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Home Health Prospective Payment System Proposed Rule for CY 2026
The Centers for Medicare & Medicaid Services (CMS) June 30 issued its proposed rule for the calendar year (CY) 2026 home health (HH) prospective payment system (PPS). Comments are due Sept. 2, and a final rule is expected around Nov. 1. New policies would generally be effective Jan. 1, 2026.
CMS Issues Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2026
The Centers for Medicare & Medicaid Services (CMS) July 15 issued a
CMS Issues CY 2026 Physician Fee Schedule Proposed Rule
CMS July 14 issued a proposed rule that would update physician fee schedule (PFS) payments for calendar year (CY) 2026.
CMS Releases FY 2026 Long-term Care Hospital PPS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) April 11 issued a proposed rule for the inpatient and long-term care hospital (LTCH) prospective payment systems (PPS) for fiscal year (FY) 2026.
Hospital Outpatient, Ambulatory Surgical Center Final Rule for CY 2025
The Centers for Medicare & Medicaid Services (CMS) Nov. 1 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule.
Transforming Episode Accountability Model (TEAM) Proposed Rule
The Centers for Medicare & Medicaid Innovation (CMMI) on April 10 proposed a new mandatory payment model that would bundle payment to acute care hospitals for five types of surgical episodes.
Transforming Episode Accountability Model (TEAM) Final Rule
The Centers for Medicare & Medicaid (CMS) Aug.
Hospital Outpatient, Ambulatory Surgical Center Proposed Rule for CY 2025
The Centers for Medicare & Medicaid Services (CMS) July 10 released its calendar year (CY) 2025 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule. The rule would increase OPPS rates by a net 2.6% in CY 2025 compared to CY 2024.
Home Health PPS Proposed Rule for CY 2025
On June 26, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2025 proposed rule for the home health (HH) prospective payment system (PPS). CMS’ continued application of such large behavioral adjustments may threaten access to HH care for beneficiaries and, in doing so, also negatively impact care for other patients in need of acute hospital services by preventing hospitals and health systems from discharging patients in a timely manner.
Increasing Organ Transplant Access (IOTA) Model Proposed Rule
The Center for Medicare and Medicaid Innovation (CMMI) on May 17 proposed a new mandatory payment model that would test whether performance-based incentive payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants while preserving or enhancing the quality of care and reducing Medicare expenditures.