3+ day, 4+ min ago   (603+ words) After accounting for interactions with the proposed rule implementing OB3 changes to SDPs, CMS projects a smaller incremental federal spending reduction and a different rule-specific provider effect, but the agency emphasizes that the combined effect of the provider tax and SDP…...

3+ week, 3+ day ago   (440+ words) In addition to the payment update and increased recoupment related to the 340B settlement, CMS proposes: CMS projects the net effect of all changes in the 2027 proposed rule will reduce OPPS payments to hospitals by 2.9%. CMS proposes a net OPPS market…...

1+ mon, 2+ day ago   (227+ words) The recently released ICR, along with one released earlier this year, are part of HRSA’s efforts to cure Administrative Procedure Act issues that resulted in a federal court finding the initial 340B Rebate Model Pilot Program impermissible before its scheduled start…...

1+ mon, 3+ week ago   (370+ words) While CMS frames this as a workforce expansion and personal responsibility policy, the downstream effects will be felt acutely by hospitals and health systems through coverage losses and increased administrative burden, emergency department (ED) utilization, and financial pressure. States must…...

2+ mon, 1+ week ago   (896+ words) On May 13, 2026, CMS announced a six-month nationwide moratorium on new Medicare enrollment for home health agencies (HHAs) and hospices. While there have been mentions of moratoria by Dr. Mehmet Oz, Administrator for CMS, and others over the last few months,…...

2+ mon, 4+ week ago   (270+ words) With the rule, CMS aims to reduce administrative burden, strengthen security, and improve efficiency and consistency of claims processing. In this article, we explore the key requirements included in the rule and how healthcare organizations can prepare for compliance. CMS…...

3+ mon, 1+ day ago   (234+ words) This article highlights some of the high-impact OIG Work Plan updates from the first quarter of 2026 and important compliance considerations for healthcare organizations. The Indian Health Service’s (IHS) Catastrophic Health Emergency Fund (CHEF) reimburses Tribal health programs for high‑cost…...

3+ mon, 1+ week ago   (752+ words) On April 2, 2026, CMS issued its fiscal year 2027 prospective payment system (PPS) proposed rules for inpatient rehabilitation facilities (IRFs) and inpatient psychiatric facilities (IPFs). This article highlights key provisions of both rules to help affected organizations model and understand their potential…...

4+ mon, 1+ week ago   (65+ words) Upon completion of this program, participants will be able to: One CPE credit (pending approval) in the Specialized Knowledge field of study may be awarded upon verification of participant attendance during live broadcast. Group internet-based. Each attendee must be logged…...

4+ mon, 2+ week ago   (440+ words) GASB has issued an Exposure Draft of Proposed Implementation Guide, Financial Reporting Model Improvements–Subsidies, related to Statement 103, Financial Reporting Model Improvements, which contains eight new questions and answers intended to help users understand and apply new guidance in accounting…...