CMS: New Rule Will Improve Efficiency and Speed of Prior Authorizationdoi:10.1001/jama.2023.28336MEDICAL societiesMACHINE learningThe article focuses on the implementation of a new rule by the U.S. Centers for Medicare & Medicaid Services (CMS) aimed at streamlining the prior au...
Centers for Medicare & Medicaid Services (CMS)releasedits annual update to the inpatient prospective payment system (IPPS) and long-term care hospital (LTCH) PPS on April 10, with many changes centered around improving health equity and quality as well as alleviating rural clinician shortages. "Th...
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...
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 ...
1. Changes to agent and broker compensation and TPMO requirements In what may be the most impactful change to the industry as a whole, the Final Rule makes significant changes to the compensation payable to agents and brokers beginning in the upcoming Annual Enrollment Period. Historica...
(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 ...
Implementation and broad provisions of the rule The rule, which is scheduled to be published in theFederal Registeron May 10, 2024, was finalized with only a few meaningful changes from the text that was proposed in September 2023. The rule will take effect onJune 21, 2024and w...
[14.1]Backport build rule changes 4b2c961 cmsbuild added tests-pending externals-pending pending-signatures orp-pending backport labels Dec 3, 2024 Contributor cmsbuild commented Dec 3, 2024 • edited A new Pull Request was created by @smuzaffar for branch IB/CMSSW_14_1_X/master. @a...
CMS just finalized the CMS Interoperability and Prior Authorization Final Rule CMS-0057-F, or what many have called the “Interop 3” rule. I provided an overview of the proposed Interop 3 rule last February. Today I will focus on some of the major changes and clarifications associated with ...
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 and delivery of related reports for ACOs that started an agreement period beginning on January ...