Search | PALTmed

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.

Caring for the Ages

September 28, 2017

CMS Proposes Changes to Payment Models

Policy Snapshot

July 21, 2026

CMS Proposes Fix to Nursing Facility Payment Disparity in CY 2027 Physician Fee Schedule

Last week, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2027 Medicare Physician Fee Schedule proposed rule (CMS-1848-P). PALTmed’s advocacy has been focused on pushing for this fix over the past year. This is a proposal, not a final policy. It is subject to change ...

Caring for the Ages

June 2, 2015

CMS Proposes Mental Health Parity for Medicaid

Policy Snapshot

April 13, 2026

CMS Proposes New Standards for Electronic Prior Authorization of Drugs

The Centers for Medicare & Medicaid Services (CMS) has released the 2026 CMS Interoperability Standards and Prior Authorization for Drugs proposed rule (CMS 0062 P), advancing its ongoing effort to streamline and modernize electronic prior authorization. The proposal is intended to provide patients and...

Policy Snapshot

January 26, 2024

CMS Provides Additional Information on G2211 Code

The Centers for Medicare & Medicaid Services (CMS) has issued an MLN Matters Article on the new G2211 code. AMDA realizes that there have been questions about this code. In our communications, we understand that CMS is also developing an FAQ document. We continue to work closely with other specialty s...

Policy Snapshot

July 7, 2026

CMS Publishes Program Year 2025 Open Payments Data

The Centers for Medicare & Medicaid Services (CMS) published Open Payments Program Year 2025 data, along with newly submitted and updated payment records for Program Years 2019–2024. The data is accessible on the Open Payments Search Tool.

JAMDA

June 3, 2025

CMS Quality Star Ratings for Nursing Homes Change Frequently: A Descriptive Analysis of Trends From 2009 to 2020

Nursing Home Compare star ratings are closely watched by hospital delivery systems, policymakers, and consumers as measures of care quality. However, very little is known about the degree to which nursing homes can or do move between star ratings, what we refer to as performance mobility. This study addres...

Caring for the Ages

December 28, 2017

CMS Releases 2018 Medicare Physician Fee Schedule Final Rule

Policy Snapshot

May 16, 2024

CMS Releases 2024 Measure Development Plan Annual Report

The Centers for Medicare & Medicaid Services (CMS) has posted the 2024 Quality Measure Development Plan (MDP) Annual Report, which describes progress in developing clinician quality measures to support the Quality Payment Program (QPP).