When CMS finalized the Ambulatory Specialty Model in its 2026 physician fee schedule, it created a mandatory program that will tie Medicare Part B payments for certain specialists to how they manage heart failure and low back pain. Now that…
ASC Accreditation, Licensure & Medicare Certification
CMS released the final participant list in September for its Ambulatory Specialty Model, a mandatory payment model that will tie physicians’ Medicare Part B pay to their performance on heart failure and low back pain care, starting Jan. 1, 2027.…
The Texas Medical Association has asked CMS to delay its mandatory Ambulatory Specialty Model, arguing physicians need final participation details and time to prepare before facing significant Medicare payment risk. TMA made the request in a Sept. 14 comment letter…
A proposed Medicare payment cut tied to Modifier 25 could reallocate approximately $889 million in annual Medicare fee-for-service payments, according to an analysis from Jiro Health. Private practices and solo physicians would account for $724.4 million, or 81.5%, of the…
Alabama’s Certificate of Need Review Board approved two hospital-converted ASCs focused on orthopedic and pain management services, according to a Sept. 22 report from The National Law Review. The board approved a multi-specialty ASC in Homewood, converting four existing operating…
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Ascension is selling its ownership stake in Mercy Care, an Arizona Medicaid insurer, to CVS Health-owned Aetna — the latest in a string of moves by the nonprofit hospital giant to exit non-core insurance businesses and redirect capital toward outpatient…
North Carolina’s certificate-of-need law has become one of the most contested healthcare policy fights in the state, playing out simultaneously in the legislature, the courts and the state budget. Here’s where things stand.
States that have not adopted Medicaid expansion under the ACA significantly outperformed expansion states in a new 50-state Medicaid governance ranking from the Heartland Institute. The report scores states on 16 measures spanning program design, fiscal sustainability, program integrity and…
Hartford HealthCare and American Ambulance received Connecticut’s first Mobile Integrated Health program designation. The program delivers medical services outside traditional healthcare settings, most often in patients’ homes, according to a Sept. 8 news release. Specially trained mobile clinicians, including paramedics,…
The Leapfrog Group has submitted comments to CMS on the proposed 2027 Inpatient Prospective Payment System rule, urging the agency to significantly expand quality and safety measures for ambulatory surgery centers, according to an Aug. 21 news release. The patient…