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Policy Snapshot

June 8, 2026

2026 MIPS Value Pathway (MVP) Registration Open

The Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) registration window is open for the 2026 performance year. Individuals, groups, subgroups, and Alternative Payment Model (APM) Entities that wish to report an MVP can register until November 30, 2026, at 8:00 PM ET.
Policy Snapshot

June 1, 2026

CY 2024 Doctors and Clinicians Preview Period Is Open

The Centers for Medicare & Medicaid Services (CMS) opened the calendar year (CY) 2024 Doctors and Clinicians Preview Period. You can preview your CY 2024 Quality Payment Program (QPP) performance information before it appears in the Provider Data Catalog (PDC) and on clinician and group profile pages o...
Policy Snapshot

May 22, 2026

Senate Democrats Announce Long-Term Care Initiative

Last week, Senate Finance Committee Ranking Member Ron Wyden (D-OR) and 16 Senate Democrats sent a Dear Colleague letter announcing a new initiative focused on long-term care for seniors and Americans with disabilities. The letter focused on three goals: making home care more affordable and accessible, imp...
Policy Snapshot

May 22, 2026

House Subcommittee Holds Medicare Physician Pay Hearing

The House Energy and Commerce Subcommittee on Health held a hearing on May 20 examining the Medicare Physician Fee Schedule and MACRA, the 2015 law meant to end the cycle of annual congressional "doc fixes." Members of both parties agreed that the current system is broken and needs to be changed....
Policy Snapshot

May 18, 2026

Reminder: Tell Congress to Stabilize Medicare Clinician Payments

This week, Congress will hold hearings on the Medicare Physician Fee Schedule. This is an ideal opportunity to urge them to support the bipartisan Provider Reimbursement Stability Act (H.R. 8163), introduced by Reps. Greg Murphy, MD (R-NC) and Tom Suozzi (D-NY). The bill would modernize Medicare clinician ...
Policy Snapshot

May 11, 2026

HHS Moves to Reduce Psychiatric Overprescribing

The Department of Health and Human Services (HHS) announced a new action plan focused on psychiatric prescribing practices. As part of the initiative, HHS agencies will review prescribing trends for psychiatric drugs, examining both their effectiveness and possible risks. The department also emphasized exp...
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...