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CMS
CMS Issues Final Rule on Calculating MA Overpayments from Risk Adjustment…
On January 30, the Centers for Medicare & Medicaid Services (CMS) released a long-awaited final rule addressing how it will…
MGMA Submits Comments to CMS in Support of Prior Authorization Reforms
The Medical Group Management Association (MGMA) submitted comments to Centers for Medicare and Medicaid Services (CMS)…
CMS Releases Proposal to Streamline Medicare Advantage and Part D
On December 14, 2022, the Biden administration released a proposal to streamline Medicare Advantage (MA) and Part D plan prior…
CMS Issues New Prior Authorization Rule
CMS has issued a new rule meant to streamline prior authorization by requiring certain payers to implement an electronic prior…
Open Payments Data Updated
The Open Payments data is now updated to reflect changes to the data that took place since the June 2022 publication and is…
CMS Issues Additional Guidance for States on In Lieu of Services
The Centers for Medicare and Medicaid Services (CMS) issued Additional Guidance on Use of In Lieu of Services and Settings in…
CMMI Releases Biennial Report to Congress
In the 2022 Report to Congress issued by the Center for Medicare and Medicaid Innovation (the CMS Innovation Center), the Centers…
CMS Releases OPPS and ASC Payment System Final Rule
The Centers for Medicare & Medicaid Services (CMS) on November 1, 2022, released the calendar year 2023 Hospital Outpatient…
CMS Finalizes Proposal to Return 340B Drugs to ASP Plus 6% Rate
The Centers for Medicare & Medicaid Services (CMS) finalized the 2023 Outpatient Prospective Payment System (OPPS) Final Rule.…
MA Star Ratings Declined this Year
Earlier this year, the Centers for Medicare and Medicaid Services (CMS) released the 2023 Star Ratings for Medicare Advantage (MA)…