8/29/2025 2:39:34 PM CMS Proposes Changes to Average Sales Price Calculations for Part B Drug Reimbursement By Joseph Metro Matthew Loughran In its 2026 Medicare Physician Fee Schedule proposed rule, the Centers for Medicare & Medicaid Services (CMS) has proposed additional...
8/21/2025 1:55:17 PM HHS issues No Surprises Act FAQs in response to Fifth Circuit vacating prior panel opinion By Megan K. Ali The U.S. Department of Health and Human Services (“HHS”), along with several other agencies (the Departments of Labor and Treasury, as...
8/19/2025 10:45:51 PM HHS-OIG Issues Favorable Advisory Opinion to Device Manufacturer under the Small Entity Safe Harbor By Jessica Christensen The U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued Advisory Opinion No. 25-09 on August 12,...
8/15/2025 10:09:17 PM CMS Announces Health Tech Ecosystem Initiative By Samantha Beck The Centers for Medicare & Medicaid Services (“CMS”) has announced a Health Tech Ecosystem initiative, developed in response to a May...
8/12/2025 2:25:42 PM CMS makes changes to Medicare Part D bid parameters for 2026 By Taber Rueter The Centers for Medicare & Medicaid Services (“CMS”) announced preliminary Medicare Part D bid parameters for year 2026 to help plan...
8/11/2025 2:21:04 PM Sixth Circuit Likely Next to Consider FCA’s Constitutionality Under Article II By Sarah Cummings Stewart Selina Coleman On July 28, 2025, the U.S. District Court for the Southern District of Ohio certified for interlocutory appeal to the U.S. Court of...
8/6/2025 10:08:14 PM New California Medical Debt Disclosure Law Now in Effect—What Providers Need to Know Now By Paul Pitts James Hennessy Smita Patil Effective July 1, 2025, California law requires any contract creating medical debt to include a specific consumer disclosure indicating...
8/5/2025 2:36:03 PM CMS Launches WISeR Model to Target Waste by Leveraging (Broken) Prior Authorization System By Nancy Halstead Sarah Cummings Stewart Caitlin Chambers The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of the Wasteful and Inappropriate Service Reduction...