Modernizing Critical Healthcare Systems with CMS

Overview

U.S. DOGE Service is working with the Centers for Medicare and Medicaid to modernize critical healthcare systems by rooting out waste, fraud, and abuse while empowering patients, providers, caregivers, and states with secure, user-friendly digital tools. At its core, this is about service, delivering better, faster and more reliable support to the American people. These efforts support working families, seniors, Veterans, low-income Americans, and vulnerable populations by accelerating benefits access, slashing improper payments (billions annually) reducing administrative burdens, and enabling seamless data sharing—all at national scale.

Streamlined Income & Education Verification Tool

Piloting a public-option, instant-verification platform that states adopt to validate income/education data in real time—enabling lightning-fast eligibility for critical benefits like Medicaid and SNAP, while sharing data across programs to eliminate duplicative steps and meet community engagement rules.

• Who this serves: Low-income families, children, working Americans, and vulnerable populations.
• What’s changing: Manual, slow verifications replaced with secure, automated checks.
• The impact: Approvals in minutes/days (vs. weeks), billions in prevented improper payments, reduced fraud/duplication.

Modernized Medicare Beneficiary Experience & Fraud Protection

Introduces advanced logins, easy fraud reporting, caregiver access, and reduced paper mailings, directly attacking scam vulnerabilities and identity theft that contribute to massive annual losses in Medicare fraud.

• Who it serves: Medicare beneficiaries (seniors/disabled), caregivers, families.
• What’s changing: Legacy logins/paper processes replaced with modern credentials/digital access.
• The impact: Reduced fraud losses, slashes paper waste, faster resolutions—billions saved, trust boosted.

Personalized Patient Apps & Interoperability

Delivering personalized apps and interoperability so patients access clinical/claims data seamlessly—launched at the July 30, 2025, White House “Make Health Tech Great Again” event with tech leaders (Amazon, Apple, Google, etc.); first apps rolling out January 2026 for chronic care/management.

• Who it serves: Patients nationwide, especially chronic conditions.
• What’s changing: Siloed data replaced with patient-controlled, app-based access.
• The impact: Real-time data empowerment, reduced duplicates/tests, efficiency gains.

Modern National Provider Directory

Building a unified, modern National Provider Directory to streamline NPI acquisition, verification, enrollment for Medicare-eligible providers—plus real-time info on electronic connections and accepted plans.

• Who it serves: Providers, Medicare patients, plans.
• What’s changing: Fragmented/outdated processes replaced with single, secure hub.
• The impact: Faster onboarding, fraud reduction in eligibility, better in-network access.