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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...
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...
When high-growth specialty practices look to reduce administrative burnout and accelerate patient care, deploying professional healthcare prior authorization services […] Magella...
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...
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...
Elevance Health is rolling out new billing policies that aim to ensure services are paid for at the appropriate level and drive greater transparency into where patients receive car...
The latest news from CMS, HHS and more across Washington, D.C.
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...
NTAP effective October 1, 2026, expanding access to icotec’s radiolucent spinal stabilization technology for eligible Medicare procedures.
On August 4, 2026, the Centers for Medicare & Medicaid Services (“CMS”) published the Fiscal Year (“FY”) 2027 Inpatient Prospective Payment System (“IPPS”) Final Rule (the “Fin...
Watch your mail in September for your stand-alone Medicare Part D or Medicare Advantage plan’s annual notice of change.
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...
Medicare policy should be transparent and include appropriate notice and stakeholder input. And when a contractor gets it wrong, there should be a clear and rapid way to stop the h...
NATIONAL 41 health systems warn of MyChart ‘Medicare Kit’ scam 5 provisions AAMC, AHA want rewritten in parallel 340B pushes AAHKS: CMS cuts punish joint replacement efficiency DEA...
The Centers for Medicare & Medicaid Services has corrected several Medicare payment figures for inpatient psychiatric facilities after discovering an error in the wage data...
National $1.5B in DME fraud cases mount AHA comments to MedPAC on differences in post-acute care use between MA, fee-for-service Medicare beneficiaries AHA, others file amicus brie...
Florence, SC, Aug. 25, 2026 (GLOBE NEWSWIRE) — DeGen Medical, Inc., a U.S.-based medical device manufacturer specializing in patient-specific…
Open enrollment for Medicare plans begins Thursday and enrollees will face a slew of changes that go into effect in 2027.
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