Becker's Hospital Review

Fee-for-service care could cost Medicaid $4.4T, UnitedHealth Group says

Continuing to use fee-for-service care for Medicaid and dual-eligible recipients could cost the federal government upwards of $4.4 trillion over the next 10 years, according to a UnitedHealth Group ...
JD Supra

Game On! 2026 Medicare Fee-for-Service Rulemaking Is About to Tip Off

It’s March, which means one thing for sports fans: the madness of the NCAA men’s and women’s basketball tournaments. However, to folks in the regulatory world, it also means something else too: the ...
Becker's Hospital Review

CMS wants to lift rule mandating Medicaid plans track fee-for-service payments

CMS filed a proposal July 11 to eliminate a rule that requires state Medicaid plans to record their fee-for-service payments. The proposal, signed by HHS Secretary Alex Azar and CMS Administrator ...
JD Supra

CMS Proposes Major ASP Reporting Overhaul — Implications for Fair Market Value and Bona Fide Service Fees

The Centers for Medicare & Medicaid Services (CMS) recently published its Proposed 2026 Physician Fee Schedule Rule (Proposed Rule), with extensive implications for drug pricing, Average Sales Price ...