3 / 30 / 2026
By Crystal Nguyen & Amanda Brewer
Introduction On November 25, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining policy and technical updates for Contract Year 2027 across the Medicare Advantage...
3 / 25 / 2026
By Amanda Brewer & Michelle Henry
The Centers for Medicare & Medicaid Services (CMS), through the CMS Innovation Center, has introduced the ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model as a decisive shift in how...
3 / 18 / 2026
By Jennifer Methax & William Cevallos
Effect on Risk Adjustment The new Long-term Enhanced Accountable Care Organization Design Model (LEAD) will launch January 1, 2027, and will replace the current ACO REACH Model. These new standards...
3 / 11 / 2026
By Michelle Henry
While 2026 is barely underway, focus is already shifting to January 1, 2027, when the new Ambulatory Specialty Model (ASM) will take effect. The new model is designed to assess...
1 / 14 / 2026
By Dawnelle Sager
Over the past two years, ICD-10-CM has introduced several important code updates and additions related to diabetes. In fiscal year (FY) 2025 (effective October 1, 2024), new codes were established...
12 / 17 / 2025
By Lucas Hutchison & Jason Baldwin
CMS Fee Schedule Changes for 2026 Centers for Medicare and Medicaid Services (CMS) has finalized the physician fee schedule (PFS) and dealt a significant reimbursement blow to inpatient physician reimbursement....
11 / 7 / 2025
By Kelly Loya & Carey Lowe-Curry
Article originally published through the American Association of Provider Compensation Professionals (AAPCP). Introduction Healthcare practices increasingly employ teams of non-physician practitioners (NPPs) (such as nurse practitioners, physician assistants) to extend...
9 / 2 / 2025
By Amy Crenshaw-Pritchett & Kristen Taylor
Article originally published in TEAM Connect August Newsletter. Introduction The Transforming Episode Accountability Model (TEAM)[1] was first proposed by the Centers for Medicare and Medicaid Services on April 10, 2024,...
4 / 23 / 2025
By Sheila Limmroth & Alex Houston
Introduction Chief Compliance Officers (CCO) are responsible for ensuring an organization complies with applicable laws and regulations while cultivating and fostering a culture of ethical conduct. Despite their critical role,...
12 / 3 / 2024
By Kelly Loya & Carey Lowe-Curry
Telemedicine: The Evolution of Virtual Services and Impact on Provider Compensation Traditionally, seeing a doctor when you’re unwell has been anything but convenient. It often involves taking time off work,...
