Entity DossierGovernment Body

Centers for Medicare & Medicaid Services

Federal agency that administers Medicare, Medicaid, and the ACA marketplace. CMS was the primary victim of the Columbia/HCA fraud scheme.

pharmaceuticals

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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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Relationships

Type	Connected To	Details	Source
issued_rule	Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model	Issued the rule.	Source
issued_rule	Global Benchmark for Efficient Drug Pricing (GLOBE) Model	Issued the rule.	Source
issued_rule	Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for Children	Issued the rule.	Source
issued_rule	Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program; Correction	Issued the rule.	Source
issued_rule	Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model	Issued the rule.	Source
shaped_policy	Medicare and Medicaid Programs; Repeal of Minimum Staffing Standards for Long-Term Care Facilities	Repealed or rescinded the rule.	Source
issued_rule	Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies	Issued the rule.	Source
issued_rule	Medicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; CY 2026 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; Correction	Issued the rule.	Source
issued_rule	Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Rating; Hospital Price Transparency; and Notice of Closure of a Teaching Hospital and Opportunity To Apply for Available Slots	Issued the rule.	Source
issued_rule	Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; CY 2026 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	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE)-Finalization of Format Provider Directories for Medicare Plan Finder	Issued the rule.	Source
issued_rule	Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements; Correction	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; CY 2026 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; Correction	Issued the rule.	Source
issued_rule	Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2026 Rates; Changes to the FY 2025 IPPS Rates Due to Court Decision; Requirements for Quality Programs; and Other Policy Changes; Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization	Issued the rule.	Source
issued_rule	Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements	Issued the rule.	Source
issued_rule	Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program	Issued the rule.	Source
issued_rule	Medicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update	Issued the rule.	Source
issued_rule	Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; CY 2026 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	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies	Issued the rule.	Source
issued_rule	Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model	Issued the rule.	Source
issued_rule	Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025	Issued the rule.	Source
issued_rule	Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction	Issued the rule.	Source
issued_rule	Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026	Issued the rule.	Source
issued_rule	Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment	Amended an existing rule.	Source
issued_rule	Medicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole Proposed Rule	Issued the rule.	Source
issued_rule	Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026	Issued the rule.	Source
issued_rule	Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements	Issued the rule.	Source
issued_rule	Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program	Issued the rule.	Source
issued_rule	Medicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update	Issued the rule.	Source
issued_rule	Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly	Issued the rule.	Source
issued_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; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment	Amended an existing rule.	Source
issued_rule	Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE); Correcting Amendment	Amended an existing rule.	Source
issued_rule	Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements	Issued the rule.	Source
issued_rule	Medicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update	Issued the rule.	Source
issued_rule	Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting Program	Issued the rule.	Source
issued_rule	Medicare Program: Appeal Rights for Certain Changes in Patient Status and Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures; Correcting Amendment	Amended an existing rule.	Source
issued_rule	Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies; Correction	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly	Issued the rule.	Source
issued_rule	Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments	Issued the rule.	Source
issued_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; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities	Issued the rule.	Source
issued_rule	Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model	Issued the rule.	Source
issued_rule	Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally- Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program; Correcting Amendment	Amended an existing rule.	Source
issued_rule	Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program; Correcting Amendment	Amended an existing rule.	Source
issued_rule	Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health Program	Issued the rule.	Source
issued_rule	Medicare Program: Appeal Rights for Certain Changes in Patient Status	Issued the rule.	Source
issued_rule	Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025; Correction	Issued the rule.	Source
issued_rule	Medicare Program; Changes to the Fiscal Year 2025 Hospital Inpatient Prospective Payment System (IPPS) Rates Due to Court Decision	Issued the rule.	Source
issued_rule	Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting Program; Correction	Issued the rule.	Source
issued_rule	Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE); Correcting Amendment	Amended an existing rule.	Source
issued_rule	Medicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update; Correction	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs and the Children's Health Insurance Program; 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; Quality Programs Requirements; and Other Policy Changes; Correction	Issued the rule.	Source
issued_rule	Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023	Issued the rule.	Source
issued_rule	Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements; Correction	Issued the rule.	Source
issued_rule	Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program	Issued the rule.	Source
issued_rule	Medicare Program; Medicare Prescription Drug Benefit Program; Health Information Technology Standards and Implementation Specifications; Correction	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs and the Children's Health Insurance Program; 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; Quality Programs Requirements; and Other Policy Changes	Issued the rule.	Source
issued_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; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities	Issued the rule.	Source
issued_rule	Medicare Program; Alternative Payment Model (APM) Incentive Payment Advisory for Clinicians-Request for Current Billing Information for Qualifying APM Participants	Issued the rule.	Source
issued_rule	Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies	Issued the rule.	Source
issued_rule	Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; Correction	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting; Correction	Issued the rule.	Source
issued_rule	Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, Conditions for Coverage for End-Stage Renal Disease Facilities, End-Stage Renal Disease Quality Incentive Program, and End-Stage Renal Disease Treatment Choices Model	Issued the rule.	Source
issued_rule	21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking	Issued the rule.	Source
issued_rule	Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023	Issued the rule.	Source
issued_rule	Medicaid Program; Ensuring Access to Medicaid Services; Correction	Issued the rule.	Source
issued_rule	Medicare Program; Medicare Prescription Drug Benefit Program; Health Information Technology Standards and Implementation Specifications	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs and the Children's Health Insurance Program; 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; Quality Programs Requirements; and Other Policy Changes; Correction	Issued the rule.	Source
issued_rule	Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model	Issued the rule.	Source
issued_rule	Medicaid Program; Ensuring Access to Medicaid Services	Issued the rule.	Source
issued_rule	Medicare Program; Updates to the Master List of Items Potentially Subject to Face-to-Face Encounter and Written Order Prior To Delivery and/or Prior Authorization Requirements; Updates to the Required Face-to-Face and Written Order Prior To Delivery List; and Updates to the Required Prior Authorization List	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting	Issued the rule.	Source
issued_rule	Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality	Issued the rule.	Source
issued_rule	Clarifying the Eligibility of Deferred Action for Childhood Arrivals (DACA) Recipients and Certain Other Noncitizens for a Qualified Health Plan through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, and a Basic Health Program	Issued the rule.	Source
issued_rule	Nondiscrimination in Health Programs and Activities	Issued the rule.	Source
issued_rule	Medicare and Medicaid Programs and the Children's Health Insurance Program; 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; Quality Programs Requirements; and Other Policy Changes	Issued the rule.	Source
issued_rule	Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE)	Issued the rule.	Source
issued_rule	Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program	Issued the rule.	Source
issued_rule	Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025	Issued the rule.	Source
issued_rule	Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2024; Corrections	Issued the rule.	Source
issued_rule	Medicaid Program; Streamlining the Medicaid, Children's Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes	Issued the rule.	Source
issued_rule	Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements	Issued the rule.	Source
issued_rule	Medicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update	Issued the rule.	Source
issued_rule	Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting Program	Issued the rule.	Source
issued_rule	Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis	Issued the rule.	Source
issued_rule	Clinical Laboratory Improvement Amendments of 1988 (CLIA) Fees; Histocompatibility, Personnel, and Alternative Sanctions for Certificate of Waiver Laboratories; Correction	Issued the rule.	Source
issued_rule	Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule	Issued the rule.	Source
commented_on	Viz.ai	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Vektor Medical	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Adventist Health Policy Association	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Seattle Indian Health Board	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	American Association of Neurological Surgeons and Congress of Neurological Surgeons	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Global Liver Institute	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Medical Justice Alliance	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Cumberland Pharmaceuticals	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Justice in Aging	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	NewYork-Presbyterian Hospital	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	American Academy of Dermatology Association	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	UT Southwestern Medical Center Department of Radiology	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	IMPACT	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Insightec	Public comment on CMS-2023-0121: Medicare and Medicaid Programs: CY 2024 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment, etc.	Source
commented_on	Sandoz	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Center on Budget and Policy Priorities	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Association of Women's Health, Obstetric and Neonatal Nurses	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Voices for Non-Opioid Choices	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Henry Ford Health	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	O'Neill Institute at Georgetown Law	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	United States of Care	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Biosimilars Forum	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	University of Vermont Health Network	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	B. Braun	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	COREWELL HEALTH	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	ASSOCIATION OF AMERICAN MEDICAL COLLEGES	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	SHINE Technologies	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Arcellx	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	AdvaMed Medical Imaging Division	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	CivaTech Oncology	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Cardiovascular Associates of America	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Safety-Net Association of Pennsylvania	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Ascension	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	The OSU Wexner Medical Center	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	ZERO- The End of Prostate Cancer	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Billings Clinic	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Dartmouth Health	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Society for Maternal-Fetal Medicine	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Texas Health Resources	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	National Nurses United	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	American College of Allergy, Asthma & Immunology	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Cedar Gate Technologies	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Movement is Life	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	American Urogynecologic Society	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	The Society for Cardiovascular Angiography and Interventions	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	America's Physician Groups	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Physician Clinical Registry Coalition	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Peraton	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Edifecs	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	BCollaborative	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Valtruis	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Nevada State Medical Association	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Council of Women and Infants Specialty Hospitals (CWISH)	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Easterseals Arkansas	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Keck Hospital of USC	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Oracle Health	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Pediatric Cardiac CT Imagers at UTSW/Childrens in Dallas	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Medicare Access to Skin Substitutes Coalition	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Patients for Patient Safety US	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	Healthcare Reimbursement Consulting	Public comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, in	Source
commented_on	The Coalition to Preserve Rehabilitation (CPR) and the Habilitative Benefits (HAB) Coalition	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Consumers for Quality Care	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Point32Health	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	National Association of Community Health Centers	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	National Multiple Sclerosis Society	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Accreditation Association for Ambulatory Health Care, Inc. (AAAHC)	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	HealthSherpa	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	National Brain Tumor Society	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Connect for Health Colorado	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Signature Health	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Federation of American Hospitals	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	American Kidney Fund	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	National Association of Benefits and Insurance Professionals (NABIP)	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Cancer Leadership Council	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	3M Health Information Systems	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	LeadingAge	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	AKF; AstraZeneca; NephCure; Novartis; RPA; Tariq Shah, MD; Manisha Jhamb, MD, MPH	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	The Leukemia & Lymphoma Society	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Mustijay LLc/USA Benefits	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Group Benefit Solution	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Your Health Idaho	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Sanford Health Plan	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Coalition to Transform Advanced Care (C-TAC)	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	American College of Surgeons	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Families USA	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	American Academy of Family Physicians	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Partnership to Empower Physician-Led Care	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	National Rural Health Association	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Flow Therapy	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	American Society of Cataract and Refractive Surgery	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Outcomes Matter Innovations, LLC (OMI)	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	INTEGRIS Health	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	The American Academy of Physical Medicine and Rehabilitation (AAPM&R)	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	American Academy of Otolaryngology- Head and Neck Surgery	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	ADVAMED:ADVANCED MEDICAL TECHNOLOGY ASSOCIATION	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	MedChi, The Maryland State Medical Society - Gene M. Ransom III CEO	Public comment on CMS-2023-0127: Request for Information: Episode-based Payment Model	Source
commented_on	Global Healthy Living Foundation	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Network Health	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source
commented_on	Viva Health	Public comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health Program	Source