On February 9, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released two highly-anticipated guidance documents (the “Guidance”) detailing the agency’s proposed implementation of the ...

As it continues to put a focus on addressing fraud, waste and abuse in healthcare, the CMS said it is also seeking feedback on additional fraud prevention strategies it could use in a future rule as ...

Medicare’s value-based programs are penalizing inpatient hospitals for community-level health equity factors that impact outcomes but are largely out of hospitals’ control, according to a recent ...

The Centers for Medicare & Medicaid Services (CMS) has issued a Proposed Rule that would revise Programs of All-Inclusive Care for the Elderly (PACE) regulations. The Proposed Rule would require PACE ...

As CMS’ suite of value-based and accountable care models evolves, leaders from across the agency detailed how they are working together to streamline quality reporting and encourage the move to a ...

CMS has published a list of 202 measures under consideration for use in hospitals and other Medicare public reporting and payment programs. In publishing the list, CMS will be able to gain input on ...

CMS debuted three payment models for treating the roughly 12 million Americans who are dually eligible for Medicare and Medicaid. The models, which CMS presented in an April 24 letter to State ...

In March, clinic administrators received an email saying the CMS would soon shutter Making Care Primary, a year into what was ...