Federal Rule Summaries

On April 11, the Centers for Medicare & Medicaid Services (CMS) released the Inpatient Prospective Payment System (IPPS) proposed rule (CMS-1833-P) for FY 2026. This rule updates policies and payment rates for acute care inpatient hospital servic...

On April 4, the Centers for Medicare & Medicaid Services released a final rule updating the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program (Part D), Medicare Cost Plan Program, Programs of All-Inclusive Care for the E...

On November 1, the Centers for Medicare & Medicaid Services released the final rule for the CY 2025 Hospital Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System. Additional information may be found...

On November 1, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) final rule for Calendar Year (CY) 2025 (CMS-1807-F). The rule updates payment policies and rates for Part B services furnished u...

On August 1, the Centers for Medicare & Medicaid Services (CMS) released the Inpatient Prospective Payment System (IPPS) final rule (CMS-1808-F) for FY 2025. This rule updates payment policies and payment rates for acute care inpatient hospital s...

On April 10, the Centers for Medicare & Medicaid Services (CMS) released the Inpatient Prospective Payment System (IPPS) proposed rule (CMS-1808-P) for FY 2025. This rule updates payment policies and payment rates for acute care inpatient hospita...

On March 6, the Centers for Medicare & Medicaid Services (CMS) released a final National Coverage Determination (NCD) for Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS), which was effective upon its...

On January 9, the Office of the National Coordinator for Health Information Technology (ONC) and the Department of Health and Human Services published a final rule for Health Data, Technology, and Interoperability: Certification Program Updates, Algo...

On January 17, the Centers for Medicare & Medicaid Services (CMS) released a final rule that outlines policy changes to the prior authorization (PA) process for Medicare Advantage (MA) organizations, state Medicaid and Children’s Health Insurance...