CY 2026 Medicare Physician Fee Schedule: What Payors and Insurers Need to Know
On October 31, CMS finalized the CY 2026 Medicare Physician Fee Schedule (PFS) rule (CMS-1832-F), effective January 1, 2026. While primarily directed at Medicare providers, the rule’s changes have...
View ArticleCMS Issues 2026 Physician Fee Schedule Final Rule: Key Takeaways for Pharma
On October 31, the Centers for Medicare & Medicaid Services (CMS) issued a final rule announcing changes for Medicare payments under the Physician Fee Schedule (PFS), effective on or after January...
View ArticleCMS Releases CY 2026 Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) on Oct. 31, 2025, released the calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) Final Rule, which includes policies related to...
View ArticleCMS Finalizes Key Requirements for Bona Fide Service Fees in CY 2026...
On November 5, 2025, CMS published the CY 2026 Physician Fee Schedule Final Rule (Final Rule), which includes changes to how drug manufacturers must treat Bona Fide Service Fees (BFSFs) in the context...
View Article340B Rebate Models and Medicare Part D 340B Claims: What 340B Covered...
340B covered entities should carefully review the approved 340B rebate models and the 2026 Medicare Physician Fee Schedule (MPFS) Final Rule provisions on new CMS processes for identifying Medicare...
View ArticleCMS Finalizes Sweeping Reforms to Skin Substitute Payments Amid Rising Costs...
Key Takeaways: Major Financial and Operational Impact: On Nov. 5, 2025, CMS finalized a rule that fundamentally changes Medicare payment methodology for a broad range of skin substitute products used...
View ArticleCMS Finalizes Changes to Bona Fide Service Fee Requirements, Alongside Other...
On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) released its Final Rule for the Calendar Year (CY) 2026 Physician Fee Schedule (PFS), detailing significant updates to...
View Article2026 Medicare Physician Fee Schedule Final Rule adopts some but not all...
On October 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued the physician fee schedule (PFS) final rule for calendar year (CY) 2026 (Final Rule). It has been several years since...
View ArticleCMS Launches Mandatory Two-Sided Risk Model for Specialists Treating Heart...
On October 31, the Centers for Medicare & Medicaid Services (CMS) finalized the Ambulatory Specialty Model (ASM), a mandatory alternative payment model (APM) for select specialists who regularly...
View ArticleHealth Care Week in Review | Government Shutdown Enters Second Month; CMS...
Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance; federal legislation and congressional committee...
View ArticleMedicare Claims Hold Update: Telehealth, Acute Care Hospital at Home, and...
When Congress failed to pass a Continuing Resolution (CR) by September 30, 2025, a number of legislative payment provisions that have allowed broader Medicare coverage of telehealth services and...
View ArticleThe Federal Regulatory Process During a Government Shutdown
Federal rulemaking does not come to a complete halt during a government shutdown, but the process slows considerably. While issuing regulations and rulemaking during a lapse in federal appropriations...
View ArticleCalifornia AB 460 Signed: Remote Supervision of Radiologic Technologists
On October 7, 2025, California Governor Gavin Newsom signed AB 460, amending California’s Radiologic Technology Act to permit certified radiologic technologists to perform venipuncture for contrast...
View ArticleHolland & Knight Health Dose: September 15, 2026
Both chambers of the U.S. Congress will return for what is expected to be a quick sprint of legislating prior to returning home until after the midterm elections. Several healthcare committees of...
View ArticleKey Takeaways From the CY 2027 Medicare Physician Fee Schedule Proposed Rule
On July 14, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (the “Proposed Rule”) announcing policy changes for Medicare payments under the physician fee schedule...
View ArticleWhen AI Becomes Part of Medicine: Why CMS’s AI Questions Matter Now
Less than a month remains for physicians, health systems, technology companies, and other stakeholders to comment on several questions buried deep in a Request for Information (“RFI”) within the...
View ArticleEn Banc Fifth Circuit Rejects Key QPA Rules in TMA III
On Aug. 11, 2026, the en banc Fifth Circuit issued its long-awaited decision in Texas Medical Association v. HHS, commonly known as TMA III. The court held that federal agencies departed from the No...
View ArticleTightening the Reins on Remote Monitoring: CMS Proposes Major Changes to RPM...
On July 16, the Centers for Medicare & Medicaid Services (CMS) published its Calendar Year (CY) 2027 Medicare Physician Fee Schedule proposed rule....By: Bass, Berry & Sims PLC
View ArticleDialysis & Nephrology Digest - July 2026
CMS Signals a Major Shift for Remote Patient Monitoring - Just one year after expanding access to remote patient monitoring (RPM) and remote therapeutic monitoring (RTM), CMS is proposing significant...
View ArticleModernizing How Medicare Pays Physicians
The Centers for Medicare & Medicaid Services (CMS) has issued its proposed 2027 Medicare Physician Fee Schedule. CMS recognizes that healthcare delivery has evolved while Medicare’s physician...
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