The Centers for Medicare & Medicaid Services (CMS) has published its proposed Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC)

CMS released its 2017 Advance Rate Notice and draft Call Letter for the Medicare Advantage ("MA") and Part D programs.

As discussed in the Inpatient Prospective Payment System (IPPS) 2009 final rule (final rule) published in the August 19, 2008 Federal Register, the Centers for Medicare and Medicaid Services (CMS) is moving forward with its Disclosure of Financial Relationships Report (DFRR) initiative, the purpose of which is to assess compliance with the Stark law by requiring surveyed hospitals to provide detailed information about their ownership, investment, and compensation arrangements with physicians.

The Centers for Medicare & Medicaid Services (CMS) released the announcement of CY 2014 payment rates on April 1, which included its change in position regarding the assumption of the "doc fix" in estimates of Medicare Program growth, providing welcome relief for MA Organizations facing new medical loss ratio requirements, sequestration cuts and new premium taxes in 2014.

CMS has published its final rule with comment period updating the Medicare Hospital Outpatient Prospective Payment System and the Ambulatory Surgical Center Payment System rates and policies for CY 2017.

CMS recently proposed several important changes for the Medicare Advantage ("MA") program that relate to payment, benefit design, and new actions to combat the opioid crisis.

Comments on a limited number of provisions, including interim final RVUs, will be accepted if received by December 30, 2014.

On February 15, 2013, the Centers for Medicare & Medicaid Services released for comment two key documents affecting the Medicare Advantage (MA) and Part D Programs.

On November 26, 2024, the US Centers for Medicare & Medicaid Services (CMS) released the Contract Year (CY) 2026 Policy and Technical Changes to the Medicare Advantage (MA) Program, Medicare Prescription.

The Centers for Medicare and Medicaid Services (CMS) issued its much-anticipated self-disclosure protocol (SDP) for violations of The Ethics in Patient Referrals Act (commonly referred to as the "Stark law") on September 23, 2010.

Summer was no vacation for the Centers for Medicare & Medicaid Services (CMS).

The United States Department of Health and Human Services ("HHS") and the Centers for Medicare & Medicaid Services ("CMS") recently issued a series of proposed and final rules...

Hospitals reimbursed under the Outpatient Prospective Payment System (OPPS) must decide by the end of March whether to respond to the Centers for Medicare & Medicaid Services (CMS) OPPS Drug Acquisition Cost Survey (ODACS)...

In response to the COVID-19 Public Health Emergency (the "PHE"), the Centers for Medicare and Medicaid Services ("CMS") issued numerous "blanket waivers" to increase access to medical services...

CMS has officially cancelled a planned program to require certain hospitals to participate in Medicare episode payment models for acute myocardial infarction, coronary artery bypass graft, and ...

On November 6, 2014, CMS published a final rule that makes significant and highly technical changes to Medicare payment policies for durable medical equipment, prosthetics, orthotics, and supplies.

The 2026 Outpatient Prospective Payment System (OPPS) final rule (the Final Rule), released by the Centers for Medicare and Medicaid Services (CMS) on 21 November 2025 places hospitals, especially 340B covered entities, in a quandary.

CMS published its proposed update to the home health agency (HHA) Conditions of Participation (CoPs) in the October 9, 2014, Federal Register.

As reported in our previous Legal News Alerts, the Patient Protection and Affordable Care Act of 2010 (PPACA) required the Department of Health and Human Services (DHHS) to have established, by no later than September 23, 2010, a self-referral disclosure protocol, under which health care providers may voluntarily report actual or potential Stark violations to CMS.

On April 1st, the Centers for Medicare & Medicaid Services ("CMS") announced its Medicare Advantage ("MA") Capitation Rates and Part C and Part D Payment Policies for Calendar...