Entity DossierGovernment Body

CMS

Federal agency CMS

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Regulatory Capture Assessment

Regulatory capture occurs when a regulatory agency advances the interests of the industry it is meant to oversee. The indicators below track evidence of capture for this agency. According to the academic literature (Stigler 1971, Carpenter & Moss 2013), captured agencies exhibit declining enforcement, revolving door personnel pipelines, and rule-making that favors incumbents over public interest.

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Enforcement actions

Revolving door

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Relationships

Type	Connected To	Details	Source
issued_rule	Medicaid Program: Community Engagement Requirement for Certain Individuals	CMS issued rule: Medicaid Program: Community Engagement Requirement for Certain Individuals	Source
issued_rule	Medicare, Medicaid, and Children's Health Insurance Programs: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates, etc.	CMS issued rule: Medicare, Medicaid, and Children's Health Insurance Programs: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Pol	Source
issued_rule	Medicare Program: Calendar Year 2025 Home Health Prospective Payment System Rate Update; Quality Reporting Program Requirements; Value-Based Purchasing Expanded Model Requirements; etc.	CMS issued rule: Medicare Program: Calendar Year 2025 Home Health Prospective Payment System Rate Update; Quality Reporting Program Requirements; Value-Based Purchasing Expanded Model Requirements; etc.	Source
proposed_rule	Medicare and Medicaid Programs: Calendar Year 2027 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program	CMS proposed rule: Medicare and Medicaid Programs: Calendar Year 2027 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirem	Source
issued_rule	Medicare Program: End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, etc.	CMS issued rule: Medicare Program: End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, etc.	Source
proposed_rule	Calendar Year 2027 Home Health Prospective Payment System Rate Update; etc.	CMS proposed rule: Calendar Year 2027 Home Health Prospective Payment System Rate Update; etc.	Source
proposed_rule	Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; etc.	CMS proposed rule: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs; etc.	Source
proposed_rule	Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program, etc. (CMS-1809-FC)	CMS proposed rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting P	Source
issued_rule	Medicare Program: Strengthening Oversight of Accrediting Organizations and Preventing AO Conflicts of Interest, and Related Provisions	CMS issued rule: Medicare Program: Strengthening Oversight of Accrediting Organizations and Preventing AO Conflicts of Interest, and Related Provisions	Source
issued_rule	Medicaid Program: Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children	CMS issued rule: Medicaid Program: Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children	Source
issued_rule	Medicaid Program: Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program	CMS issued rule: Medicaid Program: Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program	Source
proposed_rule	Medicare Program: Calendar Year 2027 Changes to the End-Stage Renal Disease Prospective Payment System, Acute Kidney Injury Dialysis Payment, and ESRD Quality Incentive Program. CMS-1846-P	CMS proposed rule: Medicare Program: Calendar Year 2027 Changes to the End-Stage Renal Disease Prospective Payment System, Acute Kidney Injury Dialysis Payment, and ESRD Quality Incentive Program. CMS-1846-P	Source
proposed_rule	Medicare Program: Medicare Drug Price Negotiation Program and Medicare Prescription Drug Benefit Program	CMS proposed rule: Medicare Program: Medicare Drug Price Negotiation Program and Medicare Prescription Drug Benefit Program	Source
proposed_rule	Request for Information: Clinical Laboratory Improvement Amendments of 1988 Regulations	CMS proposed rule: Request for Information: Clinical Laboratory Improvement Amendments of 1988 Regulations	Source
proposed_rule	Medicaid Program: Indirect Hold Harmless Threshold of Health Care-Related Taxes	CMS proposed rule: Medicaid Program: Indirect Hold Harmless Threshold of Health Care-Related Taxes	Source