Articles by Meghan Basler

CMS Proposes Major CY 2027 OPPS/ASC Changes Targeting 340B Payments, Site-Neutral Policy, IPO List Phase-Out, and ASC Expansion

CMS Proposes Major CY 2027 OPPS/ASC Changes Targeting 340B Payments, Site-Neutral Policy, IPO List Phase-Out, and ASC Expansion

On July 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the Hospital Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center (ASC) Payment Systems proposed rule,…

CMS Proposes Net 2.4% Increase in CY 2027 Home Health Payments, Temporary PDGM Recoupment Cut, and Medicare-Wide Provider Enrollment Safeguards

CMS Proposes Net 2.4% Increase in CY 2027 Home Health Payments, Temporary PDGM Recoupment Cut, and Medicare-Wide Provider Enrollment Safeguards

On July 1, 2026, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2027 Home Health Prospective Payment System proposed rule for home health…

FY 2027 IPPS Proposed Rule: Quality Program Proposals

FY 2027 IPPS Proposed Rule: Quality Program Proposals

On April 10, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2027 Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals…

FY 2027 IPPS Proposed Rule: Quality Program Proposals

FY 2027 IPPS Proposed Rule: Quality Program Proposals

On April 10, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2027 Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals…

CMS Proposes 2.4% IPPS Update for FY 2027 with Targeted Payment Adjustments, DSH Reductions, and Expanded Oversight Across Hospital Policies

CMS Proposes 2.4% IPPS Update for FY 2027 with Targeted Payment Adjustments, DSH Reductions, and Expanded Oversight Across Hospital Policies

On April 10, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2027 Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals…

FY 2027 IRF PPS Proposed Rule Signals Modest Growth and Broader Payment Reform Direction

FY 2027 IRF PPS Proposed Rule Signals Modest Growth and Broader Payment Reform Direction

On April 2, the Centers for Medicare & Medicaid Services (CMS) released the fiscal year (FY) 2027 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) proposed rule. CMS…

Ambulatory Specialty Model (ASM): A Mandatory, Clinician-Level APM Focused on Chronic Care Quality and Cost

Ambulatory Specialty Model (ASM): A Mandatory, Clinician-Level APM Focused on Chronic Care Quality and Cost

In the CY 2026 Physician Fee Schedule final rule, CMS finalized the Ambulatory Specialty Model (ASM), a new mandatory alternative payment model (APM) under the CMS Innovation Center.…

CMS Finalizes Rule Closing Medicaid Health Care–Related Tax Loopholes

CMS Finalizes Rule Closing Medicaid Health Care–Related Tax Loopholes

On January 29, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a final rule titled, “Preserving Medicaid Funding for Vulnerable Populations – Closing a Health Care-Related…

CY 2026 Home Health Rule Finalizes Smaller Permanent Adjustment and Sets One-Year Temporary 3.0% Rate Reduction

CY 2026 Home Health Rule Finalizes Smaller Permanent Adjustment and Sets One-Year Temporary 3.0% Rate Reduction

On November 28, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Home Health Prospective Payment System final rule for home health…

CMS Finalizes 2.6% OPPS/ASC Increase, Declines 340B Offset Acceleration, and Launches IPO Phase-Out

CMS Finalizes 2.6% OPPS/ASC Increase, Declines 340B Offset Acceleration, and Launches IPO Phase-Out

On November 21, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center…

Home Health: CY 2026 Proposed Rule Prompts Stakeholder Engagement

Home Health: CY 2026 Proposed Rule Prompts Stakeholder Engagement

When the comment period for the Calendar Year 2026 Home Health Prospective Payment System and DMEPOS Competitive Bidding Program Proposed Rule closed on August 29, the Centers for…

WISeR Model Signals Changes in CMS’s Approach to Prior Authorization

WISeR Model Signals Changes in CMS’s Approach to Prior Authorization

With its June announcement of the Wasteful and Inappropriate Services Reduction (WISeR) Model, the Centers for Medicare & Medicaid Services (CMS) signaled a new willingness to apply prior…