CMS Rules

CMS Proposes SEP for New Beneficiaries, Closing Coverage Gaps CMS Rules

CMS Proposes SEP for New Beneficiaries, Closing Coverage Gaps

Last Friday, April 22, 2022, the Centers for Medicare and Medicaid Services (CMS) issued a proposal to rectify a few of the issues many Americans face with Medicare enrollment. The CMS press release says the proposed rule will implement provisions from the Consolidated Appropriations Act of 2021 and President Joe Biden's executive...
CMS IPPS and LTCH PPS Proposed Rules: Health Equity and 3.2% Increase CMS Rules

CMS IPPS and LTCH PPS Proposed Rules: Health Equity and 3.2% Increase

On Monday, the Centers for Medicare and Medicaid Services (CMS) published the Hospital Inpatient Prospective Payment (IPPS) and Long Term Care Hospitals (LTCH PPS) Proposed Rule, which will update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for fiscal year 2023. The rule includes a 3.2% increase...
CMS Rules

CMS Calls For 4.6% Cuts to SNFs in FY 2023 PPS Proposed Rule

On Monday, the Centers for Medicare and Medicaid Services (CMS) filed the Fiscal Year 2023 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Proposed Rule. The reimbursements include a 3.9% increase to industry reimbursements, but in aggregate the impact of payment policies would result in a decrease of $320 million in...
CMS Rules

ACO REACH Model Launches, Stakeholders Applaud; CHART ACO Track Ends

On February 24, the Centers for Medicare and Medicare Services (CMS) gave a long-awaited announcement regarding the future of the Global and Professional Direct Contracting Model (GPDC). The existing model will phase out by December 31, 2022 and will be redesigned to create the Accountable Care Organization Realizing Equity, Access and...
CMS Rules

CMS to Grant Additional Time for MIPS Hardship Exemption

The Centers for Medicare and Medicaid Services (CMS) will give physician groups participating in the Merit-based Incentive Payment System (MIPS) additional time to apply for a waiver that will allow their data to be re-weighted to account for the impacts of COVID-19 and the surge in cases related to the Omicron variant. CMS has assured...
CMS Rules

CMS Proposed Rule: Prescription Drug Costs in MA and Part D Plans

The Centers for Medicare and Medicaid Services (CMS) announced a new proposed rule that takes aim at prescription drug costs in Medicare Advantage (MA) and Medicare Part D plans. The agency said the rule would reduce out-of-pocket costs for beneficiaries and improve price transparency as well as "market competition in the Part D...
CMS Rules

CMS Releases 2022 Physician Fee Schedule Proposal

The Centers for Medicare & Medicaid Services (CMS) released its proposal for the 2022 Physician Fee Schedule and Quality Payment Program rules with a focus on addressing health disparities in vulnerable communities. Significantly, the fee schedule proposes a 3.75% cut in reimbursements to physicians in order to maintain budget...
CMS Rules

CMS Doubles Down on Hospital Price Transparency in New Proposed Rule

The Centers for Medicare & Medicaid Services proposed a new rule last week that would impose higher penalties for large hospitals that fail to comply with price transparency rules. From U.S. Department of Health and Human Services Secretary Xavier Becerra: With today's proposed rule, we are simply showing hospitals through...
CMS Rules

CMS Makes Further Edits to Enable Allowances Under Stark Law

The Centers for Medicare & Medicaid Services (CMS) have recently taken steps to correct Stark Law, and released an advisory this week that applies to physician groups providing services through wholly owned subsidiary practices that are separately enrolled in Medicare. The federal physician self-referral law, popularly known...
Page 2 of 71234...
© The Hertel Report 2017. All rights reserved. | Privacy Policy