FY 2020 IPPS Proposed Rule Summary
Centers for Medicare & Medicaid Services released its proposed rule describing federal FY2020 policies and rates for Medicare’s prospective payment systems for acute care inpatient hospitals and the long-term care hospital prospective payment system.
Modernizing Part D and Medicare Advantage Final Rule Summary
This document provides a summary CMS's final rule providing for revisions to the Medicare Advantage and Voluntary Prescription Drug Program regulations to support plan negotiations for lower drug prices and lower out-of-pocket costs for enrollees.
CMS FY 2020 IPPS Proposed Rule Executive Summary
CMS estimates that the total impact of all proposed policy changes will increase payments to IPPS hospitals by $4.7 billion in FY 2020 (3.5% increase compared to the 2019 IPPS final rule).
Medicare Advantage for Years 2020 and 2021 Final Rule Summary
On April 5, 2019, CMS released a final rule implementing policy and technical changes to Medicare Advantage, Part D plans, PACE, and Medicaid for 2020-2021, including expanding telehealth services and revising appeals requirements, while delaying action on changes to the MA Risk Adjustment Data Validation (RADV) program. The rule also updates Part C and D Star Ratings for 2022-2023 and revises preclusion list provisions.
Interoperability and Patient Access to Health Data Proposed Rule Summary
This document summarizes the proposed rule on interoperability and patient access to health data, published by CMS, in the March 4, 2019, Federal Register.
HHS Notice of Benefit and Payment Parameters for 2020 Proposed Rule Summary
Summary of the Notice of Benefit and Payment Parameters for 2020 proposed rule, published by CMS.
Medicare Shared Savings Program 2019 Final Rule Summary
This document provides a comprehensive summary of December 2018 Medicare Shared Savings Program final rule, published by CMS.
Medicare Shared Savings Program 2019 Final Rule: HFMA Executive Summary
This document briefly highlights noteworthy details of the 2019 Medicare Shared Savings Program final rule, published by CMS.
CY 2019 MPFS Final Rule Executive Summary Presentation
This presentation briefly summarizes the CY 2019 updates to payments and other programs contained in the MPFS final rule, published by CMS.
CY 2019 OPPS/ASC Final Rule: HFMA Executive Summary Presentation
This presentation briefly summarizes the CY 2019 OPPS/ASC final rule, published by CMS.