11/13/2025 3:33:34 AM Government Reopens . . . What Now? By Matthew Loughran The U.S. House of Representatives voted 222 to 209 to pass the Senate amendment to the continuing resolution, effectively ending the...
9/25/2025 4:00:57 PM What could a Government Shutdown mean for the Health Care Industry? By Matthew Loughran September 30 is the end of Fiscal Year 2025 for the federal government. If the Congress does not pass a continuing resolution or the...
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...
8/5/2025 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...
7/17/2025 1:57:13 PM Medicare Changes as a Result of 2025 Reconciliation Law Could Be Substantial By Paul Pitts Nancy Halstead Nicole Aiken-Shaban James Hennessy Matthew Loughran Liyun Huang +3 more... Show less This is the second in a series of blog posts designed to provide a deeper dive into the provisions of the 2025 Reconciliation Law...
7/6/2025 2:30:16 AM Senate Version of Reconciliation Bill Becomes Law By Matthew Loughran On July 4, President Trump got his wish and was able to hold a signing ceremony for the Reconciliation Bill that put into effect many of...
6/23/2025 1:27:24 PM A Week that Changed Health Care Law By Matthew Loughran Well, that was quite a week. Even with a federal holiday right in the middle, there were a number of developments in health care law that...
5/23/2025 7:47:57 PM Breaking down the Health Care Impacts of the One Big [Reconciliation] Bill By Scot T. Hasselman Carol Loepere Matthew Loughran After 28 hours of deliberation including a marathon Rules Committee meeting that saw more than 500 proposed Democratic amendments, the...
3/19/2025 11:58:38 PM Elimination of the Richardson Waiver Means Changes . . . But To What End? By Scot T. Hasselman Lesley Reynolds David Bender Matthew Loughran +1 more... Show less In February 1971, at the tail end of Richard Nixon’s first term, his Secretary of Health, Education and Welfare, Elliot Richardson,...
2/21/2025 8:53:43 PM FBA’s Qui Tam Conference reinforces that FCA Enforcement is here to stay By Kate Seikaly Selina Coleman Allie Klimkiewicz At the Federal Bar Association’s (FBA) Annual Qui Tam Conference on February 20, 2025, Department of Justice (DOJ) representatives...
12/3/2024 12:00:00 PM Medicare overpayment rule standard changes finalized in 2025 CMS Physician Fee Schedule By Scot T. Hasselman Nancy Halstead Tom Greeson Nicole Aiken-Shaban Kaitlyn Dunn Peter Terreri Matthew Loughran +4 more... Show less In the final 2025 Medicare Physician Fee Schedule, which is set to be published in the Federal Register on December 9, the Centers for...
10/7/2024 1:01:26 AM CMS Ramps up Process for Identifying Private-Equity Ownership of SNFs By Carol Loepere Brittney Cafero Matthew Loughran This month, the Centers for Medicare & Medicaid Services (CMS) has begun an off-cycle revalidation process directed at all...
7/23/2024 7:46:53 PM CMS Revisits Medicare Overpayment Standards in 2025 Physician Fee Schedule By Nancy Halstead Hatmaker Pawlitz Peter Terreri In its recently released 2025 proposed Medicare Physician Fee Schedule (“MPFS”), the Centers for Medicare & Medicaid Services (“CMS”)...
7/16/2024 3:09:36 PM HHS Finalizes Rule on Health Care Provider Information Blocking Penalties By Nancy Halstead Vicki Tankle Garrison Ambrose Matthew Loughran +1 more... Show less The Centers for Medicare & Medicaid Services (“CMS”) and the Office of the National Coordinator for Health Information Technology (“ONC”)...
4/16/2024 1:43:25 AM CMS Offers Change Healthcare/Optum Payment Disruption Payments to Medicare Providers and Suppliers By Samantha Beck On March 9, 2024, in response to the cyberattack on UnitedHealth Group’s subsidiary, Change Healthcare/Optum, in late February 2024, the...
3/11/2024 5:17:57 PM Was the Consolidated Appropriations Act, 2023 Legitimately Passed by the House? By Matthew Loughran Not a question that we thought we would be asking more than a year after the large omnibus package was signed into law by President...