Adam Appleberry

Adam Appleberry

Tucker Arensberg, P.C.

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New CMS Model Targets Inefficient Medicare Spending Through AI and Clinical Oversight

The Centers for Medicare & Medicaid Services (CMS) has launched the WISeR Model (Wasteful and Inappropriate Service Reduction) to modernize and streamline Medicare’s prior authorization process. ...more

7/9/2025  /  Algorithms , Artificial Intelligence , Centers for Medicare & Medicaid Services (CMS) , Healthcare , Healthcare Reform , Machine Learning , Medicare , Process Improvement , Regulatory Oversight , Regulatory Reform

Oregon Legislature Passes Nation's Strictest Restrictions on the Corporate Practice of Medicine

Oregon is on the verge of passing a bill that would block private-equity ownership in healthcare practices. If passed, this measure would be the strictest ban on the corporate practice of medicine in the nation....more

6/6/2025  /  Corporate Practice of Medicine , Health Care Providers , Healthcare , Healthcare Facilities , Healthcare Reform , Physicians , Private Equity , Proposed Legislation , Restrictive Covenants , State Legislatures

2025 Medicare Final Rule Highlights

CMS issued its Final Rule for the 2025 Medicare Physician Fee Schedule in November. Originally published in the Allegheny County Medical Society (ACMS) Bulletin - December 2024....more

1/13/2025  /  Centers for Medicare & Medicaid Services (CMS) , Final Rules , Health Care Providers , Health Insurance , Healthcare , Healthcare Reform , Medicare , Medicare Advantage , Physician Fee Schedule , Physicians
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