In Trump’s First Year, CMS Pursues Medicare Deregulation

In its first year, the Trump Administration has made a number of key changes at the Centers for Medicare and Medicaid Services (CMS) that aim to reduce the regulatory burden on providers. Three examples of these moves include:

  • CMS has cancelled the mandatory hip fracture and bundled payment models. The agency has also reduced the number of geographic areas required to participate in the comprehensive joint replacement model.
  • CMS has launched the Patients Over Paperwork Initiative, which calls on providers to offer feedback on current rules, with the aim of reducing their administrative burden.
  • The agency has requested information from providers on how it can streamline regulations and improve efficiency in each of its proposed rules for post-acute care.

While deregulation is a priority, HIDA expects CMS to continue linking payments to care quality. One example of this is the agency’s Meaningful Measures initiative, which makes quality measures focus more on outcomes, such as 30-day mortality rates for certain conditions.

These are just some of the insights contained in HIDA’s forthcoming Medicare 360°: 2018 Medicare Reimbursement Analysis and Outlook. The report contains payment details and regulatory outlooks for all the major segments of the healthcare market. The report will be available in early 2018.

For more information on HIDA reports and resources, email

Posted in: Advocacy and Gov Affairs, HIDA Resources, Medicaid/Medicaid

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