CMS Oversight & Compliance

CMS oversight and compliance signals in the last 24 hours centered less on new VBC model design and more on enforcement exposure around payment integrity: No Surprises Act independent dispute resolution changes are tightening the operational stakes for provider groups, facilities, and payers managing out-of-network claims, documentation, and arbitration workflows (Forvis Mazars). At the same time, a DOJ fraud sweep charging 90 physicians underscores continued federal scrutiny of billing conduct—an immediate risk area for ACOs, MSOs, physician aggregators, and payer partners that rely on delegated networks and value-based contracting infrastructure (Becker's ASC Review newsletter).