PYA Webinar Recast

CMS FY 2027 proposed rule changes could significantly affect reimbursement, quality reporting, and operational planning across hospitals and post-acute care settings. In this episode of Healthcare Regulatory Roundup, PYA's Kathy Reep and Carine Leslie break down the most important payment updates, quality program revisions, and compliance considerations providers should evaluate now. The discussion covers inpatient payment updates, Medicare Advantage integration into quality programs, revised reporting timelines, mandatory and proposed quality measures, and operational impacts across skilled nursing, inpatient rehabilitation, psychiatric, long-term acute care, and hospice settings. The presenters also explain where CMS is actively requesting industry feedback and why providers should closely evaluate the financial and staffing implications before final rules are issued. Healthcare executives, finance leaders, reimbursement professionals, compliance officers, and operational teams will gain a clear understanding of the proposed changes and the areas most likely to affect provider organizations in FY 2027.

On October 1 — the first day of the new federal fiscal year — PYA's Martie Ross and Kathy Reep provided a timely update on federal policy developments shaping healthcare. They reviewed the latest actions from Congress and federal agencies, focusing on issues that have a direct impact on providers and healthcare organizations. Key topics for discussion included: Federal FY 2026 discretionary spending and government shutdown risk Calendar Year 2026 Medicare sequestration status Rural Health Transformation Program funding opportunity and deadlines Congressional hearings on tax-exempt hospitals New visa application fees and implications for healthcare

On July 31, the Centers for Medicare & Medicaid Services (CMS) issued both the 2026 Medicare Inpatient Prospective Payment System (PPS) and the Skilled Nursing Facility (SNF) PPS final rules. PYA's Martie Ross and Kathy Reep discussed several key provisions, including: Payment rate increases for inpatient acute facilities, long-term care hospitals, and skilled nursing facilities Revisions to the mandatory Transforming Episode Accountability Model (TEAM) Changes to the wage index and related policies Updates to the Hospital Inpatient Quality Reporting program Changes to the Hospital Readmissions and Hospital-Acquired Conditions Reduction programs, as well as the Hospital Value-Based Purchasing program Revisions to the Promoting Interoperability program Martie and Kathy also addressed key provisions in the 2026 Inpatient Rehabilitation Facility and Inpatient Psychiatric Facility final rules issued by CMS on August 1. 100th Webinar! On August 27, PYA's twice-monthly Healthcare Regulatory Roundup (HCRR) celebrated its 100th webinar in the series. Beginning with the first webinar in 2021, PYA experts have reliably provided practical insights on the latest industry regulatory developments. Thank you for your support of this sentinel series. PYA is dedicated to helping healthcare organizations understand and comply with legislative and regulatory impacts. Contact Martie, Kathy, or any of our experts for assistance.

On July 14, CMS released the 2026 Medicare Physician Fee Schedule Proposed Rule (MPFS). The proposed rule includes several significant policy changes that could impact physicians for years to come. During this two-part webinar series, PYA experts will go deep into these changes to help you understand and prepare for what's coming next. Presented July 30, 2025, by Martie Ross, Sarah Bowman, and Lori Foley Topics Covered: 2026 Payment Rate/Conversion Factor Efficiency Adjustment Practice Expense Methodology Ambulatory Specialty Model (new mandatory alternative payment model) Merit-Based Incentive Payment System (MIPS) Medicare Shared Savings Program (MSSP)

The One Big Beautiful Bill Act (OBBBA) is now law, and healthcare providers must quickly assess its implications. In this session, PYA's Martie Ross and Kathy Reep examined OBBBA's sweeping changes to Medicare, Medicaid, and the ACA Marketplace. Martie and Kathy also addressed new proposed rules from the Centers for Medicare & Medicaid Services (CMS), including the 2026 hospital outpatient, home health, and end-stage renal disease payment rules. Presented on: July 16, 2025.

During this webinar, PYA's Barry Mathis explored the critical aspects of healthcare data breaches, focusing on understanding the immediate impacts, effective incident response steps, legal and regulatory requirements, communication strategies, long-term mitigation measures, and lessons learned from real-world case studies. The session aims to equip healthcare professionals with the tools and takeaways necessary to respond to data breaches effectively and mitigate future risks: An understanding of the multifaceted consequences of a data breach Practical steps for containment, eradication, and recovery Knowledge of HIPAA compliance and reporting obligations Ability to communicate transparently with patients, stakeholders, and the public Attendees learned from these educational objectives: Understand the immediate impact of a data breach, including financial, reputational, and operational consequences Learn effective incident response steps, including containment, eradication, and recovery Comply with legal and regulatory requirements, such as HIPAA compliance and timely reporting Develop communication strategies to notify affected parties and manage public perception Presented: Thursday, June 19, 2025

Tax planning becomes exceptionally challenging during non-consecutive presidential administrations because each administration may pursue vastly different fiscal philosophies, often reversing or modifying prior tax laws before they fully mature. Given that most tax legislation has built-in sunsets, phased-in provisions, or long-term implications, the lack of continuity in executive leadership can undermine stability and predictability. This political pendulum creates an environment of uncertainty for individuals and businesses alike, making it difficult to design long-term strategies with confidence. During this session, Joe, Patrick, and Victoria explained any remaining sunsetting provisions from the 2017 Tax Cuts and Jobs Act, provided insights into how changing tax laws, policy reversals, and legislative uncertainty impact planning strategies for individuals and businesses, and discussed legislation being considered by the Trump administration ("One Big Beautiful Bill"). By understanding the intersection of the budget reconciliation process and political cycles, you and your team will be better equipped to act in the most tax-efficient manner and adapt to evolving regulatory landscapes. Attendees learned from these key session objectives: • Identified how changes in presidential administrations impact long-term tax policy and planning • Analyzed the effects of temporary tax provisions and sunset clauses on strategic decision-making • Explained the role of budget reconciliation in shaping tax legislation • Explored various provisions of pending tax legislation • Evaluated the risks and uncertainties businesses and individuals face within politically volatile environments • Developed adaptable tax strategies that account for legislative reversals and partisan shifts

Keeping up with the flurry of executive orders, regulatory changes, new tariffs, agency downsizings, and legislative proposals can feel like a full-time job. During this session, PYA's Martie Ross and Matt Stuart discussed how healthcare has fared during the first 150 days of the Trump Administration. Specifically, Martie and Matt addressed: Make America Healthy Again initiatives Updates to the Medicare and Medicaid programs Increases in government enforcement activities Changes to rulemaking processes Impact of tariffs and other executive actions Attendees gained knowledge from these learning objectives: Summarized key executive actions impacting healthcare providers Discussed current status of legislative budgeting and appropriations process impacting healthcare Appreciated additional changes on the horizon Identified priorities to manage the impact of rapidly changing regulatory environment Presented on: Wednesday, June 18, 2025 11:00 am – 12:00 pm E.T.