Industry Watch Alert
The goal: improve how care is financed and delivered across Medicare, Medicaid, CHIP, and the Health Insurance Marketplace, while reducing red tape and putting patients first.
Key Takeaways
- Committee Purpose:
The HAC will advise the HHS Secretary and CMS Administrator. - Focus Area:
The committee will prioritize chronic disease management, real-time data for claims, processing, quality improvements in Medicaid, and sustainability in Medicare Advantage. - Nomination Process:
Open to healthcare professionals, including providers, payers, and advocacy groups. Interested parties must submit nomination packages (≤10 pages) via email to HA*@*****hs.gov by September 21, 2025.
HHS is forming a 15-member Healthcare Advisory Committee to advise on strategies that improve federally administered healthcare programs.
Committee Priorities:
Develop policy initiatives for chronic disease prevention and management
Create accountability frameworks to reduce unnecessary red tape and improve outcomes
Advance real-time data systems for faster claims, quality measures, and rewards
Improve quality of care for vulnerable Medicaid populations
Modernize Medicare Advantage, including risk adjustment and quality metrics
Nominations are Open Now:
Experts in chronic disease prevention, health care financing, and delivery system reform are encouraged to apply. Self-nominations and organizational nominations are accepted & are due by September 21, 2025.
Impact
The HAC may influence federal policies on:
- Value-based care and outcomes: Potential recalibration of quality measures and accountability frameworks to reward measurable health improvements while cutting red tape.
- Cost efficiency and program integrity: Modernization of risk adjustment and rapid claims processing aims to improve payment accuracy and reduce administrative friction.
- Data modernization: A push toward “real-time data” capabilities could accelerate performance feedback loops, enable faster quality assessment, and inform more precise interventions.
- Equity and Medicaid quality: Structural opportunities to improve outcomes for vulnerable Medicaid populations are prioritized, beyond simply increasing funding.
Sources
- Federal Register
Request for Nominations: Healthcare Advisory Committee - The White House
Establishing the President’s Make America Healthy Again Commission
FAQ
Q1: What is the new Healthcare Advisory Committee announced by HHS and CMS?
The Healthcare Advisory Committee is a group of experts established by HHS and CMS to provide strategic recommendations directly to the HHS Secretary and CMS Administrator. Its goal is to improve how care is financed and delivered across Medicare, Medicaid, CHIP, and the Health Insurance Marketplace.
Q2: What is the deadline to submit nominations for the Healthcare Advisory Committee?
Nominations must be submitted within 30 days of the Federal Register publication date.
Q3: Who can submit a nomination for the Healthcare Advisory Committee?
Individuals with expertise in chronic disease prevention, healthcare financing, and delivery system reform can apply. Nominations may be self-submitted or submitted by an organization.
Q4: What will the Healthcare Advisory Committee focus on?
The committee will develop recommendations in five key areas: Chronic disease prevention/management; outcome-based accountability with reduced administrative burden; real-time data for rapid claims and quality measurement; Medicaid quality for vulnerable populations; and Medicare Advantage sustainability including risk adjustment and quality measures.
Q5: What legal authorities apply?
Authorized by 42 U.S.C. § 217a (Section 222 of the Public Health Service Act) and governed by the Federal Advisory Committee Act (5 U.S.C. ch. 10).
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