On March 5, 2019, CMS issued new guidance for surveyors to identify immediate jeopardy cases. CMS revised the previous version of Appendix Q to clarify and increase consistency for identifying immediate jeopardy and...more
On November 26, 2018, CMS published a proposed rule (the Proposed Rule) to amend the Medicare Advantage (MA) program and Medicare Part D with the goal of allowing health and drug plans to negotiate for lower drug prices and...more
On July 17, 2018, the United States Court of Appeals for the D.C. Circuit affirmed the D.C. district court’s dismissal of a pre-implementation challenge to CMS’s policy to cut the Medicare reimbursement rate for...more
On May 31, 2018, CMS Administrator Seema Verma announced that 91% of all Merit-based Incentive Payment System (MIPS) eligible clinicians participated in year one of the Quality Payment Program (QPP), surpassing CMS’s goal to...more
CMS has released its proposal for 2019 Medicare Part C rates. CMS indicated it expects an average change in revenue of 1.84 percent for Medicare managed care plans for 2019 as a result of the proposed policy changes....more