MRO Compliance

NOVEMBER 21, 2024

The Centers for Medicare & Medicaid Services (CMS) 2025 Physician Fee Schedule (PFS) Final Rule brings notable updates to the Quality Payment Program (QPP), which will impact eligible clinicians, groups, virtual groups, subgroups, and APM entities. CMS’s 2025 Final Rule introduces both challenges and opportunities.

Compliance 147

Compliance Medicare Medicare Medicaid 147

Healthcare IT Today

JULY 16, 2024

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. This article is the fourth in the Healthcare Regulatory Talk series.

Compliance 124

Compliance Medicaid Medicaid Medicare 124

Healthcare IT Today

DECEMBER 9, 2024

Earlier in 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Interoperability and Patient Access Final Rule (CMS-0057-F)requiring impacted payers to implement and maintain an ePA-specific API to automate the process for providers. There is hard work to be done.

Compliance 81

Compliance Medicaid Medicaid Public Health 81

Healthcare IT Today

SEPTEMBER 12, 2023

A major justification for President Biden’s tax hike proposal is to shore up the tenuous finances of Medicare whose trust fund is forecasted to be depleted by 2028. Historically, it is the most prolific driver of family bankruptcy, and now it is on its way to bankrupting our country collectively.

Nurses 78

Nurses Doctors Medicare Medicare 78

Matt Kinley

OCTOBER 22, 2024

Other health facilities will start at $21 per hour in 2024, reaching $25 per hour by 2027 for community clinics and by 2028 for other facilities. Facilities with a large percentage of Medicare and Medicaid patients, rural independent hospitals, and small county facilities will start at $18 per hour in 2024, with a 3.5%

Compliance 40

Compliance Hospitals Medicaid Medicaid 40

Health Care Law Brief

FEBRUARY 2, 2024

The Waiver Amendment was approved on January 9, 2024, by the Centers for Medicare & Medicaid Services (“CMS”) under Section 1115(a) of the Social Security Act and will expire on March 31, 2027. The goal is for these Enhanced Services to be a covered benefit included in the MMCO premium starting in State Fiscal Year 2028.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare Law Blog

AUGUST 25, 2022

The expansive legislation includes key health care provisions, including drug pricing reforms, inflationary rebates, Medicare Part D benefit redesign, as well as myriad other updates. Medicare Drug Price Negotiation Program. The Inflation Reduction Act (“IRA”) was signed into law by President Biden on August 16, 2022.

Medicare 52

Medicare Medicare Medicaid Medicaid 52