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Member

Update: Congress Passes Health Care Funding, Extends Key Health Care Provisions

Congress has passed the Consolidated Appropriations Act of 2026 (H.R.7148), which consists of a short-term continuing resolution for the Department of Homeland Security (DHS) appropriations bill and a package of five full-year appropriations bills, containing conferenced legislation for the Departments of Defense, Labor, Health and Human Services, Education,
Legislation and Legislative Advocacy, Medicaid, Medicare, Medicare Sequestration Payment Reductions, Cybersecurity, Rural issues, Workforce, Child and Adolescent Health, Maternal Health, Medical Education and Research, Access to Behavioral Health, Substance Use Disorder, Disaster Preparedness, 340B Drug Pricing Program
Member

Implications for Hospitals and Health Systems as Partial Government Shutdown Looms

Specific government agency funding, including programs within the Department of Health and Human Services, is set to expire at midnight Jan. 30.
Advocacy & Public Policy, Legislation and Legislative Advocacy, Conditions of Participation, Medicare, Disaster Preparedness, Access to Behavioral Health, Substance Use Disorder
Member

Home Health Prospective Payment System Final Rule for CY 2026

The Centers for Medicare & Medicaid Services (CMS) Nov. 28 issued its final rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS).
Home Health PPS, Home Health, Long-term Care, Post-Acute Care
Member

CMS Issues Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2026

The Centers for Medicare & Medicaid Services Nov. 21 released its calendar year 2026 outpatient prospective payment system and ambulatory surgical center final rule. The rule increases OPPS rates by a net 2.6% in CY 2026 compared to CY 2025.
Outpatient Prospective Payment Systems (OPPS), Ambulatory Surgical Center (ASC)
Member

CMS Issues Proposed Rule for CY 2027 Medicare Advantage, Prescription Drug Plans

The Centers for Medicare & Medicaid Services (CMS) Nov. 28 released its proposed Policy and Technical Changes to the Medicare Advantage (MA) Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program and Programs of All-Inclusive Care for the Elderly for Contract Year (CY) 2027.
Medicare Advantage, Drug Prices, Prescription Drugs
Member

CMS Releases CY 2026 Home Health PPS Final Rule

The home health prospective payment system final rule for calendar year 2026 will reduce payments by 1.3%, or $220 million relative to CY 2025, according to the Centers for Medicare & Medicaid Services.
Home Health PPS, Long-term Care, Post-Acute Care
Member

Aetna Delays, Issues Additional Details on ‘Level of Severity Inpatient Payment’ Policy

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Inpatient Prospective Payment Systems (IPPS)
Member

CMS Issues CY 2026 Physician Fee Schedule Final Rule

The Centers for Medicare & Medicaid Services (CMS) Oct. 31 issued a final rule that updates physician fee schedule (PFS) payments for calendar year (CY) 2026.
Physician Fee Schedule (PFS)/MACRA/QPP, Outpatient Prospective Payment Systems (OPPS), Telehealth, Medicare, Ambulatory and Outpatient Care, Behavioral Health Care Delivery, Medicare, Merit-based Incentive Payment System (MIPS), Interoperability, Medicare Physician Payment
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Over the past 15 days, the Senate has voted nine times on the House-passed continuing resolution (CR) to extend government funding and health care waivers until Nov. 21.
Legislation and Legislative Advocacy, Advocacy Alliances, Medicaid DSH, Telehealth, Rural issues
Member

UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown

Government funding and certain health care programs and waivers expired at midnight Sept. 30 as congressional leaders were unable to reach an agreement to keep the government funded.
Legislation and Legislative Advocacy, Advocacy & Public Policy, Medicaid DSH, Telehealth, Rural issues