FINAL RULE: Medicare Program--Changes to the Ambulatory Surgical Centers Patient Rights Conditions for CoverageJoan W. Feldman
“The Biden-Harris Administration has made exceptionally clear that one of its top priorities is protecting and strengthening Medicare,” CMS Administrator Chiquita Brooks-LaSure said in the press release. “With this final rule, CMS is putting in place new safeguards that make ...
The Final Rule is effective on January 1, 2025, and, unless otherwise specified, applies to rebate calculations for applicable periods beginning on or after January 1, 2023, for Part B rebatable drugs and October 1, 2022, for Part D rebatable drugs. Medicar...
On April 4, 2024, the Centers for Medicare & Medicaid Services (CMS) issueda final rulethat revises the Medicare Advantage and Part D programs in significant ways (the Final Rule). The Final Rule stems from the CY 2025 Medicare Advantage and Part D proposed rules issued in Nove...
On November 2, the Centers for Medicare & Medicaid Services (CMS) released its annual final rule updating the Medicare Physician Fee Schedule (MPFS) for calendar year (CY) 2023, which included various changes related to the provision of telehealth, including implementing telehealth provisions ...
The newly finalized rule now requires Medicare Advantage plans to do the following: Ensure that a prior authorization approval, once granted, remains valid for as long as medically necessary to avoid disruptions in care; Conduct an annual review of utilization management policies; ...
The Centers for Medicare & Medicaid (CMS) issued the final rule on November 9, 2021. It updates the home health and home infusion therapy services payment rates for calendar year (CY) 2022. It expands the home health value-based purchasing program nationwide, and ends the current pilot one...
(PDPs). The proposal follows CMS’ final rule revising the regulations governing marketing by MAPs issued on April 5, 2023, which we covered in a prior Sidley Updatehere. Comments to the proposed rule — which would take effect in contract year 2025 if finalized — are due by Jan...
THE MEDICARE SHARED SAVINGS PROGRAM INITIAL THOUGHTS ON THE FINAL RULE AND KEY TAKEAWAYSThoughts, InitialThe, O NRule, FinalTakeaways, K E YProviders, F O R
CMS issued its Final Rule for the 2025 Medicare Physician Fee Schedule in November. Originally published in the Allegheny County Medical Society (ACMS) Bulletin - December 2024...more Q4 2024 Health Care Conference Roundup: AI and Government Enforcement Are on the Rise Troutman...