CMS

2023 Preview Period for Doctors and Clinicians Is Reopening

CMS is reopening the Preview Period because 17 additional QPP performance measures were recently identified to be included in the CY 2023 QPP public reporting information. CMS also made additional updates and display corrections to the CY 2023 QPP performance data available during the Preview Period that closed in June.


CMS 2026 Proposed Rule for OPPS and ASC

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.


CMS Penalties for Directory Errors Loom for Payors

By David Van Houtte – With a recent increase in rules and regulations from CMS, health plans are feeling the pressure of more scrutiny, and the fear of penalties looms. For example, the No Surprises Act, passed in 2022, has already resulted in healthcare facilities, payors, and providers paying more than $11 million in penalties.



AI in Healthcare News and Updates

This month’s AI report includes news and updates from Data Buddies, Omega Healthcare, Microsoft, WellLink, Predictmedix, VisiQuate, CMS, Eko Health, Colorado Access, Innovacer, SuperDial, Arrive AI, VSee, CoreCare, ScienceSoft, John Snow Labs, Suki, Ambience Healthcare, City of Hope, FinThrive, RadiantGraph, PacificAI & more.



What Comes Next for Price Transparency?

By Vanessa Candelora – In our May 2025 HIT Perspectives article, we unpacked the decade-long journey of healthcare price transparency and why most stakeholders would agree we’re still not where we need to be. Despite multiple rounds of rulemaking, patient usage of price tools remains low, and many organizations remain out of compliance with core requirements.


CMMI Model Reports and Findings

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.