Articles and Blogs

On July 14, 2025, the Centers for Medicare & Medicaid Services (“CMS”) announced its CY 2026 Physician Fee Schedule (“PFS”) Notice of Proposed Rulemaking (“Proposed Rule”). The Proposed Rule includes information on a new Center for Medicare & Medicaid Innovation (“CMMI”) mandatory payment model called the Ambulatory Specialty Model (“ASM”). If finalized, the new... READ MORE

On June 27, 2025, the Center for Medicare & Medicaid Innovation (“CMMI”) announced the Wasteful and Inappropriate Service Reduction (“WISeR”) Model, its latest model focused on reducing clinically inappropriate and low-value services in traditional Medicare. Unlike prior CMMI models, WISeR stands out for its exclusion of traditional health care providers, such as hospitals and... READ MORE

The Center for Medicare & Medicaid Innovation (“CMMI”) has announced a new strategy for establishing payment systems that incentivize healthier lives through a focus on three key pillars: (1) promoting evidence-based prevention; (2) empowering patients to achieve their health goals; and (3) driving choice and competition. This strategy includes several positives for providers participating... READ MORE

A new mandatory bundled payment model is likely on its way in 2026, and the Center for Medicare & Medicaid Innovation (“CMMI”) is seeking input on how to structure the model to work for existing population-based models, including accountable care organizations (“ACOs”). On July 18, 2023, CMMI released a Request for Information (“RFI”) on... READ MORE

Lawmakers Hit a Wall with Funding Negotiations – Shutdown Continues The three-week partial government shutdown continues without any progress towards an agreement to fund the federal government. Tomorrow, January 12, will mark the longest government shutdown on record as it exceeds the 21-day shutdown in 1996. Congress was in action this week. On Thursday,... READ MORE