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aha.org /1 month ago

CMS finalizes policy and technical changes to Medicare, MA, Part D for CY 2027

The Centers for Medicare &amp; Medicaid Services April 2 released a final rule on policy and technical changes to Medicare Advantage, the Medicare Prescription Drug Benefit Pro...

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aha.org /4 weeks ago

CMS launches clinical laboratory fee schedule reporting module for data collection

The Centers for Medicare &amp; Medicaid Services has begun collecting private payor rate data through its Fee-for-Service Data Collection System Clinical Lab Fee Schedule Modul...

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aha.org /1 month ago

CMS finalizes Medicare Advantage rates for CY 2027

The Centers for Medicare &amp; Medicaid Services April 6 released the Medicare Advantage and Part D Rate Announcement for calendar year 2027. The rate announcement finalized a...

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natlawreview.com /1 month ago

Election Year Politics and Policy at CMMI: What Stakeholders Can Expect

Key Takeaways CMS’ Innovation Center is accelerating new payment and care delivery models as the Trump administration uses CMMI to advance health policy priorities. Current models...

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hitconsultant.net /1 month ago

CMS Establishes New Billing Code for AI-Driven Calcium Analysis on CT Scans

What You Should Know The Reimbursement Milestone: Effective April 1, 2026, the Centers for Medicare and Medicaid Services (CMS) has established a new national billing code and paym...

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hitconsultant.net /1 month ago

CMS Establishes New Billing Code for AI-Driven Calcium Analysis on CT Scans

What You Should Know The Reimbursement Milestone: Effective April 1, 2026, the Centers for Medicare and Medicaid Services (CMS) has established a new national billing code and paym...

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aha.org /1 week ago

CMS issues proposed rule on Medicaid supplemental payments

The Centers for Medicare &amp; Medicaid Services May 20 released a proposed rule&nbsp;that would&nbsp;modify&nbsp;policies governing Medicaid state-directed payment...

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aha.org /1 month ago

CMS releases proposed rule establishing electronic standards for drug prior authorizations

The Centers for Medicare &amp; Medicaid Services April 10 released a proposed rule that would establish electronic standards for drug prior authorizations. Building on a 2024 f...

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healthcare-economist.com /1 month ago

CMMI’s Advancing Chronic Care with Effective Scalable Solutions (ACCESS) Model Explained

In May 2025, CMS’s Center for Medicare & Medicaid Innovation (CMMI) unveiled it’s “Make America Healthy Again” vision. CMMI models focus on not only “protecting the federal tax...

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ccf.georgetown.edu /1 month ago

CMS Weaponizes Fraud Against Medicaid in Minnesota: The District Court Rules

On April 6, U.S. District Court Judge Eric Tostrud issued a decision in Minnesota v. Oz. The case was triggered by CMS’s deferral of $259 million in federal matching funds from th...

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aha.org /3 weeks ago

CMS announces electronic prior authorization initiative

The Centers for Medicare &amp; Medicaid Services yesterday announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem. CMS Administrat...

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newswire.com /3 weeks ago

CMS EXPOSED: The "Workaround Doctrine" - How Matt Zorn's Legal CMS Hemp Strategy Undermines the FDA

Matthew C. Zorn previously argued that federal regulators determine "accepted medical use" through the FDA approval framework. Today, he appears on behalf of the United States defe...

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insurancebusinessmag.com /1 week ago

CMS finalizes sweeping ACA marketplace overhaul for 2027

Lower user fees, tighter eligibility checks and more state control

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ccf.georgetown.edu /2 days ago

CMS Triples Harmful Impact of HR 1 Medicaid Provider Cuts in State Directed Payment Proposed Rule

Massive Overreach will Undermine Access to Health Care for People Covered by Medicaid Last week, on May 20, 2026, the Centers for Medicare and Medicaid Services (CMS) released a pr...

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jdsupra.com /1 month ago

Health Care Week in Review | CMS Releases CY 2027 MA Rate Announcement and FY 2027 IPPS and LTCH PPS Proposed Rule

Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and con...

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ccf.georgetown.edu /2 weeks ago

CMS Weaponizes Fraud Against Medicaid in California

For the second time in the 60-year history of the Medicaid program, a CMS deferral of federal matching funds has been announced by the Vice President of the United States at a Whit...

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jdsupra.com /1 month ago

CMS Directs States to Audit and Revalidate Medicaid Providers

The federal government is escalating its crackdown on Medicaid fraud and every state has been placed on notice. On April 21, Centers for Medicare & Medicaid Services (CMS) A...

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aha.org /1 day ago

CMS finalizes changes to Increasing Organ Transplant Access Model

The Centers for Medicare &amp; Medicaid Services May 28 issued a final rule making changes to the Increasing Organ Transplant Access Model beginning July 1. IOTA is a six-year...

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jdsupra.com /1 week ago

The final course: The 2027 Notice of Benefit and Payment Parameters is served

After a long period of anticipation, the final course has arrived! The Centers for Medicare & Medicaid Services (CMS) issued the final 2027 Notice of Benefit and Payment Parame...

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natlawreview.com /1 month ago

CMS Releases FY 2027 IPPS Proposed Update

On April 10, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2027 Inpatient Prospective Payment System (IPPS) proposed rule. This proposed...

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jdsupra.com /1 week ago

The final course: The 2027 Notice of Benefit and Payment Parameters is served

After a long period of anticipation, the final course has arrived! The Centers for Medicare & Medicaid Services (CMS) issued the final 2027 Notice of Benefit and Payment Parame...

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aha.org /1 month ago

CMS highlights new digital health ecosystem tools

The Centers for Medicare &amp; Medicaid Services April 9 held a demonstration showcasing the first series of products intended to push the health care industry toward a more co...

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aha.org /3 weeks ago

AHA comments on proposed changes to Medicare Advantage, Part D data reporting requirements

The AHA today submitted comments on the Centers for Medicare &amp; Medicaid Services’ proposed revisions to Medicare Advantage and Part D reporting requirements for contract ye...

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natlawreview.com /2 weeks ago

CMS Announces Nationwide Moratoria on New Medicare Enrollment for Hospices, Home Health Agencies

On May 13, 2026, the Centers for Medicare and Medicaid Services (CMS) announced an aggressive nationwide crackdown on fraud—with the start of six-month moratoria on new Medicare en...

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