Federal Rule Summaries
CY 2026 Medicare and Medicaid Programs Hospital Outpatient Prospective Payment
On July 14, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) proposed rule and fact sheet for CY 2026 (CMS-1832-P). This rule updates payment policies and payment rates for Part B services fur...
Read moreFY 2026 Medicare Inpatient Prospective Payment System Proposed Rule
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...
Read moreCY2026 Medicare Advantage Program and Part D Final Rule Summary
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...
Read moreCY 2025 Medicare Hospital Outpatient Prospective Payment System Final Rule Summary
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...
Read moreCY 2025 Medicare Physician Fee Schedule Final Rule Summary
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...
Read moreFY 2025 Medicare Inpatient Prospective Payment System Final Rule
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...
Read moreFY 2025 Medicare Inpatient Prospective Payment System Proposed Rule Summary
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...
Read moreAllogeneic Hematopoietic Stem Cell Transplantation for Myelodysplastic Syndrome
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...
Read moreHealth Data Technology and Interoperability Final Rule Summary
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...
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