Comment on CMS-2026-1256-0002

Summary: The Federation of American Hospitals (FAH) opposes the proposed CJR-X Model as a mandatory payment framework, arguing that it imposes automatic payment reductions and creates significant operational and financial burdens on hospitals. They urge CMS to make the model voluntary, delay implementation until 2028, exclude rural and low-volume hospitals, and revise the quality measurement framework to ensure it is reliable and fair.