Federal Independent Dispute Resolution (IDR) Entity Recertification FAQs
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Independent Dispute Resolution

Federal Independent Dispute Resolution (IDR) Entity Recertification FAQs


The Departments of Health and Human Services, Labor, and the Treasury (the Departments) have released the Federal Independent Dispute Resolution (IDR) Entity Recertification FAQs to address the recertification of certified IDR entities. An organization must meet certain standards to be certified as an IDR entity for a 5-year period to conduct arbitration in the Federal IDR process. Specifically, an IDR entity must provide during certification (including recertification), through the Federal IDR portal, written documentation to the Departments that demonstrates the entity satisfies certain standards under 29 CFR 2590.716-8(e) and 45 CFR 149.510(e), and set forth in guidance issued by the Departments. Organizations that intend to continue operating as certified IDR entities will need to complete recertification before the end of their 5-year certification period.

Review the Federal Independent Dispute Resolution (IDR) Entity Recertification FAQs.

The Federal IDR Team


Center for Consumer Information and Insurance Oversight (CCIIO)
Department of Health and Human Services
Centers for Medicare & Medicaid Services

Boletin Informativo para Proveedores de Medicare - Weekly News for Medicare Providers - July 9, 2026
Centers for Medicare & Medicaid Services

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Centers for Medicare & Medicaid Services, Office of Puerto Rico and US Virgin Islands has sent this Weekly Bulletin. To contact CMS, send an e-mail to cmsprvi@cms.hhs.gov.

 

ACO REACH Improves Health Care Quality
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ACO REACH Improves Health Care Quality

What’s New: The CMS Innovation Center released the third annual evaluation report and early results ahead of the fourth report for ACO REACH that shows the model improved healthcare quality and reduced gross spending during its first four performance years.  

Why it Matters: This latest evaluation of ACO REACH provides strong evidence that accountable care organizations (ACOs) deliver on the Innovation Center’s mission to improve health care affordability and quality; future results for 2025 and 2026 will reflect model updates aimed at increasing the chances of saving money in the model’s final years.

What to Expect: While ACO REACH ends this year, lessons-learned will help inform the next generation of ACO models, including the Long-term Enhanced ACO Design (LEAD) Model, which launches in January 2027, will run for 10 years, and improves benchmarking to appeal to a broader mix of health care providers, including those with specialized patient populations and those new to ACOs. 

The Big Picture: The Administration is strongly committed to helping Americans live healthier lives and reduce cost barriers to care and ACOs put greater emphasis on increased care coordination and provider accountability to achieve better health outcomes for people with Original Medicare.  

Additional Information: Gross spending decreased and quality improved more in 2024 than in any prior year of model performance, all while ACOs served larger numbers of people with Medicare—2.5 million. Survey data for 2023 showed that over 70% of ACOs reported prioritizing initiatives to reduce avoidable hospital utilization, increase interaction with primary care providers, and manage care for patients with complex needs. Additionally, performance year 2024 early results show a net savings for standard and new entrant ACOs, though those results were not statistically significant. 

Find out more: 

[ALERT] Availability of PECOS PI and Pay.gov in the Production Environment, 7/10/26
Centers for Medicare & Medicaid Services

This message is for users of the PECOS PI (Provider Interface) application in the Production environment.

Be advised that Pay.gov is currently experiencing an outage this afternoon, 7/10/26. PECOS PI users will not be able to access Pay.gov at this time. Please note that all other PECOS workflows are functioning. A follow up notification will be sent once Pay.gov has returned to normal operations.

Thank you.

PECOS Production Support

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.
[ALERT] Availability of PECOS PI and Pay.gov in the Production Environment, 7/10/26 - RESOLVED
Centers for Medicare & Medicaid Services

This message is for users of the PECOS PI (Provider Interface) application in the Production environment.

Pay.gov is now fully operational and available via the PECOS PI application in production. If there are any questions please contact PECOS.Production.Support@cgifederal.com.

Thank you.

PECOS Production Support

Centers for Medicare & Medicaid Services (CMS) has sent this update. To contact Centers for Medicare & Medicaid Services (CMS) go to our contact us page.