Regulatory

ASC Payment Fight Returns as Lawmakers Move to Preserve Hospital Market Basket Update

A bipartisan House bill introduced March 25 would permanently extend a more favorable Medicare inflation update for ambulatory surgery centers (ASCs). It would also block another type of payment adjustment that the industry argues could hold ASC reimbursement down. The legislation – the Outpatient Surgery Access Act of 2026 – was introduced by Reps. Beth […]

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Hospice Groups: 2.4% Proposed Pay Raise Threatens Care Delivery

Two of the nation’s three largest hospice trade organizations decried a proposed 2.4% hospice base rate increase as inadequate in today’s financial climate, with one saying it could provide “modest stability.” The U.S. Centers for Medicare & Medicaid Services (CMS) on Thursday issued its proposed payment rule for hospices in 2027 containing a 2.4% payment

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CMS Proposes 2.4% Medicare Increase for Skilled Nursing Facilities in 2027

The Centers for Medicare and Medicaid Services (CMS) issued its Skilled Nursing Facility Prospective Payment System (SNF PPS) proposed rule, increasing Medicare rates by 2.4%. The 2.4% increase is based on the proposed SNF market basket of 3.2% and a negative 0.8% productivity adjustment, the agency said. SNF value-based purchasing reductions weren’t incorporated in estimates,

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Bipartisan Lawmakers Urge CMS to Crack Down on Medicare Advantage Overpayments

A bipartisan group of senators is urging the CMS to work with Congress to crack down on overpayments in Medicare Advantage. In a letter sent to the agency Monday, the lawmakers praised the CMS’ proposal to exclude diagnoses submitted through chart reviews that aren’t linked to actual medical care from risk adjustment — potentially curbing

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Q1 Recap on Proposed Legislation Affecting Healthcare Consolidation

As predicted in Holland & Knight’s year-end 2025 report, the first quarter of 2026 has seen a wave of newly proposed legislation by states that seek to broaden their review of healthcare consolidation. The focus has shifted from private equity to all stakeholders, including real estate investment trusts (REITs), management services organizations (MSOs) and health

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Florida Announces Medicaid DMEPOS Supplier Enrollment Moratorium

On March 25, 2026, the Florida Agency for Health Care Administration (AHCA) announced a statewide moratorium on enrollment of new durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) providers (Florida Medicaid Provider Type 90). The agency’s announcement follows the Feb. 25, 2026, nationwide Medicare moratorium on new enrollment for certain DMEPOS suppliers. AHCA backdated the

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