8 / 6 / 2026
By Curtis Bernstein, Peter Kim & Logan Williams
Lessons for Providers, MSOs, and Investors The U.S. Department of Justice’s resolution involving Campus Eye Management provides an early and instructive example of how the Department’s new, department-wide Corporate Enforcement...
4 / 7 / 2026
By Amy Pritchett, Amanda Brewer & Amanda Donoho
What is TEAM? On January 1, 2026, the Centers for Medicare and Medicaid Services (“CMS”) launched their new episode-based, longitudinal, post-acute care initiative called the “Transforming Episode Accountability Model,” or...
3 / 30 / 2026
By Amanda Brewer & Crystal Nguyen
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 Michelle Henry & Amanda Brewer
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 Kristen Taylor & Amy Pritchett
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,...
