In private payer data, complex procedures in The Transforming Episode Accountability Model by @CMSGov were associated with more intensive care unit use, readmissions, and postacute care, but hospital payments often did not increase proportionally. ja.ma/4x5kDNL
Operative Complexity and Surgical Episode Payments Among Private Payers
This cohort study analyzes the rate of paid claims for Transforming Episode Accountability Model procedures coded as having increased operative services and their associated payments to evaluate the need for operative complexity risk adjustment.
ja.ma
September 25, 2026 at 11:00 AM
In private payer data, complex procedures in The Transforming Episode Accountability Model by @CMSGov were associated with more intensive care unit use, readmissions, and postacute care, but hospital payments often did not increase proportionally. ja.ma/4x5kDNL
Energy and Commerce Committee tweeted:
🚨 Even more health care fraud uncovered:
The @WHFraudTF is removing over 760,000 FRAUDULENT Obamacare enrollments, saving taxpayers nearly $2.2 BILLION.
Thank you @VP and @CMSGov for safeguarding our government health programs and (cont in image...)
🚨 Even more health care fraud uncovered:
The @WHFraudTF is removing over 760,000 FRAUDULENT Obamacare enrollments, saving taxpayers nearly $2.2 BILLION.
Thank you @VP and @CMSGov for safeguarding our government health programs and (cont in image...)
September 23, 2026 at 1:20 PM
Energy and Commerce Committee tweeted:
🚨 Even more health care fraud uncovered:
The @WHFraudTF is removing over 760,000 FRAUDULENT Obamacare enrollments, saving taxpayers nearly $2.2 BILLION.
Thank you @VP and @CMSGov for safeguarding our government health programs and (cont in image...)
🚨 Even more health care fraud uncovered:
The @WHFraudTF is removing over 760,000 FRAUDULENT Obamacare enrollments, saving taxpayers nearly $2.2 BILLION.
Thank you @VP and @CMSGov for safeguarding our government health programs and (cont in image...)
ACC, STS and SCAI have issued a joint statement on the #TAVR National Coverage Determination finalized by @CMSGov. Get the details ➡️ https://bit.ly/4hl69oi
#ACCAdvocacy #CardioSky
#ACCAdvocacy #CardioSky
September 15, 2026 at 5:51 PM
ACC, STS and SCAI have issued a joint statement on the #TAVR National Coverage Determination finalized by @CMSGov. Get the details ➡️ https://bit.ly/4hl69oi
#ACCAdvocacy #CardioSky
#ACCAdvocacy #CardioSky
@scsp_ai AI+ Health “From Federal Systems to the Operating Room: #Modernizing #Healthcare Through Data” @CMSGov Chief Patient Experience &Innovation Officer Anthony Polizzi & Dr. Daniel Donoho, Founder/President, Surgical Data Science Collective/ Children’s National Hospital @scsp.bsky.social
September 10, 2026 at 6:47 PM
@scsp_ai AI+ Health “From Federal Systems to the Operating Room: #Modernizing #Healthcare Through Data” @CMSGov Chief Patient Experience &Innovation Officer Anthony Polizzi & Dr. Daniel Donoho, Founder/President, Surgical Data Science Collective/ Children’s National Hospital @scsp.bsky.social
In private payer data, complex procedures in The Transforming Episode Accountability Model by @CMSGov were associated with more intensive care unit use, readmissions, and postacute care, but hospital payments often did not increase proportionally. ja.ma/3RIHP5V
July 29, 2026 at 3:45 PM
In private payer data, complex procedures in The Transforming Episode Accountability Model by @CMSGov were associated with more intensive care unit use, readmissions, and postacute care, but hospital payments often did not increase proportionally. ja.ma/3RIHP5V
The @USGAO on @DeptVetAffairs and @CMSgov:
"Neither agency has developed comprehensive fraud risk assessments for its respective program...
"Medicare's efforts to address the root causes of Medicare Advantage payment errors haven't been effective."
"Neither agency has developed comprehensive fraud risk assessments for its respective program...
"Medicare's efforts to address the root causes of Medicare Advantage payment errors haven't been effective."
Program Integrity: Actions Needed to Reduce Improper Payment and Fraud Risks in VA Community Care and Medicare Advantage
In FY 2025, the VA's Community Care program made $608 million in payment errors and Medicare Advantage made $23.7 billion in payment errors. Both...
www.gao.gov
July 21, 2026 at 9:00 PM
The @USGAO on @DeptVetAffairs and @CMSgov:
"Neither agency has developed comprehensive fraud risk assessments for its respective program...
"Medicare's efforts to address the root causes of Medicare Advantage payment errors haven't been effective."
"Neither agency has developed comprehensive fraud risk assessments for its respective program...
"Medicare's efforts to address the root causes of Medicare Advantage payment errors haven't been effective."
Copay accumulators let insurers & #PBMs keep your copay assistance without counting toward your deductible. When it runs out, you pay again. Proud to join 90+ orgs urging @CMSGov & @DrOzCMS to enforce EHB protections & ensure #AllCopaysCount. zurl.co/7dM2u @CMSgovPress
July 20, 2026 at 2:46 PM
Copay accumulators let insurers & #PBMs keep your copay assistance without counting toward your deductible. When it runs out, you pay again. Proud to join 90+ orgs urging @CMSGov & @DrOzCMS to enforce EHB protections & ensure #AllCopaysCount. zurl.co/7dM2u @CMSgovPress
@CMSGov announced today it can now negotiate pricing for these drugs with manufacturers. Clearly, hepatology and GI were not an initial priority. Good first step and hopefully more soon #medtwitter #gitwitter #livertwitter
December 2, 2024 at 7:31 PM
@CMSGov announced today it can now negotiate pricing for these drugs with manufacturers. Clearly, hepatology and GI were not an initial priority. Good first step and hopefully more soon #medtwitter #gitwitter #livertwitter
Anyone know why @CMSGov has not altered nursing home visitation guidelines?
Now that many nursing homes and older adults have been vaccinated, seems like vaccinated visitors should be able to visit vaccinated residents relatively normally.
https://go.cms.gov/3ulSZgx
Now that many nursing homes and older adults have been vaccinated, seems like vaccinated visitors should be able to visit vaccinated residents relatively normally.
https://go.cms.gov/3ulSZgx
December 1, 2024 at 10:54 PM
Anyone know why @CMSGov has not altered nursing home visitation guidelines?
Now that many nursing homes and older adults have been vaccinated, seems like vaccinated visitors should be able to visit vaccinated residents relatively normally.
https://go.cms.gov/3ulSZgx
Now that many nursing homes and older adults have been vaccinated, seems like vaccinated visitors should be able to visit vaccinated residents relatively normally.
https://go.cms.gov/3ulSZgx
The #FTC
and #CMSgov
agree: PBMs abuse their power, inflating drug prices and limiting patient access. #SenatorBillCassidy it’s time for Congress to pass PBM reforms to realign incentives and ensure affordability. Americans deserve better. #PBMReform @ghlforg.bsky.social @infusioncenter.bsky.social
and #CMSgov
agree: PBMs abuse their power, inflating drug prices and limiting patient access. #SenatorBillCassidy it’s time for Congress to pass PBM reforms to realign incentives and ensure affordability. Americans deserve better. #PBMReform @ghlforg.bsky.social @infusioncenter.bsky.social
December 13, 2024 at 9:54 PM
The #FTC
and #CMSgov
agree: PBMs abuse their power, inflating drug prices and limiting patient access. #SenatorBillCassidy it’s time for Congress to pass PBM reforms to realign incentives and ensure affordability. Americans deserve better. #PBMReform @ghlforg.bsky.social @infusioncenter.bsky.social
and #CMSgov
agree: PBMs abuse their power, inflating drug prices and limiting patient access. #SenatorBillCassidy it’s time for Congress to pass PBM reforms to realign incentives and ensure affordability. Americans deserve better. #PBMReform @ghlforg.bsky.social @infusioncenter.bsky.social
dotgov-data Official list of .gov domains (9 mentions)
https://www.libhunt.com/r/dotgov-data
Event Attributes
https://www.libhunt.com/r/dotgov-data
Event Attributes
Dotgov-data Alternatives and Reviews
Which is the best alternative to dotgov-data? Based on common mentions it is: Govuk-puppet, Govt-urls, Code-gov, Pcm-dpc/COVID-19 or CMSgov/Design-system
www.libhunt.com
February 21, 2025 at 2:17 PM
dotgov-data Official list of .gov domains (9 mentions)
https://www.libhunt.com/r/dotgov-data
Event Attributes
https://www.libhunt.com/r/dotgov-data
Event Attributes
So (after the above texts), we:
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
November 23, 2024 at 5:34 AM
So (after the above texts), we:
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
(a) wrote about how an ICD-10 code would help measure/improve quality of care and
(b) applied for a new ICD-10 code and I testified before @CMSGov in Sept 2022
(got @atscommunity, @accpchest, @SCCM, and @aarc_tweets multi-society endorsement🙏)
HOW IT'S GOING:
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
November 23, 2024 at 5:13 AM
HOW IT'S GOING:
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
August 1, 2023: Our brand new ICD-10 procedure codes for prone positioning in #ARDS are finalized, to be used nationwide starting October 1, 2023. @CMSGov
https://www.cms.gov/medicare/acute-inpatient-pps/fy-2024-ipps-final-rule-home-page
“Transparency & stakeholder engagement are essential for effective quality initiatives in medicine. We are calling attn to issues & ambiguities w CMS measure & look forward to working w @CMSGov to address issues & continue culture of quality and safety”
radiologybusiness.com/topics/healt...
radiologybusiness.com/topics/healt...
March 20, 2025 at 5:02 PM
“Transparency & stakeholder engagement are essential for effective quality initiatives in medicine. We are calling attn to issues & ambiguities w CMS measure & look forward to working w @CMSGov to address issues & continue culture of quality and safety”
radiologybusiness.com/topics/healt...
radiologybusiness.com/topics/healt...
okay, i stand corrected. for some reason there is a Medicare app, but it's by "CMSgov" and it's called "What's Covered", without Medicare in the name. The logo is an M.
I honestly thought it was a scam, possibly someone trying to make a buck by copying the website into an app.
I honestly thought it was a scam, possibly someone trying to make a buck by copying the website into an app.
October 1, 2025 at 8:48 PM
okay, i stand corrected. for some reason there is a Medicare app, but it's by "CMSgov" and it's called "What's Covered", without Medicare in the name. The logo is an M.
I honestly thought it was a scam, possibly someone trying to make a buck by copying the website into an app.
I honestly thought it was a scam, possibly someone trying to make a buck by copying the website into an app.
@annabower.bsky.social Is Amy Gleason now at CMS? Huh? I thought she was head of DOGE, although on vacation in Mexico? WITOD?https://x.com/DrOzCMS/status/1929983935888433437
DrOzCMS on X: ".@SecKennedy, @DrMakaryFDA, @NIHDirector_Jay, and my team at @CMSGov, including Amy Gleason, are bringing together tech developers, patients, caregivers, providers, and payers to share ideas and input to help shape the patient-centric future of healthcare technology. https://t.co/zJs7kXEh9Q" / X
.@SecKennedy, @DrMakaryFDA, @NIHDirector_Jay, and my team at @CMSGov, including Amy Gleason, are bringing together tech developers, patients, caregivers, providers, and payers to share ideas and input to help shape the patient-centric future of healthcare technology. https://t.co/zJs7kXEh9Q
x.com
June 3, 2025 at 9:20 PM
@annabower.bsky.social Is Amy Gleason now at CMS? Huh? I thought she was head of DOGE, although on vacation in Mexico? WITOD?https://x.com/DrOzCMS/status/1929983935888433437
Dear @CMSGov: there is no justification for approving #Florida #Medicaid overhaul waiver:#pfla
bit.ly/jyvqv2
bit.ly/jyvqv2
February 13, 2025 at 5:20 PM
Dear @CMSGov: there is no justification for approving #Florida #Medicaid overhaul waiver:#pfla
bit.ly/jyvqv2
bit.ly/jyvqv2
Excited to share my opinion piece in @AnnalsofIM on accurately valuing the work we as physicians do every day, and how this year’s @CMSGov rule may help (or not). www.acpjournals.org/doi/10.7326/...
Revaluing Physician Services: CMS Has Some (but Not All) Answers | Annals of Internal Medicine
www.acpjournals.org
November 20, 2025 at 4:10 PM
Excited to share my opinion piece in @AnnalsofIM on accurately valuing the work we as physicians do every day, and how this year’s @CMSGov rule may help (or not). www.acpjournals.org/doi/10.7326/...
#Telehealth should remain an option for those with not only Medicare, but all insurers. And we should be able to get telehealth 2nd opinions across state lines. @CMSGov https://www.medpagetoday.com/opinion/second-opinions/101273
Opinion | Don't Let Medicare Beneficiaries Fall Off the T...
These services hold potential beyond the public health em...
www.medpagetoday.com
November 17, 2024 at 11:06 AM
#Telehealth should remain an option for those with not only Medicare, but all insurers. And we should be able to get telehealth 2nd opinions across state lines. @CMSGov https://www.medpagetoday.com/opinion/second-opinions/101273