The Centers for Medicare & Medicare Services’ (“CMS”) Innovation Center will begin accepting applications on January 12 for the recently announced Advancing Chronic Care with Effective, Scalable Solutions (“ACCESS”) Model—a...more
The Centers for Medicare & Medicaid Services (“CMS”) final rule for Medicare payment for services provided in hospital outpatient departments (paid under the Outpatient Prospective Payment System or “OPPS”) and ambulatory...more
12/12/2025
/ Ambulatory Surgery Centers ,
Centers for Medicare & Medicaid Services (CMS) ,
Digital Health ,
Drug Pricing ,
Final Rules ,
GME ,
Hospitals ,
Medicare ,
Medicare Payment Reform ,
Outpatient Prospective Payment System (OPPS) ,
Reimbursements ,
Reporting Requirements ,
Site-Neutral Exception ,
Telehealth ,
Trump Administration
On November 25, 2025, CMS released the Contract Year (“CY”) 2027 Medicare Advantage (“MA”) and Part D proposed rule (the “Proposed Rule”). The Proposed Rule would make significant changes to the MA and Part D programs,...more
12/3/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Drug Pricing ,
Enrollment ,
Health Insurance ,
Inflation Reduction Act (IRA) ,
Medicare Advantage ,
Medicare Part D ,
Opioid ,
Pharmaceutical Industry ,
Prescription Drug Coverage ,
Prescription Drugs ,
Proposed Rules ,
Regulatory Reform ,
Risk Adjustment Formula ,
Star Ratings
On September 15, 2025, the Centers for Medicare & Medicaid Services (“CMS”) published a highly anticipated Notice of Funding Opportunity (“NOFO”) announcement (the “Announcement”) to implement the Rural Health Transformation...more
9/29/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Federal Funding ,
Federal Grants ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Public Health ,
Rural Areas ,
Rural Health Care Providers ,
Stakeholder Engagement ,
State and Local Government
Comments are due in less than a month on the Centers for Medicare & Medicaid Services (“CMS”) proposals to make significant structural reforms to Medicare’s Competitive Bidding Program (“CBP”) for Durable Medical Equipment,...more
The Centers for Medicare & Medicaid Services recently published the calendar year (“CY”) 2026 proposed rule for Medicare payment for services provided in hospital outpatient departments under the Outpatient Prospective...more
8/14/2025
/ Ambulatory Surgery Centers ,
Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Deadlines ,
Executive Orders ,
Healthcare ,
Healthcare Reform ,
Medicare ,
Outpatient Prospective Payment System (OPPS) ,
Price Transparency ,
Proposed Rules ,
Telehealth ,
Trump Administration
On May 15, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released a proposed rule, entitled “Preserving Medicaid Funding for Vulnerable Populations – Closing a Health Care-Related Tax Loophole” to address a...more
5/30/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Federal Funding ,
Government Agencies ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
New Regulations ,
Proposed Rules ,
Regulatory Reform ,
State and Local Government ,
State Taxes
The Centers for Medicare & Medicaid Services (CMS) recently published the fiscal year (“FY”) 2026 proposed rule for Hospital Inpatient Prospective Payment Systems (IPPS) (the “Proposed Rule”). Comments to the Proposed Rule...more
5/6/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Healthcare ,
Healthcare Facilities ,
Healthcare Reform ,
Hospitals ,
Medicare ,
Payment Systems ,
Proposed Rules ,
Regulatory Reform ,
Regulatory Requirements
On April 4, 2025, the Centers for Medicare & Medicaid Services (“CMS”) released the contract year (“CY”) 2026 final rule for the Medicare Advantage (“MA”) program, Medicare Prescription Drug Benefit Program (“Part D”),...more
4/18/2025
/ Centers for Medicare & Medicaid Services (CMS) ,
Drug Pricing ,
Final Rules ,
Healthcare ,
Healthcare Reform ,
Medicare ,
Medicare Advantage ,
Medicare Part D ,
Prescription Drugs ,
Proposed Rules ,
Regulatory Requirements
On November 26, 2024, the Centers for Medicare & Medicaid Services (“CMS”) released the contract year 2026 proposed rule for the Medicare Advantage (“MA”) program, Medicare Prescription Drug Benefit Program (“Part D”),...more
12/17/2024
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Medicare ,
Medicare Advantage ,
Medicare Part D ,
Medicare Payment Reform ,
Mental Health Parity Rule ,
Pharmaceutical Industry ,
Pharmacies ,
Pharmacy Benefit Manager (PBM) ,
Prescription Drugs ,
Proposed Rules ,
Transparency