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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.

CMS releases FY 2027 IPPS final rule

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

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...

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

CMS Finalizes Medicare Hospice Payment Increase and New Patient Disclosure Rules for FY 2027

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule updating Medicare hospice payment rates, the hospice wage index, and quality reporting...

CMS Proposes to Restrict Outsourced Remote Monitoring Services Under Medicare

More Than a Billing Requirement: CMS Turns Medicare Enrollment into a Program-Integrity Tool

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...

2027 OPPS: The 5 Provisions Health Systems Should Be Evaluating

CMS published its 2027 Outpatient Prospective Payment System proposed rule last month. Most health systems are treating it as a routine reimbursement update. It deserves more atten...

Skilled Nursing Facility Update: CMS Finalizes FY 2027 SNF PPS Rule: Payment Increase, QRP Reforms and Expanded MDS Repo...

On July 30, 2026, the Centers for Medicare & Medicaid Services (“CMS”) issued its final rule updating Medicare payment policies and rates for skilled nursing facilities (“SNFs”...

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

CMS proposed rule lays groundwork for more OBBBA provider tax cutbacks

The agency took another step toward codifying and enacting provider tax thresholds outlined in last summer's One Big Beautiful Bill Act.

Medicare to Increase Payments for Inpatient Rehabilitation Facilities in FY 2027

The Centers for Medicare & Medicaid Services (CMS) has published a final rule updating payment rates for inpatient rehabilitation facilities (IRFs) under Medicare for federal.....

CMS's Revised Medicare Overpayment Rule: What Healthcare Providers Need to Know

CMS Changes to Graduate Medical Education in 2027 IPPS Final Rule

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...

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...

CMS Seeks Broad Stakeholder Input on CLIA Regulations, Signaling Potential Modernization of Current Lab Regulatory Schem...

Client Alert- Centers for Medicare & Medicaid Services Finalize Comprehensive Care for Joint Replacement Expanded, a...

On July 31, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS-1849-F), which establishes a new, mandatory nationwide bundled payment model for l...

CMS locks in 2.3% inpatient hospital base pay increase, nudges back CJR-X Model start date

The Inpatient Prospective Payment System (IPPS) final rule's base pay increase is slightly below what was proposed earlier this year, though the agency said it now expects the rule...

CMS proposes major Medicare reforms to shift physician pay, phase out MIPS and expand ACO participation

The Trump administration is proposing sweeping changes to Medicare payment and value-based care programs it says will expand accountable care, modernize physician payment and help...

CMS proposal to block third-party vendors will upend remote monitoring services, health tech leaders say

Tucked inside a Medicare physician pay draft rule released this week, federal regulators proposed major changes to remote patient monitoring payment policies that experts say will...

CMS, FDA Propose RAPID Pathway for Medicare Coverage of Certain Medical Devices

Key Takeaways The proposed RAPID pathway would create a new voluntary CMS/FDA process for certain innovative medical devices, with the stated goals of expediting Medicare coverage...

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.

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...