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AHA Summary of House Energy and Commerce Legislative Language
The House Energy and Commerce Committee May 11 released bill text in advance of its May 13 markup. The committee has been instructed to reduce deficits by $880 billion, with significant Medicaid cuts being considered.
FY 2026 Transforming Episode Accountability Model Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) April 11 issued its hospital inpatient prospective payment system (PPS) and long
Updated Medicare Advantage Question and Complaint Process for Provider Organizations
CMS has released an updated complaint form with instructions for Medicare providers seeking assistance from the Centers for Medicare & Medicaid Services (CMS) in resolving Medicare Advantage (MA) claims issues.
CMS Issues Rate Announcement and Final Rule for CY 2026 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) earlier this month released its rate announcement and final rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly for contract year (CY) 2026.
White House Memo Orders Temporary Pause on Federal Grants, Loans and Other Financial Assistance Programs
The White House Office of Management and Budget (OMB) late last night issued a memo directing federal agencies to temporarily pause federal grants, loans and other financial assistance programs implicated by President Trump’s recent executive orders.
Transforming Episode Accountability Model (TEAM) Final Rule
The Centers for Medicare & Medicaid (CMS) Aug.
CMS Finalizes Medicare Appeal Rights for Certain Changes in Patient Status
The Centers for Medicare & Medicaid Services (CMS) Oct. 11 released a final rule establishing appeals processes for certain Medicare beneficiaries who initially are admitted as hospital inpatients but subsequently reclassified as outpatients receiving observation services.
New Medicare Advantage Question and Complaint Process for Provider Organizations
The Centers for Medicare & Medicaid Services (CMS) has published a
Medicare Physician Fee Schedule Proposed Rule for CY 2025
The Centers for Medicare & Medicaid Services (CMS) July 10 issued its physician fee schedule (PFS) proposed rule for calendar year (CY) 2025.