The Centers for Medicare & Medicaid Services (CMS) has issued the Calendar Year (CY) 2019 Final Rule that updates payment rates and policy changes in the Hospital Outpatient Prospective Payment System

The Centers for Medicare & Medicaid Services has published long-awaited changes to the Medicare Shared Savings Program.

The Centers for Medicare and Medicaid Services ("CMS") issued its 2022 Strategic Framework ("CMS Strategic Framework") on June 8, 2022. Although styled as an open letter and visionary plan...

The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Hospital Outpatient Prospective Payment System...

On November 2, 2023, the Centers for Medicare & Medicaid Services ("CMS") released the final rules for the calendar year ("CY") 2024 outpatient prospective payment system ("OPPS")...

On February 9, 2023, the Centers for Medicare & Medicaid Services (CMS) released initial program guidance addressing the inflation rebate provisions of the Inflation Reduction Act of 2022...

In its November 2023 Proposed Rule and in its recently issued Final Rule that was published in the Federal Register on April 23, 2024, the Centers for Medicare & Medicaid Services (CMS)...

On Dec. 19, 2011, the Centers for Medicare & Medicaid Services (CMS) published proposed regulations pursuant to §6002 of the Patient Protection and Affordable Care Act, commonly known as the Physician Payments Sunshine Act (Sunshine Act).

On April 18, 2022, the Centers for Medicare & Medicaid Services ("CMS") published its annual proposed rule for the federal fiscal year ("FY") 2023 inpatient prospective payment system ("IPPS")...

The Final Call Letter addresses a wide variety of issues that will affect all parties involved in Medicare Advantage and Medicare Part D arrangements, including plans, beneficiaries, providers, and administrative services entities, such as pharmacy benefit managers.

The Centers for Medicare & Medicaid Services (CMS) on April 10, 2024, released a proposed rule for the fiscal year (FY) 2025 Inpatient Prospective Payment System (IPPS)...

On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center...

The current Medicare physician self-referral law (the "Stark Law") is potentially implicated by any payment made to a physician under pay-for-performance ("P4P"), gainsharing and other similar quality improvement and cost saving incentive programs.

The Centers for Medicare & Medicaid Services (CMS) on Aug. 1, 2022, released the final rule for the federal fiscal year (FY) 2023 inpatient prospective payment system (IPPS)...

The Centers for Medicare & Medicaid Services (CMS) on April 18, 2022, published its annual proposed rule for the federal fiscal year (FY) 2023 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System.

The Centers for Medicare & Medicaid Services (CMS) on July 13, 2021, released the calendar year (CY) 2022 Medicare Part B Physician Fee Schedule (MPFS) Proposed Rule, which also includes a number...

On August 1, 2023, the Centers for Medicare & Medicaid Services (CMS) released the final rule for the federal fiscal year (FFY) 2024 inpatient prospective payment system (IPPS)...

The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2025 Revisions to Payment Policies under the Physician Fee Schedule (MPFS)...

CMS defers adoption of self-reporting requirement but solicits comments on development of such a requirement.

In the wake of the Supreme Court's mixed ruling on federal vaccination mandates, the Centers for Medicare & Medicaid Services has released three separate guidances for three groups of states.