Comment on CMS-2026-1256-0002

Summary: Cleveland Clinic, a large non-profit healthcare system, opposes several components of the proposed rule, specifically the expansion of the Hospital Readmissions Reduction Program to include sepsis and the proposed overhead cost allocation requirements for transplant programs. They also request modifications to the CJR-X model, including a longer participation "runway," an increased minimum volume for participation, and a delay in mandating certain patient-reported outcome measures.