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Policy Snapshot

January 16, 2026

CMS to Host LEAD (Long-term Enhancing ACO Design) Model Overview Webinar

The Centers for Medicare & Medicaid Services (CMS) will host a webinar on Thursday, January 29, 2026, 2:00-3:00 PM ET, about the LEAD Model, including model goals, participation options, eligibility, and payment methodology. The LEAD Model team will also provide more information on the application proc...
Policy Snapshot

January 16, 2026

CMS Emphasizes Correct Use and Billing of Remote Patient Monitoring

The Centers for Medicare & Medicaid Services (CMS) is signaling a renewed focus on ensuring that remote patient monitoring (RPM) services are used and billed correctly. Following a recent review highlighted by the Office of the Inspector General (OIG), CMS has released information underscoring the impo...
Policy Snapshot

January 12, 2026

CMS Updates Nursing Home Care Compare Following iQIES Transition

The Centers for Medicare & Medicaid Services (CMS) has released Quality & Safety Special Alert Memo QSSAM-26-01-NH to explain recent changes to Nursing Home Care Compare related to the transition to the Internet Quality Improvement and Evaluation System (iQIES). This modernization effort aims to en...
Policy Snapshot

January 5, 2026

CMS Proposed Model Test Would Lower Drug Costs for Medicare Part D

The Centers for Medicare & Medicaid Services (CMS) announced the newly proposed GUARD (Guarding U.S. Medicare Against Rising Drug Costs) Model that would lower the costs of certain prescription drugs covered by Medicare Part D to reflect prices paid in economically comparable countries.
Policy Snapshot

January 5, 2026

CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States

The Centers for Medicare & Medicaid Services (CMS) announced that all 50 states will receive awards under the Rural Health Transformation Program, a $50 billion initiative established under the Working Families Tax Cuts legislation (Public Law 119-21) to strengthen and modernize health care in rural co...
Policy Snapshot

January 5, 2026

2025 QPP Data Submission is Now Open

The Centers for Medicare & Medicaid Services (CMS) has opened data submission for the 2025 performance year of the Quality Payment Program (QPP). Data can be submitted and updated until March 31, 2026, 8:00 PM ET.
Policy Snapshot

January 5, 2026

New CMS LEAD Model Aims to Expand Access to ACOs

The Centers for Medicare & Medicaid Services (CMS) recently announced the Long-term Enhanced ACO Design (LEAD) Model as the Innovation Center’s next Accountable Care Organization (ACO) model, which will focus on reaching more health-care providers who have not joined ACOs, while providing care for pati...
Policy Snapshot

December 12, 2025

CMS Indefinitely Suspends SNF Revalidation Deadline

The Centers for Medicare & Medicaid Services (CMS) has announced an indefinite suspension of the January 1, 2026, revalidation deadline for skilled nursing facilities (SNFs). This revalidation process was the primary mechanism CMS introduced to collect detailed ownership, managerial, and related-party ...
Policy Snapshot

December 8, 2025

CMS Reverses Long-Term Care Minimum Staffing Rule, Returns to Prior Standards

The Centers for Medicare & Medicaid Services (CMS) has issued an interim final rule with comment period, reversing key components of the May 2024 Minimum Staffing Standards for Long-Term Care Facilities final rule. This action formally restores staffing requirements that were in place prior to the 2024...