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While CMS has been relatively quiet as of late from a public-facing perspective as it waits for new political leadership to arrive (including newly announced CMS Administrator, Chiquita Brooks-LaSure), ...

On May 10, 2024, the Centers for Medicare & Medicaid Services ("CMS") published a Final Rule that, for the first time, imposes national minimum nurse staffing requirements for nursing homes.

CMS estimates that 1,649 340B covered entity hospitals were paid reduced rates as a result of the 340B rate cuts, resulting in a loss of approximately $10.5 billion.

On April 24, 2019, the Centers for Medicare and Medicaid ("CMS") released a Request for Applications ("RFA") for the Bundled Payments for Care Improvement Advanced Model ("BPCI Advanced") for its second cohort of applicants since the program's inception.

On January 19, 2021, health care organizations nationwide will need to start complying with new regulations aimed at modernizing and streamlining key regulations under the federal Stark Law.

The Centers for Medicare and Medicaid Services (CMS) recently released a series of proposed and final rules revising and clarifying the Medicare and Medicaid conditions of participation governing hospitals, the conditions for coverage governing ambulatory surgery centers (ASCs) and regulatory requirements affecting non-hospital providers and suppliers.

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year 2025 final rule for services reimbursed under the Medicare physician fee schedule. Among other developments.

On 17 January 2024, the Centers for Medicare & Medicaid Services (CMS) released a final rule outlining new interoperability and prior authorization requirements for certain payors (Final Rule).

In 2024, the Centers for Medicare & Medicaid Services (CMS) leveraged its existing oversight channels1 to assess plans' compliance with the coverage and utilization management (UM)...

On July 2, 2026, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule intending to substantially reduce Medicare Part B payment rates for drugs acquired through the federal 340B Drug Pricing...

On February 26, 2014, CMS published an advance notice of proposed rulemaking (ANPRM) seeking public comments on two potential changes to Medicare reimbursement for durable medical equipment (DME), prosthetics, orthotics, and supplies (DMEPOS) that could impact payment to DMEPOS suppliers nationwide regardless of whether they participate in competitive bidding.

On October 5, 2010, the FTC, CMS and OIG will host a public workshop featuring a listening session on various legal issues related to ACOs, including antitrust, physician self-referral, anti-kickback and civil monetary penalty laws.

The Centers for Medicare & Medicaid Services published a final rule which reforms federal health policy regulations that CMS has identified as unnecessary.

In a proposed rule published Tuesday, August 15, 2017, the CMS announced its intention to roll back a handful of payment models introduced under the Obama Administration

On July 15, the Centers for Medicare & Medicaid Services (CMS) announced that 33 states, plus D.C. and Puerto Rico, will participate in the Center for Medicare and Medicaid Innovation (CMMI)...

Last Thursday, in a hearing before the Senate Special Committee on Aging exploring the relationship between Recovery Audit Contractor (RAC) audits and an increase in claims for hospital observation stays.

CMS has finalized without change its proposed rule to block states from adopting or increasing Medicaid managed care "pass-through" payments to hospitals, nursing facilities, and physicians beyond...