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CMS
CMS Updates Medicaid Regulations
The Centers for Medicare & Medicaid Services (CMS) published two significant updates to its Medicaid regulations on May 10,…
CMS Will Not Finalize Proposed Stacking Provision
The Centers for Medicare & Medicaid Services (CMS) announced on May 15, 2024 that it will not finalize, at this time, the…
CMS Releases Data on 2023 Stark Law Settlements
The United States Centers for Medicare and Medicaid Services (CMS) recently released data regarding 2023 settlements of voluntary…
CMS Open Payments System Enhancements and Scheduled Downtime
The Centers for Medicare & Medicaid Services (CMS) is set to upgrade the Open Payments System to version 2.0, bringing…
CMS Updated Open Payments FAQs: Are More Audits on the Horizon?
In November 2023, the Centers for Medicare and Medicaid Services (CMS) updated its Open Payment Frequently Asked Questions (FAQs)…
CMS Issues CY 2025 Medicare Advantage and Part D Final Rule
On April 4, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued the contract year 2025 Medicare Advantage and…
The Change Healthcare Cyberattack and Its Impact on the U.S. Healthcare…
In early 2024, the U.S. healthcare sector experienced a significant cybersecurity crisis when Change Healthcare, a vital…
CMS Publishes Advance Notice of Methodological Changes for CY 2025
The Centers for Medicare & Medicaid Services (CMS) released its Advance Notice of Methodological Changes for Calendar Year…
CMS Issues Interim Final Rule on Medicaid Redetermination Issues
The United States Centers for Medicare and Medicaid Services (CMS) recently issued an interim final rule on Medicaid…
CMS Finalizes Prior Authorization Rule
Federally regulated health insurers will have to turn around prior authorization decisions much more quickly under a recent rule…