Innovation Center Models are time-limited experiments that provide a controlled environment to determine, through rigorous evaluation, what approaches should be expanded nationwide, what specific components of an approach need further testing in successor models and what approaches are not viable for expansion.
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This is notification that eligible hospitals and critical access hospitals participating in the Centers for Medicare & Medicaid Services Promoting Interoperability Program that there is an upcoming data submission deadline on March 14, 2025, at 11:59 p.m. Pacific Time.
By Dustin Charles & Alex Mugge – This post explores how the Centers for Medicare & Medicaid Services (CMS), the largest payer in health care, is at the forefront of how health IT directly impacts health care providers and the care they deliver.
CMS has made substantial progress on its goal for all people with Traditional Medicare to be in a care relationship with accountability for quality and total cost of care by 2030. As of January 2025, 53.4% of people with Traditional (fee-for-service) Medicare are in an accountable care relationship with a provider.
The Centers for Medicare & Medicaid Services has posted new 2025 Merit-based Incentive Payment System (MIPS) resources to the QPP Resource Library.
The Hospital Quality Reporting System is now open and accepting calendar year 2024 Medicare Promoting Interoperability Program data submissions and attestations from eligible hospitals and critical access hospitals.
By Courtney Breece – The Medicare landscape is poised for significant changes with the release of proposed rules from the CMS in November, set to impact contract year 2026, aimimg to reshape key elements of Medicare Advantage, Medicare Prescription Drug Programs, and other Medicare services.
CMS has published the updated 2025 CMS Quality Reporting Document Architecture Category III Implementation Guide, Schematron, and Sample Files for Eligible Clinician Programs based on the 2025 Medicare Physician Fee Schedule Final Rule released on November 1, 2024.
By Cynthia Henry – As the healthcare industry adapts to economic and regulatory changes, Medicare Advantage stands out as a cost-effective model consistently delivering value to beneficiaries. Compared to traditional fee-for-service Medicare, MA excels in financial efficiency and quality outcomes, making it a resilient choice for enrollees and a strategic asset for payers.