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Proposed Rule 14 Aug 2025 healthcare, regulation, business compliance, medicare, payment policies

💰Analysis of Medicare 2026 Payment Policies and Business Impact

This document corrects typographical and technical errors in the proposed rule that appeared in the July 16, 2025 Federal Register (90 FR 32352) titled "Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program" (hereinafter referred to as the CY 2026 PFS proposed rule), specifying proposed changes to the Medicare physician fee schedule (PFS) that is applicable for calendar year (CY) 2026, and other changes to Medicare Part B payment policies, as well as proposals regarding other Medicare payment policies.

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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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