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…
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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…
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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…
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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…
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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.…
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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…
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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…
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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…
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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…
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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…
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CMS Final Inpatient Rule Boosts FY 2026 Hospital Payments by 2.6%, Ends Low-Wage Index Policy, and Expands Quality Reforms
On July 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2026 Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care Hospitals…
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CMS Finalizes 2.6% Payment Increase and Quality Reporting Changes in the FY 2026 Inpatient Rehabilitation Facility Final Rule
On August 1, the Centers for Medicare & Medicaid Services (CMS) released the fiscal year (FY) 2026 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) final rule. CMS…
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