On July 15th, the Centers for Medicare & Medicaid Services (CMS) issued the Hospital Outpatient Prospective Payment (OPPS) and Ambulatory Surgical Center (ASC) Payment Systems proposed rule, which…
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On July 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued its proposed calendar year (CY) 2026 Physician Fee Schedule (PFS), which proposes policies for physician…
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When I reflect on the changes in medicine in the almost 50 years since I graduated from medical school, I list advanced imaging as the most significant. At…
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It has been just over a month since the Food and Drug Administration announced the agency-wide rollout of Elsa a generative AI tool “designed to help employees—from scientific…
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On Monday, June 30, 2025, the Department of Justice (DOJ) and the Federal Trade Commission (FTC), in coordination with the Department of Health and Human Services (HHS) and…
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On June 30, 2025, the Centers for Medicare & Medicaid Services (CMS) released Calendar Year (CY) 2026 Home Health Prospective Payment System and Durable Medical Equipment, Prosthetics, Orthotics,…
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On June 30, 2025, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Home Health Prospective Payment System proposed rule for home health…
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On June 30, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) proposed rule (CMS-1830-P) for calendar year…
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On June 11, the Medicaid and CHIP Payment and Access Commission (MACPAC) released their June 2025 Report to Congress, which included the following chapters: Access to Medications for…
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On June 12, 2025, the Medicare Payment Advisory Commission (MedPAC) released their June 2025 Report to Congress, which included the following chapters: Reforming Physician Fee Schedule Updates and…
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On June 17, 2025, Georgetown University’s Center on Health Insurance Reforms hosted an event titled, Facility Fee Reforms: How States Are Tackling Excessive Hospital Outpatient Charges. The discussion…
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If a new acquaintance asks me what I “do”—a favorite icebreaker here inside the Beltway—I talk about my work in healthcare finance. This includes information about Applied Policy…
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