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Policy Snapshot

April 28, 2025

CMS' Updated Surveyor Guidance for Skilled Nursing Facilities Now in Effect

As of April 28, 2025, the Centers for Medicare & Medicaid Services (CMS) has officially implemented its revised surveyor guidance for skilled nursing facilities (SNFs). Originally announced in November 2024, the update experienced several extensions before taking effect on the final implementation date...
Policy Snapshot

November 9, 2023

Reminder: CMS Accepting 2023 MIPS Extreme and Uncontrollable Circumstances Exception and MIPS Promoting Interoperability Performance Category Hardship Exception Applications

The Merit-based Incentive Payment System (MIPS) Extreme and Uncontrollable Circumstances (EUC) Exception and MIPS Promoting Interoperability Performance Category Hardship Exception applications are available for the 2023 performance year. Applications can be submitted until 8:00 PM ET on January 2, 2024. ...
Policy Snapshot

December 15, 2023

Billing for Flu, Pneumococcal, and COVID-19 Vaccines

For flu, pneumococcal, and COVID-19 vaccines furnished on or after July 1, 2023, to patients staying in a Medicare Part A-covered skilled nursing facility (SNF), immunizers can no longer bill Medicare directly.
Policy Snapshot

February 16, 2024

Register for 2024 MIPS Webinar on February 22

On Thursday, February 22, 2024, at 3:00 PM ET, the Centers for Medicare & Medicaid Services (CMS) will host a webinar to provide an overview of the development, criteria, and evaluation of Merit-based Incentive Payment System (MIPS) quality and cost measures that align with CMS priorities.
Policy Snapshot

January 5, 2026

CMS Proposed Model Test Would Lower Drug Costs for Medicare Part D

The Centers for Medicare & Medicaid Services (CMS) announced the newly proposed GUARD (Guarding U.S. Medicare Against Rising Drug Costs) Model that would lower the costs of certain prescription drugs covered by Medicare Part D to reflect prices paid in economically comparable countries.
Policy Snapshot

May 30, 2025

CMS Medicare Shared Savings Program Open for Applications

The Centers for Medicare & Medicaid Services (CMS) is now accepting applications for the Medicare Shared Savings Program. Eligible organizations interested in joining the program must submit their applications through the Accountable Care Organization (ACO) Management System.
Policy Snapshot

March 16, 2026

HRSA Introduces the Health Workforce Explorer Dashboard

The Health Resources & Services Administration (HRSA) introduced a new data dashboard. The Health Workforce Explorer is an interactive dashboard that provides a snapshot of the U.S. health workforce across 40 occupations.