CMS is accepting comments about the Proposed Rule. Comments must be received before 5 p.m. ET on Jan. 5, 2024, to be considered. For more information on the Proposed Rule or PACE in general, please contact the authors or any member of Holland & Knight'sHealthcare Regulatory Compliance ...
Proposed CMS Data Access Changes May Hamper Health Services Researchdoi:10.1001/jamahealthforum.2024.1284Caplan, JoshCarroll, Aaron E.Simpson, Lisa A.JAMA Health Forum
Additionally, CMS suggested policies around the use of AI in Medicare Advantage spaces, which has been a hot-button issue in 2023 and 2024. Major payers have been accused ofusing AI tools to increase claim denials. In light of these controversies, the proposed rule would require Medi...
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 ...
Ophthalmic device company Glaukos could benefit from the proposed changes, analysts wrote. Published July 14, 2023 Elise ReuterReporter post share post print email license CMS has proposed outpatient payment rates and physician fees for 2024.Adeline Kon/Healthcare Dive/MedTech Dive ...
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...
(CMS) recently released aproposed rulethat outlined major regulatory changes for MA and Part D starting in 2023. The rule covers a swath of major areas that include new changes for dual-eligible special needs beneficiaries and updates to calculations of star ratings, which can affect quality ...
The proposed rule implements the PDGM for HHA reimbursement. The PDGM makes considerable changes to the HH PPS. First, in alignment with the Bipartisan Budget Act of 2018, the episode of care length under the PDGM is reduced from 60 to 30 days. Second, CMS designed the PDGM steps to ...
CMS proposes a variety of changes as discussed below. A proposed continuation of the 90-day reporting period for FY 2022 and FY 2023 but moving to a 180-day continuous reporting period for FY 2024. For calendar year (CY) 2022 and subsequent years, the minimum scoring threshold is increased...
CMS expects the proposed changes to delay the issuance of initial determinations and disbursements of earned performance payments for 2023 ACO performance by up to six weeks. The changes to the Shared Savings Program would also postpone the calculation of final historical benchmarks...