Hall Render

DECEMBER 4, 2023

The Centers for Medicare & Medicaid Services (“CMS”) finalized significant updates to the Hospital Price Transparency regulation for the first time since the rule took effect on January 1, 2021. Hospitals must continue to include the payer-specific negotiated rates, along with the other standard charges.

Hospitals 52

Hospitals Compliance Patient Advocacy Medicare 52

Hall Render

NOVEMBER 28, 2023

On November 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) posted a pre-publication copy of the Calendar Year (“CY”) 2024 Home Health Prospective Payment System Rate Update Final Rule (“2024 Final Rule”), which has since been filed in the Federal Register. Hospice Risk-Screening Category. Hospice 36-Month Rule.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

Health Populi

OCTOBER 8, 2019

This category comprised roughly one-third of the total waste in U.S. The Centers for Medicare and Medicaid Services (CMS) forecasts that prescription drug spending will be the fastest-growing cause of rising health spending by 2027. medical spending.

Prescription Drug Pricing 104

Prescription Drug Pricing Medicare Medicare ACA 104

C&M Health Law

NOVEMBER 7, 2022

CMMI has broad statutory authority not only to test, design, and implement health care payment and delivery models for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) but in certain instances, can implement such models without Congressional action. The Biden administration formally rescinded the MFN in 2021.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Health Law Advisor

JULY 21, 2023

On June 22, 2023, the Centers for Medicare & Medicaid Services (CMS) announced its proposed “Transitional Coverage for Technologies” (TCET) pathway—the Biden administration’s highly anticipated take on a mechanism to expedite coverage for certain devices designated by the U.S. Food and Drug Administration (FDA) as breakthrough devices. [1]

FDA 52

FDA Medicare Medicare Patient Advocacy 52