JD Supra

Medicare Hospital Outpatient Prospective Payment System (HOPPS) and Physician Fee Schedule (PFS) Final Rules Released; What Pharma Needs to Know

While referenced by the HOPPS Final Rule, the PFS Final Rule includes a substantive discussion regarding a new payment policy impacting the reporting (and subsequent refunds due) with respect to ...
JD Supra

Potential Medicare Physician Fee Schedule Reform in the Last Weeks of the 118th Congress

A flurry of bills to reform the Medicare Physician Fee Schedule (PFS) faces the lame duck Congress. Our Health Care Group investigates how those reforms could take shape and which, if any, could find ...
The National Law Review

The 2025 Proposed Hospital Outpatient Prospective Payment System and Physician Fee Schedule Rules: What Pharma Stakeholders Need to Know

We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
HealthLeaders Media

CMS 2026 proposed rules: 340B in PFS and OPPS

CMS' 2026 Outpatient Prospective Payment System proposed rule includes a provision that would increase the reduction in OPPS payment rates to offset the lump sum payments previously paid to 340B ...
Morningstar

Medicare Finalizes Reimbursement for Caristo's CaRi-Plaque™ Across Hospital and Office Settings

New OPPS and PFS reimbursement rates give hospitals, imaging centers and physicians a unified path to use AI plaque analysis starting 2026 The decision completes the two major Medicare reimbursement ...