Five societies tell CMS not to drop the surgeon requirement from TAVR coverage rules
Plus: ACC finds up to 20% of cardiologists tapped for mandatory risk model may be misclassified. The day's rules, money, and enforcement, sourced and tiered below.
American Health Intel
Tempus AI to acquire cancer-testing company Personalis for $1.5 billion
Plus: InMode special committee update reveals Steel Partners' first 100% buyout bid. The day's rules, money, and enforcement, sourced and tiered below.
CMS-2449-P Medicaid state-directed-payments rule hits its comment deadline
Plus: NeoGenomics pays $9.8M after self-disclosing kickback-style referral arrangement. The day's rules, money, and enforcement, sourced and tiered below.
CMS proposes raising the ACO benchmark ratchet-relief factor from 50% to 75%
Plus: G2211 becomes a modifier, new ACO-only modifier added, RPM/RTM staffing tightened. The day's rules, money, and enforcement, sourced and tiered below.
Rock Health finds digital health M&A hit busiest quarter since 2021
Plus: XRHealth acquires fibromyalgia digital therapeutic maker Swing Therapeutics. The day's rules, money, and enforcement, sourced and tiered below.
CMS proposes CY2027 rule raising ACO shared-savings rate, delaying 2025 reconciliation to November
Plus: House E&C Committee to markup 29 bills including price transparency and prior-auth reform. The day's rules, money, and enforcement, sourced and tiered below.
CMS draft guidance on manufacturer effectuation of negotiated drug prices, first cycle to include Part B
Plus: DOJ says it will stop relying on 2011 Olmstead integration-mandate enforcement guidance. The day's rules, money, and enforcement, sourced and tiered below.
Federal judge stays 8 provisions of ACA marketplace rule set to affect 2 million
Plus: FDA and CDC trace 5-state Cyclospora outbreak to Taco Bell shredded lettuce. The day's rules, money, and enforcement, sourced and tiered below.