Key Takeaways:
Centers for Medicare & Medicaid Services (CMS) deferred $259.5 million in federal Medicaid funds to Minnesota over program integrity concerns....more
3/9/2026
/ Artificial Intelligence ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
DMEPOS ,
Enforcement Actions ,
Federal Funding ,
Health Care Providers ,
Healthcare Fraud ,
Medicaid ,
Medical Devices ,
Medical Supplies ,
Medicare ,
Regulatory Oversight ,
Request For Information ,
Suppliers
Key Takeaways - CMS is seeking input by March 30 on a proposed framework to promote U.S.-made PPE and essential medicines in Medicare-participating hospitals....more
2/13/2026
/ Administrative Procedure Act ,
Advanced Notice of Proposed Rulemaking (ANPRM) ,
Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Federal Acquisition Regulations (FAR) ,
Healthcare Facilities ,
Hospitals ,
Life Sciences ,
Made in the USA ,
Manufacturers ,
Medical Supplies ,
Medicare ,
Personal Protective Equipment ,
Prescription Drugs ,
Procurement Guidelines ,
Proposed Rules ,
Regulatory Oversight ,
Supply Chain
Key Takeaways -
OIG’s new Medicare Advantage Industry Segment-Specific Compliance Program Guidance (MA ICPG) highlights major compliance risk areas and provides practical guidance for MA plans and other parties....more
2/9/2026
/ Centers for Medicare & Medicaid Services (CMS) ,
Enforcement ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Medicare ,
Medicare Advantage ,
New Guidance ,
OIG ,
Regulatory Oversight ,
Risk Management
2026 is shaping up to be a pivotal year for health care reimbursement.
From major CMS payment rules to evolving disclosure requirements, AI scrutiny, and mounting pressure on providers across the care continuum, the 2026...more
1/22/2026
/ Centers for Medicare & Medicaid Services (CMS) ,
Disclosure Requirements ,
Enforcement Actions ,
Enrollment ,
Guidance Update ,
Health Care Providers ,
Health Insurance ,
Healthcare Facilities ,
Home Health Care ,
Hospice ,
Hospitals ,
Medical Devices ,
Medical Equipment ,
Medical Reimbursement ,
Medicare ,
PECOS ,
Physician Fee Schedule ,
Physicians ,
Price Transparency ,
Regulatory Oversight ,
Regulatory Requirements ,
Reimbursements ,
Revocation ,
Rural Health Care Providers
Durable Medical Equipment (DME) owners and prospective purchasers need to be aware of a new Medicare rule that significantly restricts the transfer of ownership in these types of companies. Failure to be aware of the new...more
Key Takeaways -
CMS and DOJ activity related to the Stark Law has been notably quiet in recent years, with no material rule updates since 2023 and limited enforcement actions. This slowdown has left many providers...more
Health Care is one of the most regulated industries in the country, and for many years, one of the key administrative agencies overseeing health care in the United States, the Department of Health and Human Services’ (“HHS”)...more