5+ hour, 9+ min ago  (524+ words) Inflationary pressures on labor and supplies continue. These are compounded by limited benchmark increases (based on analysis of the unfinalized CMS 2027 advance rate notice) and full implementation of v28 risk-adjustment changes. Moreover, Star program dynamics and anticipated unlinked chart review changes…...

9+ hour, 21+ min ago  (213+ words) These requirements apply to all off'campus departments paid under OPPS, including sites previously "excepted" or grandfathered. Congress also allocated funding to CMS for implementation and directed the U.S. Department of Health Human Services Office of Inspector General to report to Congress…...

1+ mon, 3+ week ago  (295+ words) On February 3, 2026, the U.S. Department of Health & Human Services, Office of Inspector General (OIG), published the long-awaited Medicare Advantage Industry Segment-Specific Compliance Program Guidance (Medicare Advantage ICPG). The Medicare Advantage ICPG is meant to identify risk areas for those engaging with…...

2+ mon, 4+ week ago  (213+ words) Eligible applicants include current ACO REACH participants, other existing ACOs (such as MSSP entities), and Medicare providers " including physician groups, health systems, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and organizations serving high-needs or dually eligible populations. The…...