Showing 11 - 20 of 215 results

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...
Policy Snapshot

August 10, 2025

Legislation Introduced to Reverse Historic Healthcare Cuts

Senate Democratic leaders have introduced the Protecting Healthcare and Lowering Costs Act to reverse recent healthcare funding reductions that could affect millions of Americans’ access to insurance and critical health services.