The Centers for Medicare & Medicaid Services’ (CMS’) final rule advances policies to promote the efficient operation of the Medicaid Drug Rebate Program (MDRP).
Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program Final Rule
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CMS Finalizes Physician Payment Rule that Advances Health Equity
Final policies will expand behavioral health services, advance the President’s Cancer Moonshot, support family caregivers, and accelerate value-based care Read more about CMS Finalizes Physician Payment Rule that Advances Health Equity
Fact Sheets
Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule — Medicare Shared Savings Program Fact Sheet
On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2024 Medicare Physician Fee Schedule (PFS) final rule that includes changes to the Medicare Shared Savings Program (Shared Savings Program) to further advance CMS’ overall value-based care strategy Read more about Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule — Medicare Shared Savings Program Fact Sheet
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CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC)
On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) finalized Medicare payment rates for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year (CY) 2024. The Hospital Outpatient Prospective Payment System (OPPS) and ASC Payment System final rule is Read more about CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC)
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Calendar Year (CY) 2024 Home Health Prospective Payment System Final Rule (CMS-1780-F)
On November 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2024 Home Health Prospective Payment System (HH PPS) Rate Update final rule, which updates Medicare payment policies and rates for Home Health Agencies (HHAs). This rule includes routine updates to Read more about Calendar Year (CY) 2024 Home Health Prospective Payment System Final Rule (CMS-1780-F)
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No Surprises Act Independent Dispute Resolution Process Proposed Rule Fact Sheet
In the Federal Independent Dispute Resolution (IDR) Operations proposed rule released today, the Departments of Health and Human Services, Labor, and the Treasury (the Departments) and the Office of Personnel Management propose certain new requirements for group health plans and health insurance Read more about No Surprises Act Independent Dispute Resolution Process Proposed Rule Fact Sheet
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