As noted in our recent article "Enforcement of CMS Vaccine Mandate Blocked Nationwide," on November 29 and 30, U.S. District Courts for the Eastern District of Missouri and the Western District of Louisiana...

In order to improve "clinician engagement" and minimize administrative burdens, CMS has announced an 18-month pilot program to reduce medical review audits for participants in selected Advanced Alternative Payment Models, beginning January 1, 2017.

CMS has announced that it will make a series of improvements to the Nursing Home Five Star Quality Rating System.

In 2016, an estimated $41.1 billion in improper Medicare fee-for-services payments were made to providers.

On May 1, 2023, the Biden administration announced that it would be ending all of its various COVID-19 vaccination requirements on May 11, 2023, the same date as the COVID-19 national emergency...

Attorneys from Tilleke & Gibbins have contributed the Laos and Thailand chapters to the newly released CMS Expert Guide to Cannabis Law and Legislation.

On October 17, the Centers for Medicare & Medicaid Services (CMS) announced that its Comprehensive Primary Care (CPC) initiative generated a total of $57.7 million in gross savings in Medicare Part A and Part B expenditures in its second performance year.

Notwithstanding CMS's optimism, many have noted that the future of the Innovation Center is up in the air as the new administration reviews the regulation of healthcare in the United States.

The Centers for Medicare & Medicaid Services (CMS) is making extensive revisions to its Medicare Advantage (MA) Value-Based Insurance Design model in order "to contribute to the modernization

CMS will not proceed with its planned Direct Decision Support innovation model due to operational and technical issues with the proposed Model design.

On November 30, the Centers for Medicare & Medicaid Services (CMS) announced that it published a final rule (CMS-5524-F and IFC) officially canceling mandatory hip fracture and cardiac bundled payment models, as well as the Episode Payment Models and Cardiac Rehabilitation Incentive Payment Model that were due to go into effect on January 1, 2018.

CMS is reminding Medicare- and Medicaid-participating providers and suppliers that they will be expected to comply with training and testing requirements included in a September 2016 emergency preparedness final rule by November 15, 2017.

On September 28, 2016, the Centers for Medicare & Medicaid Services (CMS) released a highly-anticipated final rule to strengthen requirements that long-term care (LTC) facilities must meet to participate in the Medicare and Medicaid programs.

On January 29, the Centers for Medicare & Medicaid Services (CMS) issued the first press release of the second Trump Administration indicating that CMS...

The Centers for Medicare & Medicaid Services (CMS) has proposed updating Medicare end-stage renal disease (ESRD) prospective payment system (PPS) rates by 1.7% for calendar year 2020

One week after unveiling the next round of Medicare durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) competitive bidding...

Fiscal year (FY) 2021 applications for Medicare inpatient prospective payment system (IPPS) new technology add-on payments will be discussed at a December 16, 2019 Centers for Medicare & ...

CMS has announced the single payment amounts for Round 1 2017 of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program.

A recent GAO report, "Medicare Part B: CMS Should Take Additional Steps to Verify Accuracy of Data Used to Set Payment Rates for Drugs," questions the reliability of pricing for Medicare Part B drugs reimbursed based on average sales price.

The final CMS calendar year (CY) 2018 Medicare home health prospective payment system (HH PPS) rule cuts Medicare payments by 0.4% ($80 million) in 2018 compared to 2017 levels ...