These council reports have proposed strategies to address healthcare costs and promote value in healthcare spending.
2025
- Reconsidering the Affordable Care Act (ACA) Eligibility Firewall (PDF) CMS Report 2-A-25
- Impact of Patient Non-adherence on Quality Scores (PDF) CMS Report 7-A-25
2024
- Nonprofit Hospital Charity Care Policies (PDF) CMS Report 1-I-24
- Patient Medical Debt (PDF) CMS Report 5-A-24
2021
- Access to Health Plan Information regarding Lower-Cost Prescription Options (PDF) CMS Report 2-N-21
- Financing of Home and Community-Based Services (PDF) CMS Report 4-N-21
- Universal Basic Income (PDF) CMS Report 03-JUN-21
2020
- Mitigating the Negative Effects of High-Deductible Health Plans (PDF) CMS Report 2-November 2020. Read the issue brief for this report: Mitigating Negative Impacts of High-Deductible Health Plans (PDF).
- Value-Based Management of Drug Formularies (PDF) CMS Report 6-November 2020
2019
- Additional Mechanisms to Address High and Escalating Pharmaceutical Prices (PDF) CMS report 4-I-19
- Addressing Financial Incentives to Shop for Lower-Cost Health Care (PDF) CMS report 2-I-19
2018
- Aligning Clinical and Financial Incentives for High-Value Care (PDF) CMS/CSAPH joint report I-18. Read the issue briefs for this report: Promoting Access to High-Value Care (PDF) and Value-Based Insurance Design (PDF).
- The Site-of-Service Differential (PDF) CMS report 4-I-18. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
- Air Ambulance Regulations and Payments (PDF) CMS report 2-I-18
- Coverage for Colorectal Cancer Screening (PDF) CMS/CSAPH joint report A-18
- Improving Affordability in the Health Insurance Exchanges (PDF) CMS report 2-A-18. Read the issue briefs for this report: Improving Health Insurance Affordability (PDF), Taking Steps Forward to Cover the Uninsured (PDF), and Using Reinsurance to Stabilize and Strengthen the Individual Market (PDF).
- Ensuring Marketplace Competition and Health Plan Choice (PDF) CMS report 3-A-18. Read the issue briefs for this report: Improving Health Insurance Affordability (PDF) and Taking Steps Forward to Cover the Uninsured (PDF).
- Financing of Long-Term Services and Supports (PDF) CMS report 5-A-18. Read the issue brief for this report: Financing of Long-Term Services and Supports (PDF).
- Integrating Precision Medicine into Alternative Payment Models (PDF) CMS report 6-A-18
2017
- Value of Preventive Services (PDF) CMS-CSAPH joint report A-17. Read the issue briefs for this report: Promoting Access to High-Value Care (PDF) and Value-Based Insurance Design (PDF).
- Non-Physician Screening Tests (PDF) CMS report 3-I-17
- Health Insurance Affordability: Essential Health Benefits and Subsidizing the Coverage of High-Risk Patients (PDF) CMS report 4-I-17. Read the issue briefs for this report: Improving Health Insurance Affordability (PDF), Taking Steps Forward to Cover the Uninsured (PDF), and Using Reinsurance to Stabilize and Strengthen the Individual Market (PDF).
- Payment and Coverage for Genetic/Genomic Precision Medicine (PDF) CMS-CSAPH joint report I-17
2016
- Paid Sick Leave (PDF) CMS report 3-A-16
- Incorporating Value into Pharmaceutical Pricing (PDF) CMS report 5-I-16
2015
- Price Transparency (PDF) CMS report 4-A-15. Read the issue brief for this report: Price Transparency (PDF).
- Pharmaceutical Costs (PDF) CMS report 2-I-15. Read the issue briefs for this report: Improving Drug Price and Cost Transparency (PDF) and Prescription Drug Pricing and Costs (PDF).
- Hearing Aid Coverage (PDF) CMS report 6-I-15
- Health Insurance Affordability (PDF) CMS report 8-I-15. Read the issue brief for this report: Taking Steps Forward to Cover the Uninsured (PDF).
2014
- Medicare Update Formulas Across Outpatient Sites of Service (PDF) CMS report 3-A-14. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
- Analysis of Place-of-Service Code for Observation Services (PDF) CMS report 4-A-14
- Improving the Affordable Care Act (PDF) CMS report 9-A-14
- Hospital Admissions and Patient Management Contractors (PDF) CMS report 1-I-14
- Reference Pricing (PDF) CMS report 3-I-14
- Network Adequacy (PDF) CMS report 4-I-14
- Regulation of Provider-Performed Microscopy Procedures (PDF) CMS report 9-I-14
2013
- Worksite Health Clinics (PDF) CMS report 1-A-13
- Value-Based Insurance Design (PDF) CMS report 2-A-13. Read the issue briefs for this report: Promoting Access to High-Value Care (PDF) and Value-Based Insurance Design (PDF).
- Payment Variations Across Outpatient Sites of Service (PDF) CMS report 3-A-13. Read the issue brief for this report: Pay Variations Across Outpatient Sites of Service (PDF).
- Strengthening Medicare Through Competitive Bidding (PDF) CMS report 7-I-13
2012
- Cost-Sharing for Specialty Drugs (PDF) CMS report 1-I-12
- Update on the Use of Formal Shared Decision-Making (PDF) CMS report 4-I-12
2011
- Essential Health Care Benefits (PDF) CMS report 2-A-11
- Covering the Uninsured and Individual Responsibility (PDF) CMS report 2-A-11
2010
- Shared Decision-Making (PDF) CMS report 7-A-10
- Standardized Preauthorization Forms (PDF) CMS report 4-I-10
2009
- Components of Health Insurance (PDF) CMS report 2-A-09
- Appropriate Hospital Charges (PDF) CMS report 4-A-09
- Geographic Variation in Health Care Cost and Utilization (PDF) CMS report 2-I-09
- Comparability of the Cost Estimates of Health Care Systems (PDF) CMS report 4-I-09
2008
- Value-Based Decision-Making in the Health Care System (PDF) CMS report 7-A-08
- Comparative Effectiveness Research (PDF) CMS report 5-I-0
2007
- Adequacy of Health Insurance Coverage Options (PDF) CMS report 7-A-07
- Strategies to Address Rising Health Care Costs (PDF) CMS report 8-A-07
- Cost-Sharing Arrangements for Prescription Drugs (PDF) CMS report 1-I-07
- Value-Based Decision-making in the Health Care System (PDF) CMS report 2-I-07
- Strategies to Strengthen the Medicare Program (PDF) CMS report 6-I-07
Additional information
Access all council reports prior to 2007 or learn more about the Council on Medical Service.
