On July 15, 2025, CMS issued a proposed rule that proposes updates to Medicare payment policies and rates for hospital outpatient and Ambulatory Surgical Center services under the Hospital Outpatient Prospective Payment System and ASC Payment System Proposed Rule for calendar year 2026.
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The calendar year 2026 Medicare Physician Fee Schedule proposed rule would advance primary care management through new quality measures, reduce waste and unnecessary use of skin substitutes, and introduce a new payment model focused on improving care for chronic disease management.
As of July 1, 2025, the 2026 Self-Nomination period for Qualified Clinical Data Registries (QCDRs) and Qualified Registries is now open. QCDRs and Qualified Registries are Centers for Medicare & Medicaid Services -approved intermediaries that collect clinical data on behalf of clinicians for data submission.
The Centers for Medicare & Medicaid Services (CMS) Center for Medicare and Medicaid Innovation (Innovation Center) has released and are highlighting evaluation reports and publications. See the findings for several of their models.
The 2026 Self-Nomination Toolkit for Qualified Clinical Data Registries and Qualified Registries, including the below files, are now posted on the QPP Resource Library.
HHS Secretary Kennedy and CMS Administrator Oz press conference on securing industry pledges to fix the broken Prior Authorization System. They met with insurance leaders of nearly 80% of covered Americans.
CMS opened the Doctors and Clinicians Preview Period on Tuesday, May 27, 2025.The Preview Period gives clinicians and groups the ability to review their 2023 QPP performance information before it’s publicly reported on the profile pages of clinicians and groups on the Medicare.gov compare tool and in the Provider Data Catalog.
On May 13, the Innovation Center launched a new, transformative strategy to advance President Trump and HHS Secretary Kennedy’s call to action to Make America Healthy Again and demonstrate the Center’s strong commitment to protect federal taxpayers.
In case you missed it, this is recent communication from the Centers for Medicare & Medicaid Services. Subscribe to their email lists to keep up to date on all press and news releases.