News
States are asked to send letters of intent to apply for the GENEROUS model that launches in 2026.
The representatives want a two-year extension for APTCs and guardrails to prevent improper payments.
The intent is to improve documentation accuracy, reduce administrative burden and free up time for patient care.
One health system told the ATA it would cost $1 million a year to comply with the billing mandates of the physician fee schedule final rule.
The lawmakers say the tool used by CMS is riddled with errors, while beneficiaries have not been notified.
Around 800 laboratory tests will be subject to the payment cuts on Jan. 1, 2026, threatening patient access to diagnostics, letter says.
A partnership with Centers Health Care will expand to include an additional facility in Brooklyn.
States want early and clear guidance from CMS so they can move forward with system upgrades ahead of the Jan. 1, 2027, deadline.
Just as the FDA approves medical devices, there needs to be a pathway and a reviewing board to verify whether an AI model is credible, says Pluto CEO.
The company expects its Medicare business to return to growth and for star ratings to recover by 2028.