Insights^

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

MedPAC Opens Annual Cycle Discussing Medicare Solvency and Improvements to Medicare Advantage Plans

On September 7-8, 2023, the Medicare Payment Advisory Commission (MedPAC) held the first meeting of their annual cycleThe Commission discussed payment adequacy and Medicare Advantage plans, ASCs, and Hospital at Home.

Senate Finance Committee Passes PBM Reform

On July 26, 2023, the Senate Finance Committee held an open bipartisan executive session to discuss and vote on modernizing and creating increased accountability for Pharmacy Benefit Managers (PBMs).. 

Changes Under CY 2024 Hospital Outpatient Proposed Rule

On July 13, 2024, the Centers for Medicare and Medicaid Services (CMS) released their hospital outpatient and ambulatory surgery center (ASC) payment proposed rule for Calendar Year (CY) 2024. 

CMS Releases Proposed Rule Updating Outpatient Hospital Rates and Policies

On July 13, 2023, the Centers for Medicare and Medicaid Services (CMS) released their outpatient hospital and ambulatory surgery center (ASC) payment proposed rule for Calendar Year (CY) 2024.  The rule contains updates to payment rates, quality programs, and a discussion around a new intensive outpatient Medicare program. 

CMS Proposes CY 2024 Physician Fee Rule

On July 13, 2023,  the Centers for Medicare and Medicaid Services (CMS) released the Physician Fee Schedule and Medicare Shared Savings Program Proposed Rule for Calendar Year (CY) 2024.   In its annual payment rule, CMS tackles payment updates, split billing, supervision rules, and changes to the Medicare Shared Savings Program, among other key policies. 

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