CMS Publishes Home Health and End Stage Renal Disease Final Rules
The Centers for Medicare & Medicaid Services (“CMS”) published two final rules that respectively update calendar year 2025 Medicare payment policies and rates under the home health and end stage renal disease prospective payment systems. These final rules also update the quality reporting/incentive programs and conditions of participation/coverage for each respective type of facility.
HHS OIG Updates Its Work Plan
The Department of Health and Human Services Office of Inspector General (“HHS OIG”) updated its public-facing Work Plan. This latest update includes an analysis comparing hospitals’ published prices against the amounts actually paid by Medicare; a look at health care facilities and geographic areas that may be at risk for (and potentially less able to respond to) hurricanes and other similar storm events; an audit of Medicaid reimbursements for outpatient clinical diagnostic laboratory services; and a study looking at the Food and Drug Administration’s post-market evaluation of medication safety signals.
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