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Member

CMS Issues IOTA Model Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) Dec. 9 issued a proposed rule that would make changes to the Increasing Organ Transplant Access (IOTA) Model beginning July 1, 2026.
Organ Transplantation
Member

CMS Releases CY 2026 Home Health PPS Final Rule

The home health prospective payment system final rule for calendar year 2026 will reduce payments by 1.3%, or $220 million relative to CY 2025, according to the Centers for Medicare & Medicaid Services.
Home Health PPS, Long-term Care, Post-Acute Care
Member

Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2025

The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Ambulatory and Outpatient Care
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Member

Update on Implications of the Government Shutdown on Day 1

A federal government shutdown began at midnight Sept. 30. The impact on health care is that government funding and certain health care programs and waivers expired.
Legislation and Legislative Advocacy, Advocacy & Public Policy, Hospital at Home, Telehealth, Medicaid DSH, Workforce
Member

UPDATED: Implications for Hospitals and Health Systems as Government Shutdown Looms

Advisory revised Sept 28. with fiscal year 2026 agency contingency plans. Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce
Member

Implications for Hospitals and Health Systems as Government Shutdown Looms

Government funding is set to expire at midnight Sept. 30 without congressional action.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Hospital at Home, Medicaid DSH, Rural issues, Workforce
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026

The Centers for Medicare & Medicaid Services (CMS) July 15 issued a
Ambulatory and Outpatient Care, Site-Neutral Payment Proposals
Member

Home Health Prospective Payment System Proposed Rule for CY 2026

The Centers for Medicare & Medicaid Services (CMS) June 30 issued its proposed rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS). Comments are due Sept. 2, and a final rule is expected around Nov. 1. New policies would generally be effective Jan. 1, 2026.
Home Health PPS, Home Health, Regulations and Regulatory Advocacy
Member

CMS Issues CY 2026 Physician Fee Schedule Proposed Rule

CMS July 14 issued a proposed rule that would update physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Telehealth, Medicare, Behavioral Health Care Delivery, Medicare