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Medicare
Direct Contracting Model Results in Savings for Medicare in First Year
Data released by the Centers for Medicare and Medicaid Services (CMS) found that in 2021, the first year of the professional and…
Health Care Payment Learning & Action Network Releases Report on…
In late 2022, the Health Care Payment Learning & Action Network released a report on the implementation of value-based care…
CMS Announces Extension of the BPCI Advanced APM
On October 13, 2022, the United States Centers for Medicare and Medicaid Services (CMS) announced that it will extend the Bundled…
2023 Medicare Physician Fee Schedule Released
On November 1, the Centers for Medicare & Medicaid Services (CMS) released its finalized 2023 Medicare Physician Fee Schedule…
HHS OIG Report Finds Providers Inappropriately Billed Medicare During…
A small but concerning proportion of providers billed Medicare inappropriately for telehealth early in the coronavirus pandemic,…
HHS OIG Reviews Prior Authorization Denials
Earlier this year, the Department of Health and Human Services Office of Inspector General (HHS OIG) issued a report focused on…
HHS OIG Releases Report on MAO Performance
On April 27,2022, the Office of Inspector General of the Department of Health and Human Services (OIG), Office of Evaluations and…
Improving Seniors’ Timely Access to Care Act of 2022 Entering Markup Phase
In late July 2022, the United States House of Representatives Ways and Means Committee marked up H.R. 8487, the Improving Seniors’…
CMS Delays Part D Price Concessions Requirement Until January 2024
Earlier this year, the Centers for Medicare and Medicaid Services (CMS) finalized a rule focused on expanding access to affordable…
Legislation Aimed at CMMI Equity Model Introduced in Congress
In May 2022, United States Representative Terri Sewell introduced The John Lewis Equality in Medicare and Medicaid Treatment Act,…