Our comments, filed to the Centers for Medicare and Medicaid Services (CMS) on September 14, 2026, explain our opposition to proposed changes to remote patient monitoring services and our support for proposals to equalize the rate for nursing facility visits and CMS’ proposed transition timeline for Fast Healthcare Interoperability Resources-based quality reporting that would account for variations across programs. We emphasized the need for CMS to provide a sustainable billing pathway for palliative care. We offer a big-picture perspective on the Medicare Shared Savings Program, with ideas for how this accountable care organization model could evolve to further engage and create opportunities for aging services providers. Read our comment letter below.