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Policy Snapshot

November 8, 2024

CMS Implements New Respiratory Illness Reporting Requirements for Long-Term Care Facilities

The Centers for Medicare & Medicaid Services (CMS) has issued its final rule for the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS), which includes updates to Medicare payment policies and rates for Home Health Agencies (HHAs). Among the key changes, CMS is finalizing a new dat...

Policy Snapshot

April 6, 2026

CMS Releases Proposed FY 2027 SNF PPS Rule

The Centers for Medicare & Medicaid Services (CMS) has released the Fiscal Year (FY) 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) Proposed Rule, outlining several proposed updates to Medicare payment rates, quality programs, and data reporting requirements for skilled nursing faci...

Policy Snapshot

February 16, 2024

Important Reminders When Submitting APP Data as a Shared Savings Program ACO

To be eligible for shared savings and shared losses through the Shared Savings Program, an ACO or third-party intermediary acting on behalf of the ACO must submit quality reporting data via the Alternative Payment Model (APM) Performance Pathway (APP). The data submission period opened on January 2, 2024. ...

Policy Snapshot

December 8, 2023

Skilled Nursing Facility Value-Based Purchasing Program: December Confidential Feedback Reports

Download your December Quarterly Confidential Feedback Reports for the Skilled Nursing Facility Value-Based Purchasing Program from iQIES, including the incentive payment multiplier CMS will apply to your Part A claims in FY 2024. Submit corrections by December 31. See Confidential Feedback Reporting &...

Policy Snapshot

January 6, 2025

2024 QPP Data Submission is Now Open

The Centers for Medicare & Medicaid Services (CMS) has opened data submission for the 2024 performance year of the Quality Payment Program (QPP). Data can be submitted and updated until 8:00 PM ET on March 31, 2025.

Policy Snapshot

January 27, 2025

PALTmed Urges CMS to Revise 2026 MIPS Value Pathways for Improved Patient Care

Last week, the Post-Acute and Long-Term Care Medical Association (PALTmed), along with a coalition of medical organizations led by the American Medical Association (AMA), sent a letter to Jeff Wu, the acting administrator of CMS. The letter addresses concerns and recommendations regarding the 2026 proposed...

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

March 18, 2025

Congressional Spending Bill Fails to Address Physician Fee Cuts but Extends Telehealth Benefit

Last week, Congress passed a government funding bill to avert a shutdown, but it notably lacked provisions addressing the 2.8% Medicare physician payment cut that took effect on January 1, 2025. PALTmed had hoped the bill would include provisions from the bipartisan Medicare Patient Access and Practice Sta...

Policy Snapshot

April 14, 2025

MedPAC Highlights Concerns About Nursing Home Quality Ratings

At its April 11, 2025, public meeting, the Medicare Payment Advisory Commission (MedPAC) focused on the persistent challenges in nursing home quality oversight and the limitations of current Medicare policies aimed at improvement. MedPAC staff highlighted widespread concerns with the current Five-Star Qual...

Policy Snapshot

January 5, 2026

2025 QPP Data Submission is Now Open

The Centers for Medicare & Medicaid Services (CMS) has opened data submission for the 2025 performance year of the Quality Payment Program (QPP). Data can be submitted and updated until March 31, 2026, 8:00 PM ET.