Weekly feed
12 curated updates · reviewed against primary sources
The rule mandates prior authorization APIs and expands patient access to health information, aiming to reduce administrative burden and improve care coordination. The Centers for Medicare & Medicaid Services (CMS) issued the final rule CMS-0057-F, titled "Interoperability and Prior Authorization...
The rule codifies the negotiation program for selected drugs and updates Part D policies, directly affecting drug pricing and reimbursement under Medicare. The Centers for Medicare & Medicaid Services (CMS) has issued a final rule that implements and codifies the Medicare Drug Price Negotiation...
CMS's CY 2027 physician fee schedule final rule updates the Medicare Promoting Interoperability Program alongside broader payment and coverage changes affecting Part B services and value-based care initiatives. The Centers for Medicare & Medicaid Services (CMS) has issued a final rule...
The rule updates payment rates, case-mix weights, and quality reporting while expanding value-based purchasing requirements to all home health agencies by 2029, impacting reimbursement and data reporting workflows. CMS issued a final rule updating the Medicare Home Health Prospective Payment...
Medicare's push to prohibit hospitals from contracting out remote patient monitoring services creates compliance challenges for health systems while delaying broader RPM policy reforms until 2029. The Centers for Medicare & Medicaid Services (CMS) has moved forward with a controversial initiative...
Expansion of the Trusted Exchange Framework and Common Agreement (TEFCA) to include federal health systems aims to improve interoperability for veterans and military personnel. HHS announced that the Department of Veterans Affairs (VA) and the Department of War have joined the Trusted Exchange...
The rule sets payment rates for hospital outpatient and ambulatory surgical center services for CY 2027, updates quality reporting programs, expands prior authorization for botulinum toxin injections, and affirms AO deeming for EMTALA compliance. The Centers for Medicare & Medicaid Services (CMS)...
CMS postpones implementation of rule barring hospitals from using vendors for remote patient monitoring despite industry opposition. The Centers for Medicare & Medicaid Services (CMS) has delayed implementation of a controversial rule that would prohibit healthcare providers from using...
HHS is reducing health IT certification requirements for technology developers, potentially lowering costs but increasing evaluation responsibilities for hospitals purchasing AI tools. The U.S.
A CMS pilot using AI to streamline Medicare prior authorization faces scrutiny after lawsuit evidence reveals potential flaws in the technology's ability to distinguish necessary from unnecessary care. The Centers for Medicare & Medicaid Services (CMS) is conducting an experiment to evaluate...
Establishes special controls for a new orthopedic device category, providing regulatory clarity while balancing safety and access. The FDA has classified the wearable vibration device for orthopedic use as a Class II medical device, subject to special controls.
CMS requests emergency approval to expand fraud-prevention data collection for home health services in California, with public comments due November 16, 2026. The Centers for Medicare & Medicaid Services (CMS) is seeking emergency clearance from the Office of Management and Budget (OMB) to revise...