CMS hasfinalizedpolicies to increase access to marketplace coverage and expand essential health benefits (EHBs) in the HHS 2025 Notice of Benefit and Payment Parameters final rule. “Access to affordable, quality health care options remain a concern across the country and ...
2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE). Among other things, the Final Rule gives CMS additional grounds on which to deny PACE organizations’ initial and service area expansion applications, imposes immunization require...
The rule cites the limitation in the transfer of Medicare certification during a change in the ownership in a home health agency (HHA). However, the rule has been observed for its risks and ambiguities in the noncompliant transaction specifically on the sale of HHA.McBride...
The CMS 2025 Hospice Final Rule was released on July 30, 2024. Catch our summary and links to helpful resources.
CMS announced itsfinalCY 2025 OPPS and ASC payment rule, which includes policies aimed atsafeguarding maternal careand removing barriers to care for underserved communities. The final rule will also increase Medicare hospital outpatient facility and ambulatory surgical center payment rates ...
2024. CMS noted an adjustment under the OPPS could be considered for future years of rulemaking. In the Final Rule, however, CMS did not adopt a policy regarding payment under the IPPS or OPPS for establishing and maintaining essential medicines. The Agency, however, will continue to seek feed...
CMS said in the final rule that it continues to believe that the Radiation Oncology Model “would address long-standing concerns related to RT delivery and payment, including the lack of site neutrality for payments, incentives that encourage volume of services over the value of services, and cod...
The article reports on the final rule released by the U.S. Centers for Medicare & Medicaid Services (CMS) for exchange and insurance market standards in 2015. It says that the final rule will address consumer notices, quality reporting and enrollee satisfaction surveys, and Small Business Health...
Fierce Healthcare reportsthat Humana is weighing its options to challenge the rule. Humana CEO Bruce Broussard said the company is still reviewing the rule but that it was “disappointed” with exclusions in the final regulation. “We are considering all of our options to address or...
(OPPS)/Ambulatory Surgery Center (ASC) Payment System final rule (OPPS Final Rule),1in which the agency finalized several of the policies it proposed in the 2022 OPPS/ASC Payment System proposed rule (OPPS Proposed Rule).2In summary, in the OPPS Final R...