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  • Article

    CMS Reissues Stark Rules Restricting Certain Unit-based Rental Rate Arrangements And Issues Two Stark Updates

    As part of its 2017 Medicare Physician Fee Schedule update, the Center for Medicare and Medicaid Services reissued its prohibition on certain unit-based rental arrangements with referring physicians.
    United StatesFood, Drugs, Healthcare, Life Sciences
    McDermott Will & Emery
    McDermott Will & Emery
  • Article

    CMS Releases Proposed Physician Fee Schedule Rule For 2021

    On August 4, 2020, the Centers for Medicare and Medicaid Services ("CMS") posted for inspection the Proposed 2021 Payment Policies under the Physician Fee Schedule...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Updates Medicare Physician Fee Schedule, Other Part B Policies For CY 2014

    On December 10, 2013, CMS published its final rule updating Medicare physician fee schedule rates and polices for calendar year 2014, which includes a 20.1% across-the-board cut in PFS rates in 2014.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    OPPS Final Rule Finalizes Limits For Off Campus Departments

    Center for Medicare and Medicaid Services (CMS) issued the long-awaited implementation of the "site-neutrality" provisions of the H.R. 1314 Bipartisan Budget Act of 2015 (BiBA Section 603) on November 1, 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Foley & Lardner LLP
    Foley & Lardner LLP
  • Article

    New CMS Policy Targets "Evidence-Based" Or "Non-Submit" MSAs

    The newest version of the "Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide" contains just one change, but this one change was apparently intended to send a strong message
    United StatesFinance and Banking
    Teague Campbell Dennis & Gorham
    Teague Campbell Dennis & Gorham
  • Article

    CMS Aduhelm Decision: Precedent For Future Coverage Or A One-Off?

    On April 7, the Centers for Medicare & Medicaid Services (CMS) released its highly anticipated final National Coverage Determination (NCD) for Aduhelm and other similar therapies in the pipeline for Alzheimer's disease.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Manatt, Phelps & Phillips, LLP
    Manatt, Phelps & Phillips, LLP
  • Article

    CMS Issues New And Revised Blanket Waivers

    On April 30, 2020, CMS issued several new and revised blanket waivers for health care providers retroactively effective March 1, 2020, through the end of the emergency declaration.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Butler Snow LLP
    Butler Snow LLP
  • Article

    CMS Proposes FY 2020 Medicare IPPS/LTCH Update, Including Proposals To Promote Access To New Medical Device Technology

    The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule to update the Medicare acute inpatient prospective payment system
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases CY 2025 Hospital OPPS Rule And ASC Proposed Rule

    CMS is required annually to propose updating the payment policies and rates for services furnished to Medicare beneficiaries in hospital outpatient departments (HOPDs) and ASCs.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Crowell & Moring LLP
    Crowell & Moring LLP
  • Article

    Current CMS Policy Priorities And Initiatives In Quarter 4

    On October 17, 2023, CMS held their quarterly National Stakeholder Call to provide updates on recent accomplishments and how their initiatives advance...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Crowell & Moring LLP
    Crowell & Moring LLP
  • Article

    CMS Issues Final FY 2020 Medicare Ipps/Ltch Update, Including New Medical Device Technology Policies

    The Centers for Medicare & Medicaid Services (CMS) has finalized Medicare acute inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) rates and policies for...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Issues FY 2015 Medicare SNF PPS Final Rule

    The Centers for Medicare & Medicaid Services (CMS) published the final FY 2015 Medicare skilled nursing facility (SNF) prospective payment system (PPS) rule on August 5, 2014 (Final Rule).
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes IPPS/LTCH Payment and Policy Changes for FY 2018; Requests Comments on Broader Policy Issues

    CMS has published its proposed rule to update the Medicare acute hospital inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2018.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes IPPS/LTCH Payment and Policy Changes for FY 2018; Requests Comments on Broader Policy Issues

    CMS has published its proposed rule to update the Medicare acute hospital inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year (FY) 2018.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Proposes Medicare OPPS, ASC Update for CY 2018

    CMS has published its proposed rule to update Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) payment system rates and policies for calendar year (CY) 2018.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Releases CY 2025 Medicare Physician Fee Schedule Proposed Rule

    On July 10, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2025 Medicare Physician Fee Schedule Proposed Rule (2025 PFS Proposed Rule), which contains proposals to update PFS...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Crowell & Moring LLP
    Crowell & Moring LLP
  • Article

    CY 2016 Medicare OPPS Spending to Drop by 0.4% under Final OPPS Rule; ASC Payments Get Small Boost

    On November 13, 2015, the Centers for Medicare & Medicaid Services (CMS) is publishing its final rule updating the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System rates and policies for calendar year (CY) 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    What 340B Hospitals Need To Know About CMS's CY 2026 OPPS Final Rule

    CMS's recently published CY 2026 OPPS Final Rule will affect 340B covered entities in two key ways starting Jan. 1, 2026. First, CMS will conduct a Drug Acquisition Cost Survey to collect NDC-level pricing data...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Polsinelli PC
    Polsinelli PC
  • Article

    CMS Finalizes Medicare Physician Fee Schedule Rates, Policies For 2016

    Today the Centers for Medicare & Medicaid Services (CMS) published the final rule to update the Medicare physician fee schedule (MPFS) for calendar year (CY) 2016.
    United StatesFood, Drugs, Healthcare, Life Sciences
    Reed Smith
    Reed Smith
  • Article

    CMS Finalizes Rate Notice For Medicare Parts C And D (CY 2027)

    On April 6, 2026, the Centers for Medicare and Medicaid Services (CMS) circulated the Announcement of Calendar Year (CY) 2027 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies...
    United StatesFood, Drugs, Healthcare, Life Sciences
    Crowell & Moring LLP
    Crowell & Moring LLP

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