Insights^

Find our analysis on legislation, regulations, MedPAC meetings, and more. 

CMS Finalizes CY 2025 Physician Fee Schedule Rule

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the Physician Fee Schedule (PFS) Final Rule for Calendar Year (CY) 2025.

 

Summary of Contract Year 2026 Medicare Advantage & Part D Technical Changes Proposed Rule

On November 26, 2024, the Centers for Medicare and Medicaid (CMS) released their proposed rule with technical changes to Medicare Advantage (MA) and Medicare Part D Prescription Drug plans for Contract Year 2026.  This rule creates policy changes based on last year’s final MA payment rule and the Inflation Reduction Act. 

MACPAC Looks at Key Topics

On October 31, 2024, the Medicaid and CHIP Payment and Access Commission (MACPAC) met for Day 1 of their October meeting. Topics ranged from medication coverage for opioid use disorder (MOUD) to provisional plans of care to Multi-Year Continuous Eligibility for Children. 

(Valium)

CMS Finalizes CY 2025 Physician Fee Schedule Rule

On November 1, 2024, the Centers for Medicare and Medicaid Services (CMS) released the Physician Fee Schedule (PFS) Final Rule for Calendar Year (CY) 2025. 

 

(https://www.ppi.edu.pk/)

MedPAC Reviews Home Health

On October 11, 2024, the Medicare Payment Advisory Commission (MedPAC) held the second day of its October 2024 public meeting. The sessions focused on home health and included discussions of recent changes to the Medicare Home Health Prospective Payment System (PPS) and home health use among Medicare Advantage (MA) enrollees.

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