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Policy Snapshot

January 17, 2025

CMS Moves Closer to Accountable Care Goals with 2025 Accountable Care Organization Initiatives

In a recently released report, the Centers for Medicare & Medicaid Services (CMS) states that the agency has made substantial progress on its goal for all people with traditional Medicare to be in a care relationship with accountability for quality and total cost of care by 2030. As of January 2025, 53...

Policy Snapshot

June 21, 2024

CMS Preparing to Close Program that Addressed Medicare Funding Issues Resulting from Change Healthcare Cyber-Attack

The Centers for Medicare & Medicaid Services (CMS) announced that payments under the Accelerated and Advance Payment Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will conclude on July 12, 2024. Launched in early March, the CHOPD payments were designed to ease cash flow disruptions...

Caring for the Ages

May 27, 2016

CMS Promises Streamlined, Flexible Program to Replace Meaningful Use

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.