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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...
Policy Snapshot

April 20, 2026

Tell Congress to Stabilize Medicare Clinician Payments

The bipartisan Provider Reimbursement Stability Act (H.R. 8163), introduced by Reps. Greg Murphy, MD (R-NC) and Tom Suozzi (D-NY), aims to modernize Medicare clinician payment by updating outdated budget neutrality rules and improving stability for practices and patients.
Policy Snapshot

April 20, 2026

President Nominates New CDC Director

Erica Schwartz, MD, JD, MPH, has been nominated to serve as the next director of the Centers for Disease Control and Prevention (CDC), pending Senate confirmation.
Policy Snapshot

April 13, 2026

LEAD ACO Model Applications Available

The LEAD (Long-term Enhanced ACO Design) Model Request for Applications is now available. Accountable care organizations (ACOs) interested in participating have until May 17, 2026, to apply. LEAD builds upon the Innovation Center’s earlier accountable care work and utilizes an innovative benchmarking appro...
Policy Snapshot

April 13, 2026

CMS Proposes New Standards for Electronic Prior Authorization of Drugs

The Centers for Medicare & Medicaid Services (CMS) has released the 2026 CMS Interoperability Standards and Prior Authorization for Drugs proposed rule (CMS 0062 P), advancing its ongoing effort to streamline and modernize electronic prior authorization. The proposal is intended to provide patients and...
Policy Snapshot

April 6, 2026

CMS Invites ACOs to Apply to the New LEAD Model

CMS released the Request for Applications (RFA) for the Long-term Enhanced ACO Design (LEAD) Model, which aims to expand the benefits of Accountable Care Organizations (ACOs) to more Medicare beneficiaries. The model supports a broad range of participants and providers by offering enhanced support to small...
Policy Snapshot

April 6, 2026

CMS Updates State Operations Manual for Nursing Homes

The Centers for Medicare & Medicaid Services (CMS) has finalized revisions to the State Operations Manual (SOM) governing nursing home surveys and complaint investigations. The guidance was initially released through QSO 26 03 NH on January 30, 2026, with revisions to Chapters 5 and 7, and was subseque...