I will never stop fighting for American patients. Signing off . Follow for updates.
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Administrator Seema Verma
@SeemaCMS
Seema Verma served as the CMS Administrator, March 2017-Jan 2021. This is an archived account.
Baltimore, MDJoined January 2017
Administrator Seema Verma’s Tweets
Don't let COVID threaten your long-term health. For people at higher risk for complications, getting a 2nd COVID booster 4 months after your 1st booster helps prevent severe COVID disease.
Learn more at: cdc.gov/coronavirus
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Being there for loved ones means taking care of you. Get screened for #ColorectalCancer and treat yourself like a loved one. bit.ly/32z1tY0
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In 2017, we set a goal at to transform the American #healthcare system to work better for patients, ensuring greater access to quality & affordable care. I’m proud to say that the result was worth the effort: cms.gov/files/document
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After 4 years in office, it’s time to set the record straight on ’s successful effort to stabilize the individual insurance market, increase competition, & make what was once a floundering insurance market work for as many people as possible: cms.gov/blog/setting-r
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#DYK: CMS improved the integrity of federal financial oversight of state spending by issuing over $1.1 billion in disallowances since January 2017 to begin recovery of improperly claimed federal funding. See what else we’ve done over the past few years: cms.gov/files/document
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CMS has been #TransformingMedicaid by resetting & restoring the federal-state relationship while modernizing the program to deliver better health outcomes for beneficiaries. We accomplished this by increasing state flexibility while ensuring accountability:cms.gov/files/document
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Issues that impact health go far beyond what are traditionally considered “medical.” Social determinants of health often lie outside the reach of a fee-for-service system – limiting reimbursement to what happens at the doctor’s office. CMS is changing that:cms.gov/blog/social-de
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My latest op-ed, written with John Coster and Jeet Guram, shares how is ushering in a new era of value-based drug reimbursement – increasing quality and lowering costs: healthaffairs.org/do/10.1377/hbl
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In their new blog, @SeemaCMS, John Coster, and Jeet Guram of @CMSgov argue that #DrugPricing is a prime candidate for value-based reforms, given the advent of new, potentially curative medications ill-suited to fee-for-service financing. bit.ly/3bUcsOf
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We approved for the Acute Hospital Care at Home initiative on the same day we received their submission to help the hospital increase capacity while battling the current #COVID19 surge in Southern California.
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. has approved for the Acute Hospital Care at Home initiative to help the hospital expand its capacity and treat more patients while reducing patient risk to #COVID19 exposure. qualitynet.cms.gov/acute-hospital
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#DYK: The average basic Medicare Part D premiums decreased by 12% since 2017, saving beneficiaries ~ $1.9 billion in premium costs over that time. Check out what else we accomplished: cms.gov/files/document
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Today we remember Martin Luther King Jr., who taught us to fight peacefully for justice for every American. As we reflect on his life & legacy, we remind ourselves what it means to treat one another with care & respect. #MLKDay
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CMS moved quickly to address these issues, and has continued to stabilize the market and drive improvement in the federal healthcare marketplace while also increasing state flexibility. cms.gov/files/document
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When we came into office, rising premiums and fewer choices in insurers on the federal and state marketplaces resulted in a large portion of unsubsidized people dropping out of the market. cms.gov/files/document
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The career civil servants at are our greatest assets and helped us deliver on CMS priorities. Their dedication and wisdom have been critical to helping deliver our success and accomplishments.
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The Rate Announcement includes final policies on risk adjustment for 2022, finalizing the full phase-in of the Part C CMS-Hierarchical Condition Categories (HCC) risk adjustment model that was first implemented in 2020. Learn about the model here: cms.gov/newsroom/press
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Since 2017, #Medicare Advantage premiums have plunged 34% & Part D premiums are down 12%. Crucially, these premium reductions have come with new & better benefits, as beneficiaries also enjoy more plan options. cms.gov/newsroom/press
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The earlier release of the Rate Announcement, along w/ the policies announced in the 2022 MA & Part D Final Rule, will help #Medicare Advantage & Part D plans better plan for 2022 plan costs, in light of the uncertainty associated w/ the #COVID19 pandemic. cms.gov/newsroom/press
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. announced 2022 Medicare Advantage (MA) & Part D rates 3 months earlier than usual providing #Medicare health & prescription drug plans more time as they prepare & finalize their bids for 2022, which are due June 7, 2021. cms.gov/newsroom/press
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The past four years have been filled with many tests and accomplishments. My blog further breaks down the many achievements the team has effected during my tenure. cms.gov/blog/cms-has-m
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As the Trump Administration comes to a close, I have submitted my official resignation and am preparing to turn the keys over to the next Administrator next week.
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#DYK: The average monthly MA premiums decreased by an estimated 34% since 2017, the lowest average since 2007. Learn more about our accomplishments over the past 4 years: cms.gov/files/document
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#StrengtheningMedicare has been a top priority from day 1. We worked to increase quality while lowering costs & empowering beneficiaries by focusing on creating more competition, choice, flexibility, and benefits, while keeping high standards of care. cms.gov/files/document
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#ICYMI Director Brad Smith reflects on the 50+ models launched over the past decade, and the lessons that came with them:
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Today’s final rule will require Part D plans to offer a real-time benefit comparison tool starting January 2023, so enrollees can get information about lower-cost alternative therapies under their prescription drug benefit plan. cms.gov/newsroom/press
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“The changes in this final rule provide desperately needed transparency on the out-of-pocket costs for prescription drugs that have been obscured for seniors." cms.gov/newsroom/press
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Today’s #Medicare Advantage & Part D prescription drug program final rule will potentially lower enrollee cost sharing on some of the most expensive prescription drugs& result in ~ $75.4 million in savings to the federal government over 10 years. cms.gov/newsroom/press
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Today, issued a final rule for the #Medicare Advantage & Part D prescription drug programs that will allow enrollees to know in advance & compare their out-of-pocket payments for different prescription drugs. cms.gov/newsroom/press
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In addition, to promote accountability for plans, the rule requires payers to make public, prior authorization metrics that demonstrate how they operationalize the prior authorization process. cms.gov/newsroom/press
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Today’s final rule requires payers to reduce decision timelines for prior authorizations. Payers, w/ the exception of QHP issuers on the FFE, will now have a maximum of 72 hours to make prior authorization decisions on urgent requests & 7 calendar days for non-urgent requests.
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Today’s final rule requires regulated payers to use application programing interfaces (APIs) to give providers better access to data about their patients, & streamline the process of prior authorization. cms.gov/newsroom/press
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“Today, we take a historic stride toward the future long promised by electronic health records but never yet realized: a more efficient, convenient, and affordable healthcare system." cms.gov/newsroom/press
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CMS finalized a rule that allows payers, providers & patients to have electronic access to pending & active prior authorization decisions – resulting in fewer repeat prior authorizations, & reducing costs & administrative burden on our frontline providers. cms.gov/newsroom/press
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“The actions we’re taking today ensure these improvements can continue tomorrow, because we must never be satisfied when too many Americans still cannot afford coverage in the individual market.” cms.gov/newsroom/press
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Today’s 2022 payment notice rule finalizes changes to enhance the consumer experience while reducing costs, lowering premiums, empowering states to develop their own unique plans, accelerating innovation, and clarifying program requirements. cms.gov/newsroom/press
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CMS anticipates continuing to review comments and finalizing other proposed policies for the 2022 payment notice in a second final rule to be published at a later date. cms.gov/newsroom/press
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. has issued a rule finalizing numerous proposed provisions for the annual Notice of Benefit and Payment Parameters for 2022 (2022 payment notice), continuing the agency’s efforts to build a better & more affordable insurance marketplace. cms.gov/newsroom/press
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