The 5th Circuit struck down parts of the No Surprises Act’s QPA calculation while upholding federal limits on air ambulance payment challenges.
Medicare
CMS proposes RAPID device coverage pathway to sync evidence with FDA, shorten Medicare timelines, and boost early collaboration with manufacturers.
Centers for Medicare & Medicaid Services moves to strengthen oversight of Applied Behavior Analysis services and reduce fraud, waste, and abuse.
CMS set the 2027 Part D bid and premium benchmarks and will end the long running Premium Stabilization Demonstration after the 2026 plan year.
The Justice Department’s Corporate Enforcement Policy offers declinations for companies that self disclose misconduct and cooperate with investigators.
Major changes to physician payment, quality reporting, and accountable care in Centers for Medicare & Medicaid Services’ 2027 proposed rule.
A new CMS evaluation shows hospital-led ACOs drove higher Medicare spending in 2023 while physician-led groups generated savings.
The department said the latest investments reflect an ongoing commitment to strengthen the security and reliability of the national health information exchange infrastructure.