On April 9, 2025, President Trump issued an executive order, titled “Reducing Anti-Competitive Regulatory Barriers” (the EO), directing federal agencies to identify and rescind or modify anticompetitive regulations. The EO...more
4/24/2025
/ Antitrust Division ,
Competition ,
Department of Justice (DOJ) ,
Deregulation ,
Executive Orders ,
Federal Trade Commission (FTC) ,
Government Agencies ,
Healthcare ,
Regulatory Reform ,
Regulatory Requirements ,
Rulemaking Process
A recent OIG report found that diagnoses reported in 2022 Medicare Advantage (MA) encounter data based only on health risk assessments (HRA) and HRA-linked chart reviews resulted in CMS making additional risk-adjusted...more
On November 2, 2021, CMS put on display its final rule that, among other things, updates the home health and home infusion therapy services payment rates for calendar year (CY) 2022; makes significant changes to the provider...more
11/17/2021
/ Centers for Medicare & Medicaid Services (CMS) ,
Final Rules ,
Healthcare ,
Healthcare Reform ,
Home Health Care ,
Hospice ,
Inpatient Prospective Payment System (IPPS) ,
Inpatient Quality Reporting ,
Inpatient Rehab Facilities ,
Long Term Care Facilities ,
Medicare ,
Regulatory Requirements ,
Therapeutic Services ,
Value-Based Purchasing
On September 30, 2021, OIG posted Advisory Opinion No. 21-14 regarding a chiropractor’s proposal to extend an existing discount program covering a package of services to include federal health care program beneficiaries. OIG...more
10/14/2021
/ Advisory Opinions ,
Anti-Kickback Statute ,
Beneficiary Inducement ,
Civil Monetary Penalty ,
Discounts ,
Healthcare ,
Medicare ,
Medicare Part B ,
OIG ,
Payment Systems ,
Physician Medicare Reimbursements