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Policy Snapshot

October 25, 2024

2023 MIPS Final Scores and 2025 MIPS Payment Adjustments

The Centers for Medicare & Medicaid Services (CMS) recently released the mean and median final scores and payment adjustments for the 2023 performance year/2025 payment year of the Merit-based Incentive Payment System (MIPS).
Policy Snapshot

October 18, 2024

House Majority Calls for Urgent Action on Medicare Payment Cut

A bipartisan majority in the House of Representatives, consisting of 233 members, has signed a letter urging leadership to swiftly implement legislative solutions to prevent a 2.8% cut to Medicare payments set for January 1, 2025. The letter emphasizes the need for a payment update reflecting the actual pa...
Policy Snapshot

October 18, 2024

CMS Reporting of SNF Ownership and Management Sub-regulatory Guidance Released

The Centers for Medicare & Medicaid Services (CMS) announced recently that it will be revalidating enrolled skilled nursing facilities (SNFs) from October–December 2024 to collect data on ownership, managerial (e.g. medical directors), and related party information. To aid in the collection of that inf...
Policy Snapshot

October 18, 2024

CMS Finalizes New Medicare Appeal Rights for Hospital Status Changes

Recently, the Centers for Medicare & Medicaid Services (CMS) finalized the Medicare Program: Appeal Rights for Certain Changes in Patient Status rule. This final rule establishes an appeal process for Medicare beneficiaries admitted as hospital inpatients but later reclassified as outpatients receiving...
Policy Snapshot

October 11, 2024

Merit-based Incentive Payment System (MIPS) Automatic Extreme and Uncontrollable Circumstances (EUC) Policy Applied to MIPS-Eligible Clinicians Following Hurricanes Helene and Francine

U.S. Department of Health and Human Services (HHS) Secretary Xavier Becerra recently released a letter to health-care leaders and stakeholders on the impacts of Hurricane Helene, which can be found on the HHS website. In response to Hurricanes Helene and Francine, the Centers for Medicare & Medicaid Se...
Policy Snapshot

October 7, 2024

Deadline Extended: Urge Your Members of Congress to Take Action on Medicare

The Centers for Medicare & Medicaid Services (CMS) recently released the 2025 Medicare Physician Fee Schedule Proposed Rule (MPFS) that includes yet another 2.8% cut to Medicare payments on January 1, 2025. Reps. Mariannette Miller-Meeks, MD (R-IA) and Jimmy Panetta (D-CA), along with a bipartisan grou...
Policy Snapshot

October 7, 2024

Senators Call for Urgent Action to Extend Telehealth Flexibilities

Bipartisan leaders in Congress are being urged to prioritize policies that ensure continued access to telehealth services for Medicare beneficiaries. A letter addressed to Senate leaders Chuck Schumer and Mitch McConnell emphasizes the broad support for permanently expanding telehealth access, with at leas...
Policy Snapshot

October 7, 2024

Congress Extends Funding Until December 20, 2024

Congress passed a continuing resolution (H.R.9747) extending federal funding until December 20, 2024. The measure, which maintains funding at current levels, received bipartisan support, passing the Senate by a vote of 78-18, following a 341-82 approval in the House. This extension averts a government shut...