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Thursday July 30, 2026 8:15am - 9:00am CDT
This session will explore how CMS is taking decisive action to combat suspected fraud and improper payments by implementing key program integrity initiatives through the end of 2025, and provide an overview of the Wasteful and Inappropriate Service Reduction (WISeR) Model.  Learn about the provisions within the Calendar Year (CY) 2026 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Proposed Rule (CMS-1834-P), the Calendar Year (CY) 2026 Home Health Prospective Payment System Proposed Rule (CMS-1828-P) and the Calendar Year (CY) 2026 End-Stage Renal Disease (ESRD) Prospective Payment System Proposed Rule (CMS-1830-P).  The session will close with a summary of the Hospital Price Transparency regulations and how transparency empowers individuals to make well-informed health care decisions.
Speakers
avatar for Carmen Irwin

Carmen Irwin

Hospital Price Transparency Compliance Specialist, Centers for Medicare & Medicaid Services
Carmen Irwin is a Health Insurance Specialist who has been with the Centers for Medicare & Medicaid Services (CMS) Dallas Office since 2002. She is currently a member of the Hospital Price Transparency team within the Office of Program Operations and Local Engagement (OPOLE). Throughout... Read More →
avatar for Shayla Reasonover-Burney

Shayla Reasonover-Burney

Rural Health Coordinator, Centers for Medicare & Medicaid Services (CMS)
Shayla Reasonover-Burney is an Outreach Specialist in the CMS Dallas Regional Office with more than 23 years of dedicated federal service.

She began her civil service career with the Social Security Administration’s Office of Disability Adjudication and Review in Fort Lauderdale, Florida, and later in Kansas City, Missouri. During her tenure, she served as a Lead Case Technician, managing case analysis, Title XVIII... Read More →
Thursday July 30, 2026 8:15am - 9:00am CDT

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