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Policy Snapshot

May 11, 2026

Electronic Prior Authorization Improvements: Get Involved and Start Testing

The current prior authorization process can create unnecessary delays and burden for providers. This past summer, HHS Secretary Robert F. Kennedy, Jr., CMS Administrator Dr. Mehmet Oz, and National Coordinator for Health IT Dr. Thomas Keane announced a health-care industry pledge with major health plans fr...
Policy Snapshot

May 11, 2026

Upcoming Medicare Model Application Deadlines

The deadlines for the LEAD (Long-Term Enhanced Design) Model, the ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model, and the MAHA (Make America Healthy Again) ELEVATE (Enhancing Lifestyle and Evaluating Value-based Approaches Through Evidence) Model are imminent.
Policy Snapshot

May 4, 2026

Bipartisan Bill Introduced to Reform MIPS Physician Payment

On April 30, 2026, Reps. Mariannette Miller-Meeks, MD (R-IA) and Herb Conaway, MD (D-NJ) introduced the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622), a bipartisan bill that would replace the existing Merit-based Incentive Payment System (MIPS) with a new framework calle...
Spotlight

May 4, 2026

Medical Director of the Year Believes in Cultivating an Interest in PALTC Medicine

Iris Boettcher, MD, CMD, FPALTC, has been a member of PALTmed since 1989 (back when it was known as AMDA) and has attended many of the organization’s annual conferences over the years. One of her favorite events has always been the general session where the Foundation for Post-Acute and Long-Term Care (PAL...