Today is the deadline for interested parties to submit comments to CMS regarding the proposed contract year 2019 Medicare Advantage and Part D regulations.

On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) released its Final Rule for the Calendar Year (CY) 2026 Physician Fee Schedule (PFS), detailing significant updates to Medicare Part B payment policies.

On February 7, 2023, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published a report entitled, "Technical Assistance Brief...

The Centers for Medicare & Medicaid Services' (CMS) 2026 Organ Procurement Organization (OPO) Guidance reinforces existing donor-process safeguards while signaling increased...

On July 16, 2025, the U.S. Department of Health and Human Services' (HHS) Centers for Medicare & Medicaid Services (CMS) published its CY 2026 Medicare Physician Fee Schedule...

On November 1, 2022, the Centers for Medicare & Medicaid Services ("CMS") published the final rule for the calendar year ("CY") 2023 outpatient prospective payment system ("OPPS")...

On September 25, a federal district court vacated the Medicare Advantage risk adjustment and data validation ("RADV") final rule that would have enabled the Centers...

In the CY 2016 Draft Call Letter, CMS stated its expectation that Part D Plan Sponsors develop and implement a soft point-of-sale (POS) edit to prevent opioid overutilization.

On November 20, 2020, CMS issued its Final Rule (the "Final Rule") modifying various Stark Law regulations, including those specifically geared toward real estate arrangements.

On October 26, 2018, the Centers for Medicare and Medicaid Services ("CMS") released for viewing a proposed rule that includes significant changes for Medicare Advantage organizations ("MAOs"),

The Centers for Medicare & Medicaid Services (CMS) recently issued a long-awaited Notice with Comment Period outlining a proposed Transitional Coverage for Emerging Technologies (TCET)...

The Inflation Reduction Act's ("IRA") drug price negotiation provisions have captured the pharmaceutical and biotech industry's attention. In part, the IRA allows the Centers for Medicare & Medicaid

On March 1, 2016, the U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services published a proposed rule entitled "Medicare, Medicaid, and Children's Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process".

More than four years after it was proposed, on February 1, 2023 the Centers for Medicare & Medicaid Services ("CMS") published the long-awaited risk adjustment data validation ("RADV") Final Rule ("Final Rule")...

Addressing issues ranging from participation in Part D Plan pharmacy networks to compliance training for so-called first-tier, downstream and related entities, the Proposed Rule covers numerous topics with varying degrees of importance for Medicare Advantage Organizations, Part D Plan Sponsors, pharmacy benefit managers, pharmacies, and other health care and administrative service providers.

The Centers for Medicare & Medicaid Services (CMS) recently proposed regulatory changes to the Stark Law that may ease certain compliance challenges.

On January 30, 2023, the Centers for Medicare & Medicaid Services released the long-delayed final rule on risk adjustment data validation audits of Medicare Advantage organizations

As the COVID-19 emergency continues to heavily impact the U.S. and its health care system, CMS has issued additional flexibilities for providers and payors seeking to respond to the pandemic.

On July 7, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to implement a remedy in response to last year's Supreme Court decision finding the Medicare Part B payment...

The U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services published its proposed update to the home health prospective payment system for calendar year 2016 in the July 10, 2015 Federal Register.