CMS Finalizes 2024 Regulatory Updates

[UPDATED] CMS Finalizes Hospice Special Focus Program, 36 ...

The US Centers for Medicare & Medicaid Services (CMS) has finalized its 2024 home health rule, including the implementation of a hospice Special Focus Program ...

CMS Releases CY25 OPPS Final Rule - AAMC

Unless otherwise specified, policies will be effective Jan. 1, 2025. The CMS finalized a net 2.9% increase to the OPPS payment rate, derived ...

CMS Finalizes Rules Impacting RHCs Effective January 2024

CMS has issued final rules that may result in significant operational, revenue cycle, and regulatory reimbursement impacts for RHCs beginning in January 2024.

CMS Finalizes Disproportionate Share Hospital Third-Party Payer ...

CMS Finalizes Disproportionate Share Hospital Third-Party Payer Rule 02.22. · BACKGROUND · CMS FINALIZES OVERPAYMENT DISCOVERY · CMS MAKES CHANGES TO STATE ...

CMS Finalizes a 2.83 Percent Cut to Payments in 2025

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2025 Medicare Physician Fee ...

CMS finalizes long-awaited prior authorization rule for Medicare ...

A new rule on Medicare Advantage prior authorization finalized by the Centers for Medicare & Medicaid Services Wednesday suggests good news ...

CMS finalizes 3.7% payment increase for Medicare Advantage plans

The policies put pressure on benefits and premiums as insurers are already facing regulatory changes and higher utilization, AHIP says.

CMS Releases CY 2025 Physican Fee Schedule Final Rule

November 11, 2024-- On November 2, the Centers for Medicare & Medicaid Services (CMS) issued the public inspection version of the Medicare and Medicaid ...

Health Headlines – August 5, 2024 - King & Spalding

The Final Rule, scheduled for publication on August 28, 2024, generally finalized changes that CMS proposed in the FY 2025 Proposed Rule, but ...

CMS Finalizes New Medicare Overpayment Regulations

The 2022 and 2024 proposals (collectively, the Proposed Rule) culminated in a recently released final rule that is scheduled to be published ...

CMS Finalizes Major Changes to Hospital Price Transparency Rule

Many of the changes included in the CY 2024 Medicare OPPS and ASC Final Rule will affect all hospitals and necessitate updates, modifications ...

CMS finalizes enhanced hospital price transparency requirements ...

Medicare's 2024 final rule for hospital outpatient payments includes updates to the price transparency rules. Hospitals will need to post ...

CMS's 2020 Final Medicaid Managed Care Rule - KFF

CMS previously finalized a major revision to these regulations in ... CMS's 2020 Final Medicaid Managed Care Rule: A Summary of Major Changes.

CMS finalizes 2024 Medicare hospital, doctor payments, 340B fix ...

According to a regulatory impact table in the rule, endocrinology and family medicine will see the biggest gain in payments (3%). The ...

Federal Register/Vol. 89, No. 79/Tuesday, April 23, 2024/Rules and ...

Through this final rule, CMS establishes improved ... After consideration of the comments received, we are finalizing proposed changes ...

Medicare Coverage: CMS Finalizes New Pathway for Breakthrough ...

The Centers for Medicare & Medicaid Services released a Final Notice for Transitional Coverage for Emerging Technologies, effective August ...

CMS Releases 2025 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a issued a final rule to update the physician fee schedule (PFS) ...

New Medicare Advantage Rates and Risk Adjustment Changes ...

On March 31, CMS finalized the 2024 Medicare Advantage (MA) capitation rates and payment policies. These changes will impact Medicare plans' ...

CMS Finalizes a New Rule to Require Extensive API Implementation ...

On January 17, 2024, the Centers for Medicare ... These changes impact plans subject to federal regulations, including as Medicare ...

CMS Finalizes CY 2025 Medicare Advantage Rule, Confirming ...

The Final Rule demonstrates CMS's continued scrutiny of marketing practices in the MA space and its focus on beneficiary protections and health equity.