It’s March, which means one thing for sports fans: the madness of the NCAA men’s and women’s basketball tournaments. However, to folks in the regulatory world, it also means something else too: the ...

As described in a previous Regs & Eggs blog post, certain Medicare “extenders” got tied to the government shutdown. These policies are temporary in nature, but Congress routinely extends them every ...

Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

In late 2024, the Centers for Medicare and Medicaid Services previewed a significant revision to the risk-adjustment model that has long been considered by policy makers and researchers. This revision ...

The Medicare Payment Advisory Commission estimated Medicare Advantage payments will be 14% greater than fee-for-service Medicare in 2026, according to a March 12 report from the congressional agency.

The Centers for Medicare and Medicaid Services has announced a four-pronged approach to prepare internally and ensure the readiness of Medicare Fee-For-Service providers for ICD-10 implementation. At ...

Physicians who treat people on Medicare just got a major update: They will be getting a 2.5 percent pay increase thanks to the 2026 Medicare Physician Fee Schedule. It officially takes effect January ...

Let’s start with the headline figure that’s got everyone talking: The conversion factor dropped to $32.3465 for 2025 from $33.2875 in 2024. This 2.83% reduction might seem modest in isolation, but ...

Among more than 3 million Medicare Advantage enrollees, value-based payment models outperformed fee-for-service models for all 15 clinical quality outcomes. The mean score differences for blood ...