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Policy Snapshot

September 16, 2025

PALTmed Submits Comments on CMS’ Proposed 2026 Physician Fee Schedule

On September 12, PALTmed submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the CY 2026 Medicare Physician Fee Schedule (PFS) proposed rule. PALTmed emphasized how CMS’ proposals could directly impact access to high-quality care for frail, older adults in nursing homes and othe...
Policy Snapshot

September 8, 2025

Expired Memos and New Training Resources from CMS

CMS has announced updates to its Policy & Memos to States and CMS Locations page. As part of this update, several previously issued memos have officially expired and are no longer in effect.
Policy Snapshot

September 8, 2025

CMS Introduces SNF 3-Day Rule Waiver Under New TEAM Model

The Centers for Medicare & Medicaid Services (CMS) has released new details about the Transforming Episode Accountability Model (TEAM), which will run from January 1, 2026, through December 31, 2030. One key feature of this initiative is a waiver of the traditional Skilled Nursing Facility (SNF) Three-...
Policy Snapshot

August 29, 2025

CMS Updates Prescriber’s Guide to Part D Opioid Policies

CMS has revised its Prescriber’s Guide to Medicare Part D Opioid Policies to help prescribers stay current with opioid-related coverage rules. The update clarifies that Part D plans have 3 days to send a second notice when implementing a coverage limitation, standardizes terminology by referring to medicat...
Policy Snapshot

August 29, 2025

2024 MIPS Final Scores and Targeted Review Available Mid-September

The Centers for Medicare & Medicaid Services (CMS) previously announced that there was a delay with receiving some of the final Medicare claims data needed to calculate cost measures, which is delaying the release of Merit-based Incentive Payment System (MIPS) final scores for the 2024 performance yea...
Policy Snapshot

August 25, 2025

HHS Launches New Healthcare Advisory Committee to Advance Patient-Centered Reform

The Department of Health and Human Services (HHS), in collaboration with the Centers for Medicare & Medicaid Services (CMS), has announced the formation of a new Healthcare Advisory Committee. The committee will serve as a strategic body of experts tasked with advising HHS Secretary Robert F. Kennedy J...
Policy Snapshot

August 18, 2025

CMS Temporarily Pauses Nursing Home Care Compare Updates

The Centers for Medicare & Medicaid Services (CMS) has announced a temporary pause in the monthly updates to the Nursing Home Care Compare Five-Star Rating System. This pause is part of CMS’ transition to a new, cloud-based platform, the Internet Quality Improvement and Evaluation System (iQIES). ...
Policy Snapshot

August 17, 2025

Bill Introduced to Strengthen Long-Term Care Ombudsman Program

The Strengthening Advocacy for Long-Term Care Residents Act, introduced by Sens. Tim Kaine (D-VA) and Andy Kim (D-NJ), would strengthen the Long-Term Care Ombudsman Program under the Older Americans Act. This program, which relies on trained staff and volunteers to advocate for nursing home and long-term c...
Policy Snapshot

August 11, 2025

CMS Reopens Doctors and Clinicians CY 2023 Preview Period

CMS has reopened the calendar year (CY) 2023 Doctors and Clinicians (DAC) Preview Period, which will remain open until Thursday, August 21, 2025, at 8:00 PM ET. CMS reopened the Preview Period because adjustments were made, resulting in the addition of two clinician quality measures and 17 group quality me...