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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...
The Trump administration is rapidly expanding its 10-year ACCESS Model, a value-based payment program that reimburses digital health companies based on patient outcomes rather than...
CMS will expand its ACCESS model starting in spring 2027 to cover heart failure, COPD, substance use disorders and tobacco cessation. The outcomes-based payment model, which launch...
The CMS announced the nationwide expansion of the Comprehensive Care for Joint Replacement model to begin Jan. 1, 2028, which aims to improve care coordination for hip, knee and an...
Counsel Health, an AI-native primary care company, plans to participate in CMS' ACCESS Model under the early cardio-kidney-metabolic track, with smart ring maker Oura serving as th...
When high-growth specialty practices look to reduce administrative burnout and accelerate patient care, deploying professional healthcare prior authorization services […] Magella...
CMS is seeking industry recommendations on restructuring fraud defense contracts to improve Medicare fraud detection and prevention. The post CMS Seeks Industry Input on Fraud Defe...
The Centers for Medicare & Medicaid Services (CMS) took constructive steps in its 2027 final rule and rate announcement, particularly on payment integrity and quality measureme...
On September 10, 2026, the Centers for Medicare and Medicaid Services (“CMS”) issued a Decision Memorandum, finalizing significant updates to Medicare’s National Coverage Determina...
The Trump administration has finalized a new model that aims to bring its most-favored nation pricing approach to Medicare Part B.
Debunked Podcast co-hosts Arundhati Parmar and Samir Batra discussed the merits of the CMS ACCESS Model (Advancing Chronic Care with Effective, Scalable Solutions) and how it can o...
The administration took steps to codify statutory reforms focused on maintaining accurate Medicare Advantage provider directories and collecting more pricing information from pharm...
NotALot: Code Gestion being 89 Means you are covered by CSS
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...
A trove of CMS documents obtained and shared by a privacy nonprofit outline sweeping issues such as delayed approvals, miscommunication and provider frustration.
In a recent interview Vantage Hemp's Chief Medical Officer says healthcare needs standardized, reproducible products and controlled clinical trials - as CMS carries its cannabinoid...
The latest news from CMS, HHS and more across Washington, D.C.
The Trump administration has released the 2027 Medicare Advantage star ratings, with many enrollees in plans that earned at least four stars.
Key Updates CMS has proposed a significant expansion of its Medicare provider enrollment and program-integrity authorities through the Calendar Year 2027 Home Health Prospective P...
How will CMS’ payment changes affect your practice?
In a press release, the American Academy of Orthopaedic Surgeons urged CMS to withdraw the proposed policies in the calendar year 2027 Medicare Physician Fee Schedule that may hind...
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