Comment on CMS-2026-1256-0002

Summary: Confluence Health, a healthcare provider, opposes the proposed FY 2027 Medicare payment updates, arguing that the market basket increase is too low to cover actual inflationary costs and that the productivity reduction should be eliminated. They also express concern over proposed cuts to disproportionate share (DSH) payments and argue that the Comprehensive Care for Joint Replacement (CJR) model should be voluntary rather than mandatory.