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CY 2026 Medicare and Medicaid Programs Hospital Outpatient Prospective Payment

Aug 07
2025

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...

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FY 2026 Medicare Inpatient Prospective Payment System Proposed Rule

May 06
2025

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...

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CY2026 Medicare Advantage Program and Part D Final Rule Summary

Apr 10
2025

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...

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CY 2025 Medicare Hospital Outpatient Prospective Payment System Final Rule Summary

Nov 14
2024

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...

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CY 2025 Medicare Physician Fee Schedule Final Rule Summary

Nov 13
2024

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...

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FY 2025 Medicare Inpatient Prospective Payment System Final Rule

Nov 12
2024

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...

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FY 2025 Medicare Inpatient Prospective Payment System Proposed Rule Summary

May 02
2024

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...

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Allogeneic Hematopoietic Stem Cell Transplantation for Myelodysplastic Syndrome

Mar 13
2024

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...

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Health Data Technology and Interoperability Final Rule Summary

Feb 08
2024

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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