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Articles by Catherine Behnke
CMS Issues CY 2026 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule | JD Supra
On November 21, 2025, CMS made available the Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system final rule for calendar year 2026 (the Final Rule). In the Final Rule, CMS finalized its proposal to expand site neutral payments for drug administration services and expanded site neutral payments in other areas.
CMS Issues Proposed FY 2026 PPS Rule for Inpatient Psychiatric Facilities | JD Supra
On April 11, 2025, CMS issued its fiscal year (FY) 2026 prospective payment system (PPS) proposed payment rule for inpatient psychiatric hospitals (IPFs). In addition to updating Medicare payment rates, adjustment factors, and quality measures for IPFs, the proposed rule also includes a Request for Information for “approaches and opportunities” to align with a recent Executive Order prioritizing efforts to lower costs associated with federal compliance.
DOJ Introduces Task Force on Health Care Monopolies and Collusion | JD Supra
On May 9, 2024, the DOJ announced the formation of a new task force on health care monopolies and collusion (the HCMC Task Force) that will “guide the division’s enforcement strategy and policy approach in health care, including by facilitating policy advocacy, investigations and, where warranted, civil and criminal enforcement in health care markets.” Background The Biden administration has placed focus on a various efforts to enhance antitrust enforcement in the health care industry.
Senators Introduce New Bill for Transparency and Oversight in Health Care Transactions and Investment | JD Supra
On April 3, 2024, Senators Ed Markey (D-Mass) and Elizabeth Warren (D-Mass) released draft legislation titled the “Health Over Wealth Act” (the Proposed Bill). This Proposed Bill is another attempt to regulate private equity’s role in the healthcare sector – attempting to provide corporate transparency, government oversight, and regulation of for-profit investment in healthcare.
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