Proposed Rule 17 Jul 2025 puerto rico, administrative practice and procedure, reporting and recordkeeping requirements, medicare, health professions, health facilities, rural areas, laboratories, hospitals, payment systems, diseases, pricing transparency, x-rays, ambulatory surgical center, hospital outpatient

🏥Proposed Changes to Medicare Outpatient Payment Regulations

This proposed rule would revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026 based on our continuing experience with these systems. We also describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. This proposed rule would also update and refine the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency. This rule also contains requests for information on measure concepts regarding Well-Being and Nutrition for consideration in future years for all three programs (OQR, REHQR, and ASCQR; expanding the method to control for unnecessary increases in the volume of covered OPD services to on- campus clinic visits; software as a service; and adjusting payment under the OPPS for services predominately performed in the ambulatory surgical center or physician office settings.

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Proposed Rule 16 Jul 2025 healthcare, regulation, administrative practice and procedure, reporting and recordkeeping requirements, medicare, intergovernmental relations, penalties, health professions, health care, health facilities, rural areas, medicaid, laboratories, privacy, health records, health insurance, medical devices, diseases, drugs, biologics, prescription drugs, reimbursement, health maintenance organizations (hmo), x-rays, emergency medical services, physician fee schedule, payment policies

💰Proposed Medicare and Medicaid Payment Policies for CY 2026

This major proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; the Ambulatory Specialty Model; updates to the Medicare Diabetes Prevention Program expanded model; updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; updates to policies for Rural Health Clinics and Federally Qualified Health Centers update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; updates to the Medicare Promoting Interoperability Program.

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Proposed Rule 2 Jul 2025 compliance, puerto rico, administrative practice and procedure, reporting and recordkeeping requirements, medicare, intergovernmental relations, penalties, health care, health facilities, medicaid, privacy, health insurance, diseases, healthcare regulation, payment system, esrd, dialysis

💰Proposed Updates to ESRD Payment System Impacting Business

This proposed rule would update and revise the End-Stage Renal Disease (ESRD) Prospective Payment System for calendar year 2026. This rule also proposes to update the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury. In addition, this rule proposes to update requirements for the ESRD Quality Incentive Program and to terminate and modify requirements for the ESRD Treatment Choices Model.

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Proposed Rule 2 Jul 2025 administrative practice and procedure, reporting and recordkeeping requirements, medicare, health professions, health facilities, investigations, rural areas, medicaid, fraud, healthcare compliance, medical devices, grant programs-health, diseases, drugs, biologics, payment rates, quality reporting, x-rays, home health, emergency medical services, durable medical equipment

🏥Medicare and Medicaid Proposed Rule on Home Health Payment Updates

This proposed rule would set forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this proposed rule proposes permanent and temporary behavior adjustments and proposes to recalibrate the case-mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. Lastly, this proposed rule proposes policy changes to the face-to-face encounter policy. It also proposes changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it would update the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it proposes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.

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Proposed Rule 1 Jul 2025 compliance, healthcare, regulation, reporting and recordkeeping requirements, health care, health facilities, health, public health, occupational safety and health, diseases, occupational safety, covid-19, quarantine, cost savings

📉Proposed Rule to Remove COVID-19 Recordkeeping in Healthcare

OSHA is proposing to remove OSHA's COVID-19 Emergency Temporary Standard and its associated recordkeeping and reporting provisions from the Code of Federal Regulations.

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Rule 27 May 2025 administrative practice and procedure, mental health programs, health care, federal agencies, health, cancer, government policy, workers' compensation, occupational safety and health, diseases, law enforcement officers, healthcare regulations, firefighters, volunteers, eligibility criteria, responders, lung diseases, wtc health program

🏥Expanded Eligibility for WTC Health Program Responders Announced

On September 11, 2024, CDC published in the Federal Register an interim final rule with request for comment to update existing regulations governing the WTC Health Program to align with statutory changes. The interim final rule expanded eligibility criteria for enrollment of new Pentagon and Shanksville responders, capped at 500 new members, and made various conforming amendments to the WTC Health Program regulations. In this final rule, CDC responds to public comment and finalizes the revisions to the regulation.

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Proposed Rule 30 Apr 2025 puerto rico, reporting and recordkeeping requirements, medicare, health care, health facilities, diseases, fiscal year 2026, quality reporting, skilled nursing facilities, payment system

🏥Proposed Payment Changes for Skilled Nursing Facilities in 2026

This proposed rule would change and update policies and payment rates used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for FY 2026. This rulemaking also proposes to update the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program.

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Proposed Rule 30 Apr 2025 compliance, puerto rico, healthcare, regulations, administrative practice and procedure, reporting and recordkeeping requirements, medicare, intergovernmental relations, penalties, health professions, health care, health facilities, medicaid, privacy, health records, health insurance, diseases, health maintenance organizations (hmo), quality programs, hospital payment

🏥Proposed Changes to Medicare Hospital Payment Systems for 2026

This proposed rule would revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); update and make changes to requirements for certain quality programs; and make other policy-related changes.

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Regulatory Compliance, Employment Initiatives 15 Jan 2025 healthcare, regulations, reporting and recordkeeping requirements, incorporation by reference, health care, health facilities, health, public health, osha, infectious diseases, workplace safety, occupational safety and health, diseases, covid-19, quarantine
Compliance, Regulatory Changes 13 Jan 2025 compliance, healthcare, regulations, administrative practice and procedure, reporting and recordkeeping requirements, medicare, health facilities, medicaid, privacy, health insurance, hospitals, grant programs-health, payment systems, diseases

🏥Medicare and Medicaid Payment System Corrections for 2025

This document corrects technical and typographical errors in the final rule with comment period that appeared in the November 27, 2024 Federal Register titled "Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities".

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