CMS


One Year Anniversary of CMS Health Tech Ecosystem Initiative

Marking the one-year anniversary of the Health Tech Ecosystem Initiative when the private‑sector health‑tech companies pledged to help CMS modernize data exchange. So what is the progress? There has been some meaningful progress, some lagging areas, and need for continue multi-stakeholder coordination.



ACO REACH Improves Health Care Quality

The CMS Innovation Center released the third annual evaluation report and early results ahead of the fourth report for ACO REACH that shows the model improved healthcare quality and reduced gross spending during its first four performance years.


CY 2027 Medicare Physician Fee Schedule Proposed Rule

CMS is proposing transformational reforms to Medicare’s physician payment and value-based care programs that would expand accountable care, modernize physician payment, reduce administrative burden, and help shift the healthcare system’s focus from treating illness to preventing it.


HHS Current Proposed Rules Roundup

Currently the Centers for Medicare & Medicaid have announced the following open proposed rules, They include prospective payment rules, drug pricing, and drug negotiations. Proposed rules are open to comments once they have been printed in the federal registry.



CMS Moving to API Provider Transparency

By Don Rucker MD – Price transparency has become an increasing requirement for providers and payers over the last number of years, including for out-of-network costs under the No Surprises Act. CMS has been on a multi-year campaign to extend transparency throughout its programs.