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Telos Actuarial brings you this week’s legislative and regulatory insurance insights from around the nation.
Bill “Status” is defined in the tables below by:
New: proposed law recently introduced for consideration by Legislature
Approved: passed by the Legislature and approved by the Governor
Movement: bill has progressed in legislative process
Fail: bill has died in committee or failed to pass
Medicare Advantage
State | Bill/Notice Number | Status | Summary |
|---|---|---|---|
All | New | Unpublished, final rule that revises the Medicare Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, including an update factor to the OPPS and ASC payment rates for CY 2025 of 2.9%. | |
All | New | Unpublished, final rule that addresses CY 2025 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments. Also includes changes to the Medicare Shared Savings Program to further advance Medicare’s value-based care strategy of growth, alignment, and equity. | |
All | New | Unpublished, final rule updating the Calendar Year 2025 Home Health Prospective Payment System Rate Update; Quality Reporting Program Requirements; Value-Based Purchasing Expanded Model Requirements, including an increase of home health payments by 0.5% in 2025. |
🍭This week’s update is short and sweet! 🍭
Get out and vote!
Telos Actuarial’s team of experienced regulatory compliance professionals are ready to help YOU stay informed of legislative and regulatory changes. Reach out to us for more information!