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DataGen Insights: Healthcare leaders go-to source for CMS updates, healthcare policy shifts and data-driven insights.

NCQA Updates PCMH Grace Period Policy

2 min read

NCQA Updates PCMH Grace Period Policy: New Fees for Late Submissions

Grace period changes start on Jan 1 The National Committee for Quality Assurance (NCQA) has announced an important change to the submission process for annual reporting under the Patient-Centered Medical Home (PCMH) recognition program. Beginning...

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Five touchstones of patient safety culture

5 min read

Refreshing Your Practice Culture: Key Insights and Practical Tips

Frequently asked questions (and Mandi Diamond’s honest answers from the field) Bonus content from Ready, Set, Refresh! Five Touchstones of a...

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6 min read

CY 2026 OPPS proposed rule: Key updates for hospitals, ASCs and providers

On July 15, the Centers for Medicare & Medicaid Services (CMS) released the CY 2026 Proposed Rule for the Medicare Outpatient Prospective Payment...

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3 min read

CY 2026 Medicare Physician Fee Schedule (PFS) proposed rule

On July 14, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2026 proposed rule for the Medicare Physician Fee...

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5 min read

CY 2026 Home Health PPS proposed rule: Key payment and policy updates

On June 30, Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2026 Home Health Prospective Payment System (HH PPS)...

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NCQA PCMH 2026 annual requirements

2 min read

Key Focus Areas for NCQA PCMH 2026 Annual Requirements

The 2026 NCQA PCMH annual reporting landscape The National Committee for Quality Assurance (NCQA) released significant updates to the...

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5 min read

One step closer: CMS finalizes TEAM updates

On July 31, the Centers for Medicare and Medicaid Services (CMS) finalized updates to the Transforming Episode Accountability Model (TEAM) in the...

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1 min read

Quarterly SPARCS Compliance Update: Q2 2025 Due!

Second quarter 2025 Statewide Planning and Research Cooperative System (SPARCS) data submissions are due. In addition, the due dates for the third...

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1 min read

One Big Beautiful Bill Act (OBBBA): Hospital reimbursement and Medicare payments [updated]

Updated on July 9, 2025 The One Big Beautiful Bill Act (OBBBA) — a major budget reconciliation bill passed by the U.S. House of Representatives in...

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2 min read

TEAM moves forward: What hospitals must do now with CMS baseline data [updated]

New updates as of July 2 CMS has released Transforming Episode Accountability Model (TEAM) performance year (PY) 1 baseline period data to a second...

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