On January 13, 2022, the Supreme Court's decision to reinstate the stay of the Occupational Safety and Health Administration emergency temporary standards (OSHA ETS) was widely reported.

Nursing homes that fail to comply with new requirements of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) may be subject to civil monetary penalties, according to a final rule issued by the Centers for Medicare and Medicaid Services (CMS).

CMS is seeking comments on its proposed updates to the methodologies used to pay Medicare Advantage (MA) and Part D plan sponsors for 2019.

CMS said it plans to audit risk-adjustment payments that Medicare Advantage (MA) plans received based on having identified additional diagnoses in beneficiary medical chart reviews.

The Centers for Medicare & Medicaid Services (CMS) has finalized its annual update to Medicare skilled nursing facility (SNF) PPS rates and policies for fiscal year (FY) 2019 ...

The Biden-Harris Administration announced the release of two interim final rules: (1) a Centers for Medicare & Medicaid Services (CMS) rule requiring vaccination of staff of health care facilities subject to CMS ...

Starting January 1, 2023, Medicare will expand and increase coverage of certain services and providers to advance access to prevention and treatment services for substance use disorders (SUD) and mental health services.

On June 10, 2010, the Centers for Medicare & Medicaid Services (CMS) posted long promised guidance (in the form of an "Alert") regarding the Medicare Secondary Payer (MSP) reporting obligations that apply in the clinical trial context under Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (Section 111).

On June 18, 2008, the Centers for Medicare & Medicaid Services (CMS) stated that all nursing homes participating in the Medicare and Medicaid programs will be required to have automatic sprinkler systems installed within five years.

In an evening email that is sure to ruin the weekend for many, CMS announced on February 5, 2020, that it is proposing changes to the Medicare Advantage...

Over the last year, we have seen volatility in the healthcare industry overall, and Medicare Advantage ("MA") and Medicare Part D plans (together, "Plans") have not been immune.

On July 12, 2018, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule introducing changes to the Medicare physician fee schedule

In issuing an order on Jan. 13, 2022, in two cases involving the Centers for Medicare and Medicaid Services (CMS) vaccine rule, Biden v. Missouri and Becerra v. Louisiana...

On December 18, 2025, the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced the Long-term Enhanced ACO Design (LEAD) Model...

CMS is redistributing the $1.6 billion in savings from this change by increasing by 3.2% conversion factor for non-drug items and services for 2018.

CMS has adopted a number of changes to its Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) policies for 2017...

On Friday, Oct. 31, 2014, the Centers for Medicare and Medicaid Services (CMS) published a final rule regarding the end-stage renal disease (ESRD) prospective payment system (PPS) for renal dialysis services furnished to beneficiaries on or after Jan. 1, 2015, and also regarding the ESRD quality incentive program (QIP).

Last fall, CMS requested public comments on the CMS Innovation Center's "New Direction," under which CMS will seek to "promote patient-centered care and test market-driven reforms." In the interest of transparency and to facilitate discussion, CMS has posted a summary of the more than 1,000 comments it received from medical societies, providers, manufacturers, and other organizations in response to this solicitation.

In its continued effort to curb fraud and abuse in the hospice industry, on Aug. 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced it was making unannounced site visits...

On December 10, 2013, CMS published a final rule that updates Medicare payment and other policies under the hospital outpatient prospective payment system and the ambulatory surgical center prospective payment system for calendar year 2014