CMS

Former Obama Appointees Urge HHS, CMS to Continue Direct Contracting

by Victoria Bailey

A group of former appointees under the Obama administration are urging federal officials to preserve the Global and Professional Direct Contracting model, stating that the model helps accountable care...

More Beneficiaries, But Fewer ACOs for Medicare Shared Savings Program

by Jacqueline LaPointe

Accountable care organizations (ACOs) in the Medicare Shared Savings Program will care for more beneficiaries in 2022, making it the largest alternative payment model in Medicare despite lackluster ACO...

Vaccine Mandate for Healthcare Workers Enforceable in All States

by Jacqueline LaPointe

A federal judge in Texas has dismissed the state’s challenge of CMS’ vaccine mandate for healthcare workers, paving the way for the federal agency to enforce the mandate across the...

AHA Shares New Concerns with Vaccine Mandate for Healthcare Workers

by Sarai Rodriguez

A comment letter from the American Hospital Association (AHA) to CMS requested changes and increased clarity concerning the agency’s COVID-19 vaccine mandate for healthcare...

CMS Reinstates COVID-19 Vaccination Mandate in 25 States

by Sarai Rodriguez

CMS announced it would be reinstating the COVID-19 healthcare worker vaccine mandate to facilities in 25 states and the District of Columbia that are not affected by the preliminary...

CMS Funds 1,000 New Medicare Residency Slots to Address Labor Shortage

by Sarai Rodriguez

CMS announced they would be funding 1,000 new Medicare residency slots to address labor shortages in rural and underserved communities as part of the Inpatient Prospective Payment System (IPPS) final...

US Healthcare Spending Tops $4.1T Amid COVID-19 Pandemic

by Jacqueline LaPointe

The COVID-19 pandemic had a dramatic impact on US healthcare spending in 2020, according to a report recently released by the CMS Office of the Actuary. The “2020 National Health Expenditures...

Surprise Billing Regulation Faces Pushback from Medical Groups

by Sarai Rodriguez

A letter from the American Medical Group Association (AMGA) called on CMS to revise the interim final rule implementing the No Surprises Act, explicitly changing legislation that favors...

CMS Suspends COVID-19 Vaccine Mandate for Healthcare Workers

by Jacqueline LaPointe

CMS has officially suspended the COVID-19 vaccine mandate for healthcare workers following two court orders to pause the interim final rule implementing the mandate from the Biden...

CMS Provides Guidance on Good Faith Estimates for No Surprises Act

by Jacqueline LaPointe

CMS has released 11 documents to help providers comply with the No Surprises Act’s requirement that providers give patients a “good faith estimate” of expected charges. The No...

CMS Axes Primary Care First Model’s Seriously Ill Population Component

by Jacqueline LaPointe

CMS has notified providers via email that it will not move forward with the Seriously Ill Population (SIP) Component of the Primary Care First Model. The Model started in 2021 but the Biden...

Study: 30% of Healthcare Workers Not Fully Vaccinated

by Sarai Rodriguez

An estimated 30 percent of healthcare workers were not fully vaccinated against COVID-19 as of September 2021, according to a CDC analysis published in the American Journal of Infection Control. The...

CMS Sued by Ten States Over Vaccine Mandate for Healthcare Workers

by Sarai Rodriguez

Ten states led by Missouri Attorney General Eric Schmitt and Nebraska Attorney General Doug Peterson have filed a lawsuit against CMS and the Biden Administration challenging the COVID-19 vaccine...

Automatic MIPS Participation Exemption for Individual Eligible Clinicians

by Jacqueline LaPointe

CMS is exempting all individual eligible clinicians from Merit-Based Incentive Payment System (MIPS) participation in the 2021 performance year (PY). The eligible clinicians will receive an automatic...

CMS Rescinds Rule Expediting Medicare Coverage of Breakthrough Devices

by Jacqueline LaPointe

CMS has officially rescinded a final rule published by the Trump Administration that would have expedited the Medicare coverage process for breakthrough devices. The agency said it will take a...

CMS Releases Final Rule for CY 2022 Medicare Physician Fee Schedule

by Jacqueline LaPointe

UPDATED CMS has finalized the calendar year (CY) 2022 Medicare Physician Fee Schedule to promote greater telehealth utilization, boost reimbursement rates for vaccine administration, and improve...

CMS Updates End-Stage Renal Disease APM, PPS to Address Health Equity

by Jacqueline LaPointe

UPDATED CMS has made changes to the End-Stage Renal Disease (ESRD) alternative payment model, ESRD Treatment Choices, to directly address health equity. The ESRD Treatment Choices (ETC) Model is...

AHA Calls for Medicare Advantage Inclusion in Prior Authorization Rule

by Victoria Bailey

The American Hospital Association (AHA) has asked CMS to include Medicare Advantage organizations in its proposed rule that would streamline the prior authorization process and reduce patient care...

Next Generation ACO Model Has Saved Medicare $667M, So Far

by Jacqueline LaPointe

The Next Generation Accountable Care Organization (ACO) Model has saved Medicare millions of dollars over the past four performance years. But with one more year to go due to the COVID-19 pandemic, the...

Allow ACOs to Use Pre-Pandemic Years for 2022 Benchmarks, Groups Urge

by Victoria Bailey

A group of healthcare organizations, led by the National Association of ACOs (NAACOS), has asked CMS to provide accountable care organizations (ACOs) with the option to use pre-pandemic years to set...