4+ day, 2+ hour ago  (45+ words) Have you switched providers and are now converting your retirement plan to a new form of preapproved plan document? Are you with the same provider but updating to a new preapproved plan document at the end of the six-year restatement…...

3+ day, 13+ hour ago  (219+ words) On May 13, 2026, the Centers for Medicare & Medicaid Services (CMS) announced a significant escalation in its federal anti-fraud efforts. In coordination with Vice President JD Vance's Anti-Fraud Task Force, CMS is implementing a six-month, nationwide moratorium on the enrollment of new…...

3+ day, 11+ hour ago  (240+ words) The Centers for Medicare and Medicaid Services (CMS) announced Wednesday that it is temporarily pausing new enrollments for hospice and home health providers in Medicare. [1] CMS's move underscores the agency's expanded approach to combating healthcare fraud. The six-month moratorium applies…...

2+ day, 10+ hour ago  (162+ words) Critically for some pending or proposed transactions, both moratoria block re-enrollment of hospices or HHAs undergoing a non-exempt change in majority ownership (CIMO) within 36 months of initial enrollment or the most recent CIMO. Such transactions require the entity to enroll…...

3+ day, 10+ hour ago  (81+ words) Mc Dermott+ is pleased to bring you Regs & Eggs, a weekly Regulatory Affairs blog by Jeffrey Davis. Prior authorization reform overarchingly can be broken down into two components: Both CMS and health plans have looked to address each component. Let's…...

5+ mon, 6+ day ago  (395+ words) The Centers for Medicare & Medicaid Services (CMS) final rule for Medicare payment for services provided in hospital outpatient departments (paid under the Outpatient Prospective Payment System or OPPS) and ambulatory surgery centers (ASCs) during calendar year (CY) 2026 (the Final Rule)…...

1+ mon, 3+ week ago  (405+ words) Bass, Berry & Sims hosted its second annual Healthcare Regulatory & Compliance Summit on March 4. Our attorneys were joined by panelists from Wayspring, Dartmouth Health, FHP Strategies, Pinnacle Healthcare Consulting, HAP, and Mosaic Health. The Summit welcomed in-house counsel, compliance officers, and…...

1+ mon, 4+ week ago  (396+ words) Federal policymakers are moving aggressively on prescription drug pricing in 2026, with activity spanning IRA implementation, new CMS Innovation Center models, and direct action from the Trump administration. .. .By: Mc Dermott+ All about affordability: Prescription drug pricing policy in 2026 Federal policymakers…...

2+ mon, 14+ hour ago  (260+ words) The practical implication is that organizations must now demonstrate how compliance risks are identified, monitored, and corrected within live operational processes. Static policies, annual audits, and retrospective gap analyses are insufficient unless they are clearly tied to real-time monitoring and…...

2+ mon, 14+ hour ago  (396+ words) Healthcare providers across Virginia are facing an increasing wave of aggressive reimbursement audits from insurance companies and government payors. Often, such audits result in significant demands for clawbacks of funds paid months or years earlier (referred to a "post-payment audit)....