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CMS 2027 Proposed Rule: Key Changes to RPM, RTM and Medicare Care Management

CMS's proposed CY 2027 rule (CMS-1848-P) would reshape RPM and RTM staffing, billing, and eligibility rules. Comment period open through Sept. 14, 2026.

News 7/17/26

Top News CMS issues an RFI for overhauling Medicare physician ...

CMS updates guidance on prior authorization transparency

CMS has updated its guidance on prior authorization metrics reporting, addressing the AMA’s concerns about how health insurers were disclosing requirements and outcomes, according...

Off-Campus Outpatient Departments: CMS’ Proposed Rule for the New Mandatory Attestation Process

On prior auth, CMS responds to AMA concerns

The American Medical Association (AMA) welcomed updated guidance from the Centers for Medicare & Medicaid Services (CMS) that strengthens enforcement of federal prior authori...

CMS releases FY 2027 IPPS final rule

CMS Proposes to Restrict Outsourced Remote Monitoring Services Under Medicare

CMS Finalizes Higher Payment for CERAMENT® G in the US

CMS has confirmed the DRG reassignment for CERAMENT® G in the final Medicare IPPS rule for fiscal year 2027, assigning qualifying cases to the highest reimbursing DRGs within their...

eSimplicity to Continue CMS Data Modernization With QDAS II Contract

eSimplicity will support healthcare quality data and analytics under a $40 million CMS QDAS II task The award continues the company’s work with CMS’ Center for Clinical Standards a...

CMS Pivots to Risk-Based Cybersecurity Model, CISO Says

CMS Chief Information Security Officer Keith Busby said that the agency is transitioning from a compliance- to risk-based cybersecurity model One of the agency’s strategies is to u...

The Remote Monitoring Reckoning: What CMS’s CY 2027 Proposed Rule Means for Providers and Vendors

Medicare’s reimbursement of remote patient monitoring services, beginning in 2019, offered a meaningful patient care opportunity, paying to give patients devices to measure their h...

CMS CY 2027 OPPS/ASC Proposed Rule: Key Payment and Policy Changes for Hospitals, Health Systems, and ASCs

ACCESS to Better Care- Things to Know About CMS’s ACCESS Innovation Model

Leading ACCESS Model Participants

The CMS Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model went into effect on July 5. The 10-year, voluntary model aims to bring “technology-supported care” o...

Why CMS Is Trying to Ban Third-Party Remote Patient Monitoring

CMS’ proposed 2027 Physician Fee Schedule would bar Medicare payment for remote monitoring services delivered by third-party vendors, following OIG reports that flagged widespread...

Crushing and Flexing: CMS Proposes to Expand Its Discretion to Deny and Revoke Medicare Enrollment

Health Provider News

NATIONAL CMS Medicaid fraud unit flags 50 providers, $203M in payments CMS’ proposed remote patient monitoring ban, explained D.C. appeals court sides with HHS in 340B drug discoun...

Trump admin blocks over $1.6B in potentially fraudulent Medicare lab payments: CMS

The CMS Fraud Defense Operations Center has also accounted for more than $371 million in Medicare suspended payments involving 267 providers and suppliers since Jan. 1, the agency...

AMA applauds updated CMS prior authorization reporting guidance

The organization said the agency responded to its concerns about payers' implementation of the transparency provisions of the 2024 final rule.

Centers for Medicare & Medicaid Services Releases Applied Behavior Analysis Toolkit- Key Takeaways for ABA Service P...

The Centers for Medicare & Medicaid Services (CMS) has put Applied Behavior Analysis (ABA) providers on notice: autism services remain protected, but the oversight environment...