Tag: Final Rule

ONC and CMS to Host Webinars on the Recently Released Interoperability and Information Blocking Final Rules

On Monday, March 9, the Office of the National Coordinator for Health Information Technology (ONC) released its long awaited final rule adopting exceptions to the Cures Act’s information blocking prohibition and updates to the ONC’s health IT cer...

CMS Finalizes Hospital Transparency Requirements and Proposes Similar Policies for Certain Health Plans

In the latest response to the President’s Executive Order on Improving Price and Quality Transparency in American Healthcare, the Department of Health and Human Services released two rules related to requiring increased price transparency for hospi...

CMS Hosts Webinar on the 2020 QPP Final Rule on Nov. 19

The Centers for Medicare and Medicaid Services (CMS) will be hosting a webinar on Tuesday, November 19 from 2:00 to 3:30 PM (ET) where they will review major changes to the Quality Payment Program (QPP) in the CY 2020 final rule. The webinar will als...

CMS Publishes CY 2020 Quality Payment Program Final Rule

On November 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released CY 2020 Revisions to Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies [CMS-1715-F and IFC], which includes changes rela...

CMS Updates QPP Resources

The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:

  • MIPS Value Pathways (MVPs) Overview
This video describes the MIPS Value Pathways (MVPs) frame...

CMS Releases CY 2020 PFS, OPPS and ASC Final Rules

On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) published the CY 2020 final rules for the Medicare Physician Fee Schedule (PFS), Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) Payme...

Judge Axes Price Disclosure Rule for Drug Ads

The Trump administration cannot force drug manufacturers to disclose prices in their pharmaceutical ads to consumers, a federal judge ruled Monday....

CMS Releases Final Part D Rule

On May 16, 2018, CMS released the final Part D and Medicare Advantage rule aimed at lowering drug prices. On May 16, 2018, the Centers for Medicare and Medicaid Services (CMS) released the final Part D and Medicare Advantage (MA) rule aimed at low...

CMS Issues Final Rule on Drug Pricing Transparency

The Centers for Medicare and Medicaid Services (CMS) released the Final Rule on requiring list prices to be included in direct-to-consumer television advertisements for prescription drug that are reimbursable under Medicare or Medicaid. List price is...

CMS Releases CY 2020 MA and Part D Flexibility Final Rule

The Centers for Medicare and Medicaid Services (CMS) finalized policies that will increase plan choices and benefits. This includes allowing Medicare Advantage (MA) plans to include additional telehealth benefits, improving MA and Part D Star Ratings...

CMS Issues Pair of Rules on Line Item Extension Drugs

CMS issues pair of final rules addressing line item extension drugs. The Centers for Medicare and Medicaid Services (CMS) has issued an interim final rule revising the calculation of rebates for line item extension drugs and a final rule declining...

CMS Releases Final Rule Overhauling Medicare ACO Program

Today the Centers for Medicare and Medicaid Services released the Medicare Shared Savings Program; Accountable Care Organizations Pathways to Success and Extreme and Uncontrollable Circumstances Policies for Performance Year 2017 (CMS-1701-F2 and CM...

Ceiling Price Effective Date

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CMS Hosts Webinar on 2019 Medicare PFS Final Rule on Nov. 19

The Centers for Medicare and Medicaid Services (CMS) will host a webinar on November 19, 2018 from 2 to 3:30 pm ET on the Medicare Physician Fee Schedule (PFS) Final Rule. During this call, CMS ex...

CMS Releases CY 2019 MPFS/QPP Final Rule

Today the Centers for Medicare and Medicaid Services (CMS) posted the CY 2019 Physician Fee Schedule (PFS) Final Rule (CMS-1693-F). The PFS is an annual update of the Medicare payment policies and rates for services provided by physicians and a varie...

CMS Updates QPP Resources

QPP Resource Library The Centers for Medicare and Medicaid Services (CMS) has uploaded a number of new resources to the Quality Payment Program (QPP) Resource Library. 2018 Quality Benchmarks

Short-term Plans Final Rule

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CMS Releases Final Rule Containing Technical Corrections for QPP

The Centers for Medicare & Medicaid Services (CMS) released a final rule containing technical corrections to the Quality Payment Program (QPP).  The rule corrects technical errors in the November 16, 2017 QPP final rule. For more information on...

MIPS Comparison Table: CY 2018 Final Rule vs CY 2017 Final Rule

A handy resource tool to help you navigate the major changes in the 2018 MIPS program – MIPS Comparison Table: CY 2018 Final Rule vs CY 2017 Final Rule was just released by McDermott+Consulting. The document highlights the most significant chang...

Innovation Center Update: Mandated Report on Radiation Therapy Released and Expansion of the Medicare Diabetes Prevention Program Finalized in in CY 2018 PFS Final Rule

On November 3, 2017, the Innovation Center released Report to Congress: Episodic Alternative Payment Model for Radiation Therapy Services. Section 3(b) of the Patient Access and Medicare Protection Act (PAMPA) (P.L. 114-115) directs the Sec...

CMS Releases CY 2018 Quality Payment Program (MACRA) Final Rule

Register Today for a Live Webinar –  Overview and Analysis of the CY 2018 QPP Final Rule Thursday November 16, 2017 12:30 – 1:45 PM ET Click here to register   On November 2, 2017 the...

Lost Your Bearings in the MACRA Final Rule? M+ Table of Contents Will Help You Find Your Way

Both a standalone TOC and TOC hyperlinked to the Official Federal Register Published Final Rule are available. On November 4, 2016 the Medicare Access and CHIP Reauthorization Act (MACRA) Final Rule was published in the Federal Register. Unfortunate...

CMS Posts Slide Decks on MACRA Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently posted a number of slide decks and a webinar recording on the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 final rule.