WASHINGTON—The Center for Medicare & Medicaid Services' proposed 2024 rule for the home health payment system includes a slew of hospice-specific provisions, many of them designed to reduce fraud and so-called "hospice flipping." Here's a look at what's included, according to the National ...
On December 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published a proposed rule with technical changes for the Medicare Advantage (MA) Program and the Medicare Prescription Drug Benefit Program for Calendar Year 2026 (Proposed Rule). Citing the growing use...
Medicaid Services (“CMS”) has announced its proposed rules for the Hospital Outpatient Prospective Payment (“OPPS”) and Ambulatory Surgical Center (“ASC”) Payment Systems, as well as its calendar year (CY) 2024 proposed Physician Fee Schedule (“PFS”), (collectively the “Proposed R...
Key proposed updates include changes to measure specifications for several measures, the retirement of two display measures (Antidepressant Medication Management (Part C) and Use of Opioid from Multiple Providers in Persons Without Cancer (OMP) (Part D)), and potential new measure concepts and ...
Proposed CMS Data Access Changes May Hamper Health Services Researchdoi:10.1001/jamahealthforum.2024.1284Caplan, JoshCarroll, Aaron E.Simpson, Lisa A.JAMA Health Forum
Proposed Changes to the Definition To increase access to care for individuals returning to the community following incarceration, CMS proposes to amend the definition of "custody" at Section 411.4(b) by removing: "under supervised release"
A proposed rule from CMS would change weight loss drug coverage in Medicare Advantage, Medicaid and Part D, along with AI and prior authorization changes.
The proposed changes include revising § 422.112(a)(8) to explicitly require that services provided by MA plans, whether through human or automated systems, must be equitable and non-discriminatory. CMS emphasizes that AI tools should not result in biased treatment or...
CMS has proposed provisions to improve protections for Medicare Advantage beneficiaries, prevent anti-competitive practices, and strengthen access to behavioral healthcare services. The Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program proposed rule includes...
As Textpattern 4.3.0 draws nearer to a release, it’s time to look forward a little to Textpattern 5. This weblog entry holds important information — especially for plugin authors and admin themers — to help gear up now for the proposed changes in Textpattern 5. ...