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Fact Sheets

Calendar Year (CY) 2025 Medicare Physician Fee Schedule Proposed Rule

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2025 Read more about Calendar Year (CY) 2025 Medicare Physician Fee Schedule Proposed Rule
Fact Sheets

CY 2025 Medicare Hospital Outpatient Prospective Payment System and  Ambulatory Surgical Center Payment System Proposed Rule (CMS 1809-P)

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services. The Calendar Year (CY) 2025 Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System Proposed Rule is Read more about CY 2025 Medicare Hospital Outpatient Prospective Payment System and  Ambulatory Surgical Center Payment System Proposed Rule (CMS 1809-P)
Fact Sheets

Fact Sheet: Calendar Year (CY) 2025 Medicare Physician Fee Schedule Proposed Rule (CMS-1807-P)-Medicare Shared Savings Program Proposals

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2025 Medicare Physician Fee Schedule (PFS) proposed rule (CMS-1807-P) that includes changes to the Shared Savings Program to further advance Medicare’s value-based care strategy of growth, alignment Read more about Fact Sheet: Calendar Year (CY) 2025 Medicare Physician Fee Schedule Proposed Rule (CMS-1807-P)-Medicare Shared Savings Program Proposals
Press Releases

Biden-Harris Administration Reaffirms Commitment to EMTALA Enforcement

CMS also announces creation of Spanish-language resources for filing EMTALA complaints, the latest step by the Department to promote compliance with federal law and raise awareness about Americans’ right to emergency medical care Read more about Biden-Harris Administration Reaffirms Commitment to EMTALA Enforcement
Press Releases

HHS Authorizes Five States to Provide Historic Health Care Coverage for People Transitioning out of Incarceration

Illinois, Kentucky, Oregon, Utah, and Vermont to provide better continuity of Medicaid and CHIP coverage for incarcerated people, whose health care needs — from substance-use disorder treatment to chronic physical health conditions — have historically gone overlooked. Adults and youth transitioning Read more about HHS Authorizes Five States to Provide Historic Health Care Coverage for People Transitioning out of Incarceration
Fact Sheets

Proposed Rule on Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023 (CMS-1799-P)

On June 28, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule entitled, “Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023” (CMS-1799-P Read more about Proposed Rule on Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023 (CMS-1799-P)