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CMS has released the October 2013 Medicare average sales price file update, which reflects payment amounts be used to pay for Part B drugs for the fourth quarter of 2013.

CMS has released detailed Medicare inpatient hospital, outpatient hospital, and physician utilization and payment data for 2013.

CMS Releases Preliminary 2019 Medicare Clinical Lab Payment Determinations.

CMS is inviting public input on "the evolution of Accountable Care Organization (ACO) initiatives" at CMS, including feedback on a second round of applications for the current Pioneer ACO Model along with new ACO models that encourage greater care integration and financial accountability. Responses should be submitted by March 1, 2014.

CMS has released a new Self-Referral Disclosure Protocol (SRDP) Form for disclosing actual or potential violations of the physician self-referral law (known as the "Stark Act") under CMS's existing self-disclosure process.

CMS published an interim final rule that requires qualified health plan issuers to accept premium and cost-sharing payments made on behalf of enrollees.

CMS has announced that it is holding a meeting of the Advisory Panel on Hospital Outpatient Payment on August 24-25, 2015.

CMS is seeking input on potential initiatives to test innovative models that increase the engagement of Medicare, Medicaid, and/or Children’s Health Insurance Program (CHIP) beneficiaries in their health and health care.

On October 1, 2015, CMS published a request for information (RFI) regarding implementation of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) provisions that mandate significant reforms of the Medicare physician payment system.

On February 14, 2014, CMS published a notice announcing an open period for additional organizations to be considered for participation in Models 2, 3, and 4 of the Bundled Payments for Care Improvement initiative.

The Medicare Access and CHIP Reauthorization Act of 2015 extended the therapy caps exceptions process through December 31, 2017.

The ACA’s Pre-Existing Condition Insurance Plan program is a temporary high-risk health insurance program for uninsured individuals who have been denied health insurance because of a pre-existing condition.

In mid-2014, state survey agencies and CMS piloted a short-term focused survey in five states to assess nursing home Minimum Data Set, Version 3.0 (MDS 3.0) coding practices and its relationship to resident care.

The Centers for Medicare & Medicaid Services (CMS) has finalized the methodology and data sources it will use to determine 2019 and 2020 federal payment

CMS recently provided an update on its education and enforcement strategies related to its "Two Midnight" policy, which addresses when surgical procedures, diagnostic tests and other treatments ..

The files contain the payment amounts that CMS will use to pay for Part B covered drugs for the fourth quarter of 2014.

CMS has announced that the CY 2015 Medicare outpatient therapy limit is $1,940 for physical therapy and speech-language pathology combined and $1,940 for occupational therapy.