Quid Pro Quo (QPQ) Tracker
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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.

Tracked direct giving

$0

Connections

1,467

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Regulatory Capture Assessment

Regulatory capture is when an agency advances the interests of the industry it oversees (Stigler 1971; Carpenter & Moss 2013). The counts below are records in this tracker that connect outside parties to this agency. They are context for that question, not evidence that capture occurred.

Industry connection records
0
Opposed / enabled / benefited records
0
Revolving-door records
7
Rules issued or proposed
189

Counted over all 1,467 relationship records for this agency.

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Relationships

TypeConnected ToDetailsSource
Issued ruleGuarding U.S. Medicare Against Rising Drug Costs (GUARD) ModelIssued the rule.Source
Issued ruleGlobal Benchmark for Efficient Drug Pricing (GLOBE) ModelIssued the rule.Source
Issued ruleMedicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to ChildrenIssued the rule.Source
Issued ruleMedicare and Medicaid Programs; Hospital Condition of Participation: Prohibiting Sex-Rejecting Procedures for ChildrenIssued the rule.Source
Issued ruleMedicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting Program; CorrectionIssued the rule.Source
Issued ruleMedicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) ModelIssued the rule.Source
Shaped policyMedicare and Medicaid Programs; Repeal of Minimum Staffing Standards for Long-Term Care FacilitiesRepealed or rescinded the rule.Source
Issued ruleMedicare 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 PoliciesIssued the rule.Source
Issued ruleMedicare Program; Contract Year 2027 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan ProgramIssued the rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare 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 SlotsIssued the rule.Source
Issued ruleMedicare 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 ModelIssued the rule.Source
Issued ruleMedicare 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 ProgramIssued the rule.Source
Issued ruleMedicare 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 FinderIssued the rule.Source
Issued ruleMedicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements; CorrectionIssued the rule.Source
Issued ruleMedicare 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 PoliciesIssued the rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare 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 AuthorizationIssued the rule.Source
Issued ruleMedicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program RequirementsIssued the rule.Source
Issued ruleMedicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting ProgramIssued the rule.Source
Issued ruleMedicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate UpdateIssued the rule.Source
Issued ruleMedicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026Issued the rule.Source
Issued ruleMedicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price TransparencyIssued the rule.Source
Issued ruleMedicare 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 ProgramIssued the rule.Source
Issued ruleMedicare 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 PoliciesIssued the rule.Source
Issued ruleMedicare 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 PoliciesIssued the rule.Source
Issued ruleMedicare 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 PoliciesIssued the rule.Source
Issued ruleMedicare 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 ModelIssued the rule.Source
Issued ruleMedicare 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 2025Issued the rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026Issued the rule.Source
Issued ruleMedicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program RequirementsIssued the rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare 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 AmendmentAmended an existing rule.Source
Issued ruleMedicaid Program; Preserving Medicaid Funding for Vulnerable Populations-Closing a Health Care-Related Tax Loophole Proposed RuleIssued the rule.Source
Issued ruleMedicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026Issued the rule.Source
Issued ruleMedicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program RequirementsIssued the rule.Source
Issued ruleMedicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2026 and Updates to the IRF Quality Reporting ProgramIssued the rule.Source
Issued ruleMedicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate UpdateIssued the rule.Source
Issued ruleMedicare 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 ChangesIssued the rule.Source
Issued ruleMedicare 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 ElderlyIssued the rule.Source
Issued ruleMedicare 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 AmendmentAmended an existing rule.Source
Issued ruleMedicare 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 AmendmentAmended an existing rule.Source
Issued ruleMedicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program RequirementsIssued the rule.Source
Issued ruleMedicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate UpdateIssued the rule.Source
Issued ruleMedicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting ProgramIssued the rule.Source
Issued ruleMedicare Program: Appeal Rights for Certain Changes in Patient Status and Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures; Correcting AmendmentAmended an existing rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare 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 OverpaymentsIssued the rule.Source
Issued ruleMedicare 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 ElderlyIssued the rule.Source
Issued ruleMedicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) ModelIssued the rule.Source
Issued ruleMedicare 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 OverpaymentsIssued the rule.Source
Issued ruleMedicare 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 FacilitiesIssued the rule.Source
Issued ruleMedicare 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 ModelIssued the rule.Source
Issued ruleMedicare 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 PoliciesIssued the rule.Source
Issued ruleMedicare 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 AmendmentAmended an existing rule.Source
Issued rulePatient 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 AmendmentAmended an existing rule.Source
Issued rulePatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2026; and Basic Health ProgramIssued the rule.Source
Issued ruleMedicare Program: Appeal Rights for Certain Changes in Patient StatusIssued the rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare Program; Changes to the Fiscal Year 2025 Hospital Inpatient Prospective Payment System (IPPS) Rates Due to Court DecisionIssued the rule.Source
Issued ruleMedicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting Program; CorrectionIssued the rule.Source
Issued ruleMedicare 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 AmendmentAmended an existing rule.Source
Issued ruleMedicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update; CorrectionIssued the rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023Issued the rule.Source
Issued ruleMedicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements; CorrectionIssued the rule.Source
Issued ruleMedicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate ProgramIssued the rule.Source
Issued ruleMedicare Program; Medicare Prescription Drug Benefit Program; Health Information Technology Standards and Implementation Specifications; CorrectionIssued the rule.Source
Issued ruleMedicare 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 ChangesIssued the rule.Source
Issued ruleMedicare 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 FacilitiesIssued the rule.Source
Issued ruleMedicare Program; Alternative Payment Model (APM) Incentive Payment Advisory for Clinicians-Request for Current Billing Information for Qualifying APM ParticipantsIssued the rule.Source
Issued ruleMedicare 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 PoliciesIssued the rule.Source
Issued ruleMedicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; CorrectionIssued the rule.Source
Issued ruleMedicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting; CorrectionIssued the rule.Source
Issued ruleMedicare 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 ModelIssued the rule.Source
Issued rule21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information BlockingIssued the rule.Source
Issued ruleMedicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023Issued the rule.Source
Issued ruleMedicaid Program; Ensuring Access to Medicaid Services; CorrectionIssued the rule.Source
Issued ruleMedicare Program; Medicare Prescription Drug Benefit Program; Health Information Technology Standards and Implementation SpecificationsIssued the rule.Source
Issued ruleMedicare 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; CorrectionIssued the rule.Source
Issued ruleMedicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) ModelIssued the rule.Source
Issued ruleMedicaid Program; Ensuring Access to Medicaid ServicesIssued the rule.Source
Issued ruleMedicare 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 ListIssued the rule.Source
Issued ruleMedicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency ReportingIssued the rule.Source
Issued ruleMedicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and QualityIssued the rule.Source
Issued ruleClarifying 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 ProgramIssued the rule.Source
Issued ruleNondiscrimination in Health Programs and ActivitiesIssued the rule.Source
Issued ruleMedicare 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 ChangesIssued the rule.Source
Issued ruleMedicare 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 rulePatient 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 ProgramIssued the rule.Source
Issued ruleMedicare 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 2025Issued the rule.Source
Issued ruleMedicare 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; CorrectionsIssued the rule.Source
Issued ruleMedicaid Program; Streamlining the Medicaid, Children's Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal ProcessesIssued the rule.Source
Issued ruleMedicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program RequirementsIssued the rule.Source
Issued ruleMedicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate UpdateIssued the rule.Source
Issued ruleMedicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting ProgramIssued the rule.Source
Issued rulePrinciples of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury DialysisIssued the rule.Source
Issued ruleClinical Laboratory Improvement Amendments of 1988 (CLIA) Fees; Histocompatibility, Personnel, and Alternative Sanctions for Certificate of Waiver Laboratories; CorrectionIssued the rule.Source
Issued ruleMedicaid Program; Disproportionate Share Hospital Third-Party Payer RuleIssued the rule.Source
Commented onViz.aiPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onVektor MedicalPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onAdventist Health Policy AssociationPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onSeattle Indian Health BoardPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onAmerican Association of Neurological Surgeons and Congress of Neurological SurgeonsPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onGlobal Liver InstitutePublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onMedical Justice AlliancePublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onCumberland PharmaceuticalsPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onJustice in AgingPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onNewYork-Presbyterian HospitalPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onAmerican Academy of Dermatology AssociationPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onUT Southwestern Medical Center Department of RadiologyPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onIMPACTPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onINSIGHTECPublic 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 onSandozPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onAssociation of Women's Health, Obstetric and Neonatal NursesPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onVoices for Non-Opioid ChoicesPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onHenry Ford HealthPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onO'Neill Institute at Georgetown LawPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onUnited States of CarePublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onBiosimilars ForumPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onUniversity of Vermont Health NetworkPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onB. BraunPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onCOREWELL HEALTHPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onASSOCIATION OF AMERICAN MEDICAL COLLEGESPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onSHINE TechnologiesPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onArcellxPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onAdvaMed Medical Imaging DivisionPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onCivaTech OncologyPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onCardiovascular Associates of AmericaPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onSafety-Net Association of PennsylvaniaPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onAscensionPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onThe OSU Wexner Medical CenterPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onBillings ClinicPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onDartmouth HealthPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onSociety for Maternal-Fetal MedicinePublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onTexas Health ResourcesPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onNational Nurses UnitedPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAmerican College of Allergy, Asthma & ImmunologyPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onCedar Gate TechnologiesPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onMovement is LifePublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAmerican Urogynecologic SocietyPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onThe Society for Cardiovascular Angiography and InterventionsPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAmerica's Physician GroupsPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onPhysician Clinical Registry CoalitionPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onPeratonPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onEdifecsPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onBCollaborativePublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onValtruisPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onNevada State Medical AssociationPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onCouncil 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, inSource
Commented onEasterseals ArkansasPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onKeck Hospital of USCPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onOracle HealthPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onPediatric Cardiac CT Imagers at UTSW/Childrens in DallasPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onMedicare Access to Skin Substitutes CoalitionPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onPatients for Patient Safety USPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onHealthcare Reimbursement ConsultingPublic comment on CMS-2024-0199: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, inSource
Commented onThe Coalition to Preserve Rehabilitation (CPR) and the Habilitative Benefits (HAB) CoalitionPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onConsumers for Quality CarePublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onPoint32HealthPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onNational Association of Community Health CentersPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onNational Multiple Sclerosis SocietyPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onAccreditation 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 ProgramSource
Commented onHealthSherpaPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onNational Brain Tumor SocietyPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onConnect for Health ColoradoPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onSignature HealthPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onFederation of American HospitalsPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onAmerican Kidney FundPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onNational 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 ProgramSource
Commented onCancer Leadership CouncilPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented on3M Health Information SystemsPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onLeadingAgePublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAKF; AstraZeneca; NephCure; Novartis; RPA; Tariq Shah, MD; Manisha Jhamb, MD, MPHPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onThe Leukemia & Lymphoma SocietyPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onMustijay LLc/USA BenefitsPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onGroup Benefit SolutionPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onYour Health IdahoPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onSanford Health PlanPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onCoalition to Transform Advanced Care (C-TAC)Public comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAmerican College of SurgeonsPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onFamilies USAPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onAmerican Academy of Family PhysiciansPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onPartnership to Empower Physician-Led CarePublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onNational Rural Health AssociationPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onFlow TherapyPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONSPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAmerican Society of Cataract and Refractive SurgeryPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onOutcomes Matter Innovations, LLC (OMI)Public comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onINTEGRIS HealthPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onThe American Academy of Physical Medicine and Rehabilitation (AAPM&R)Public comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onAmerican Academy of Otolaryngology- Head and Neck SurgeryPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onADVAMED:ADVANCED MEDICAL TECHNOLOGY ASSOCIATIONPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onMedChi, The Maryland State Medical Society - Gene M. Ransom III CEOPublic comment on CMS-2023-0127: Request for Information: Episode-based Payment ModelSource
Commented onGlobal Healthy Living FoundationPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onNetwork HealthPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onViva HealthPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onCenter for American ProgressPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource
Commented onDelta Dental Plans AssociationPublic comment on CMS-2024-0311: Patient Protection and Affordable Care Act: Notice of Benefit and Payment Parameters for 2026 and Basic Health ProgramSource