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In the Proposed Medicare Advantage and Part D Rules for 2025, the Centers for Medicare & Medicaid Services (CMS) proposed significant changes to how Medicare Advantage...

The Centers for Medicare and Medicaid Services (CMS) has introduced a new crop of temporary regulatory flexibilities in response to the COVID-19 public health emergency (PHE) in the form of new blanket waivers, implementing ...

This article is part of a series that takes an in-depth look at several proposals that would affect managed care organizations, health care providers and other industry stakeholders participating in, and contracting with participants of, state Medicaid and CHIP managed care programs.

On August 3, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a number of clarifications and proposals on remote patient monitoring (RPM)

On March 15, 2023, the Centers for Medicare and Medicaid Services (CMS) issued a 91-page guidance document outlining its plans for implementing the Drug Price Negotiation Program.

The Centers for Medicare and Medicaid Services (CMS) announced on April 26, 2023, that it would be updating its enforcement processes for the Hospital Price Transparency regulations.

More good news for hospitals, health care providers, and entrepreneurs interested in telehealth and Chronic Care Management.

On November 15, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule that will require skilled nursing facilities (SNFs) to disclose an expanded array of ownership, managerial...

On July 3, 2014, CMS released its proposed Calendar Year 2015 Physician Fee Schedule Proposed Rule, to be published in the Federal Register on July 11, 2014.

The Centers for Medicare and Medicaid Services (CMS) announced that the Clinical Laboratory Improvement Amendments (CLIA) program will be paperless as of March 1, 2026.

The Centers for Medicare & Medicaid Services (CMS) has scheduled a June 24, 2019 public meeting on calendar year (CY) 2020 Medicare Clinical Laboratory Fee Schedule (CLFS)

The final rule sets forth an effective date of 60 days after the date of display in the Federal Register for all but one provision

On December 1, 2020, CMS modified the data collection and reporting compliance periods for ground ambulance organizations that were selected by CMS to collect data during year 1 and year 2

CMS has announced that it is "pausing" its Pre-Claim Review demonstration in Illinois for at least 30 days, effective April 1, 2017, and it is not expanding the demonstration to Florida in April as previously planned.

Currently, the ACA requires that all medical policies available on the exchanges have enough in-network hospitals and doctors for members so that all services will be accessible without unreasonable delay.

On May 7, 2014, CMS published its proposed rule to update Medicare payment policies under the inpatient rehabilitation facility (IRF) PPS for FY 2015.

Earlier this year, Congress enacted legislation requiring hospitals to submit provider-based attestations and obtain separate National Provider Identifiers (NPIs) for each off-campus outpatient department...