHIP Reauthorization (MACRA) , MIPS , Pharmaceutical Industry , Physician Fee Schedule , Proposed Legislation , Regulatory Agenda , Regulatory Reform , Telehealth , Telemedicine

Digesting the Huge Buffet of CMS Regs: Highlights from the CY 2025 PFS Final Reg

While we all are focused on the election results, let’s take a quick break to digest some regs and eggs. The Centers for Medicare & Medicaid Services (CMS) “spoiled” all of us in the health policy world with a huge buffet of...more

11/7/2024 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Healthcare , Healthcare Reform , Medicare , Medicare Shared Savings Program , Mental Health , MIPS , New Regulations , Outpatient Prospective Payment System (OPPS) , Physician Fee Schedule , Telehealth

CMS Releases CY 2025 Physician Fee Schedule Final Rule

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2025 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

11/6/2024 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Hospitals , Medicare , MIPS , Outpatient Prospective Payment System (OPPS) , Physician Fee Schedule , Physicians

Responses to the PFS Proposed Reg Are In: 10 Major Comments

McDermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. Click here to subscribe to future blog posts. September 19, 2024 – Comments on the calendar year (CY) 2025 physician fee...more

9/19/2024 / Centers for Medicare & Medicaid Services (CMS) , Comment Period , Health Care Providers , Healthcare , Healthcare Reform , Medical Coding , Medicare , MIPS , Physician Fee Schedule , Proposed Regulation , Telemedicine

Performance Year 2023 MIPS Payment Adjustments: A Return to Normal

While the phrase “return to normal” is used in many different contexts, interestingly, it can now also be applied to the maximum payment adjustments that clinicians receive through the Merit-based Incentive Payment System...more

8/29/2024 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Healthcare , Healthcare Reform , Legislative Agendas , Medicare , Medicare Payment Reform , MIPS , Quality Payment Program (QPP) , Regulatory Agenda

CMS Releases CY 2025 Physician Fee Schedule Proposed Rule

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2025 Revisions to Payment Policies Under the Physician Fee Schedule (PFS) and Other Revisions to Medicare Part B...more

7/17/2024 / Centers for Medicare & Medicaid Services (CMS) , Medicare , MIPS , Physician Fee Schedule , Physicians , Telehealth

HHS Institutes Information Blocking Disincentives for Healthcare Providers

The long-awaited final reg is upon us! The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) released a final regulation earlier this week...more

6/27/2024 / Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Health Care Providers , Healthcare , Healthcare Reform , Information Blocking Rules , MIPS , OIG , ONC , Regulatory Requirements

“Reg Season” is Coming! Preview of the Physician Fee Schedule

School is out and it is summertime, which means only one thing in the health policy community: reg season! This is the time of the year when the Centers for Medicare & Medicaid Services (CMS) releases regulations that propose...more

6/19/2024 / Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Healthcare , Healthcare Reform , Medicare , MIPS , New Regulations , Physician Fee Schedule , Physicians , Regulatory Agenda , Telehealth

2022 Quality Payment Program Performance Report Released: Observations and Insights

A couple of weeks ago, the Centers for Medicare & Medicaid Services (CMS) released an important report that provides insight into a significant contributor of clinicians’ overall Medicare reimbursement for this year....more

5/23/2024 / Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , Legislative Agendas , MIPS , New Legislation , Physician Fee Schedule , Quality Payment Program (QPP) , Regulatory Agenda , Regulatory Reform

CMS Releases Advancing Interoperability and Improving Prior Authorization Processes Final Rule

On January 17, 2024, the Centers for Medicare & Medicaid Services (CMS) released a final rule that will require certain payers to automate their prior authorization processes and implement application program interfaces...more

1/25/2024 / Centers for Medicare & Medicaid Services (CMS) , Final Rules , Healthcare , Healthcare Reform , Legislative Agendas , MIPS , New Legislation , Prior Authorization

Looking Forward: Top Policy Areas for 2024

Happy New Year! As we enter 2024, we want to lay out some of the main regulatory issues (both new and old) that McDermott+Consulting will be tracking over the next year. While these may evolve, we think they are still...more

A Government Shutdown Is Likely on the Horizon: Will the Regulatory Process Also Hit Pause?

Passing the 12 annual appropriations bills that fund the federal government for the next fiscal year (which starts on October 1), or enacting a stopgap continuing resolution in the interim, seems to come down to the wire...more

9/28/2023 / Appropriations Bill , Centers for Medicare & Medicaid Services (CMS) , CMMI , Department of Health and Human Services (HHS) , Federal Budget , Government Shutdown , Healthcare , Healthcare Reform , MIPS , OMB , Payment Systems , Regulatory Agenda

The MIPS Effect: A Surprise Twist in Estimating Medicare Payments for Clinicians Next Year

As physician groups and other stakeholders work to finalize comment letters on the calendar year (CY) 2024 Physician Fee Schedule (PFS) proposed regulation by September 11, 2023, the Centers for Medicare & Medicaid Services...more

8/24/2023 / Affordable Care Act , Alternative Payment Models (APM) , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Hospitals , Medicaid , Medicare , MIPS , Physician Fee Schedule , Physicians

House Holds Hearing on MACRA Challenges, but Meaningful Reform is Unlikely

On June 22, 2023, the US House of Representatives Committee on Energy and Commerce Subcommittee on Oversight and Investigations held a hearing titled “MACRA Checkup: Assessing Implementation and Challenges that Remain for...more

7/7/2023 / Alternative Payment Models (APM) , Children's Health Insurance Program (CHIP) , Healthcare Reform , Medicare , Medicare Access and CHIP Reauthorization (MACRA) , MIPS , Patients , Physician Fee Schedule , Physicians , Quality Payment Program (QPP)

Jeffrey Davis

McDermott Will & Emery

Popular Topics by This Author

Latest Posts › MIPS