A public record · free to cite
The CLV Reimbursement Policy Index
Medicare reimbursement policy changes constantly, and nobody publishes how much. We track every change across all 7 A/B MAC contractors — who between them administer the 12 A/B MAC jurisdictions — plus CMS national policy. Each change is linked to the originating CMS or MAC document. This page is that record, stated plainly, including what it cannot yet tell you.
Every figure on this page is generated directly from our live corpus and updates daily. Last generated 2026-10-20.
The complete-coverage window
Rates and comparisons on this page are drawn only from the window beginning June 1, 2026 — the date from which our record is complete and prospective. In that window we have recorded 237 policy changes over 20.1 weeks, an average of 11.8 per week.
Policy change by MAC contractor
| MAC contractor | Policy changes |
|---|---|
| National Government Services | 73 |
| WPS | 21 |
| Noridian | 15 |
| Palmetto GBA | 15 |
| CGS Administrators | 13 |
| First Coast | 3 |
| Novitas | 3 |
Methodology, and what this data cannot tell you
We monitor CMS, the Federal Register, and all 16 MAC jurisdictions — the 12 A/B jurisdictions and the 4 DME jurisdictions. Every tracked change links to the originating public document, so any figure here can be checked against the source rather than taken on our word.
Our record begins June 1, 2026. We hold older material, collected when we first indexed each source, but we do not compute rates or comparisons from it — and neither should anyone else. Sources retire old documents at different rates, so an archive reaches further back for some contractors than others. Counting it would measure how much history each source still exposes, not how much policy actually changed. That distinction produces a compelling, and false, upward trend. We decline to publish it.
679 tracked changes carry no published date in their source document. They are counted in the corpus total and excluded from every rate. We do not infer a date we were not given.
This series therefore starts narrow and strengthens each quarter as the complete-coverage window grows. That is deliberate.
Citation
This page is free to cite and quote, with attribution.
CLV Intelligence. “The CLV Reimbursement Policy Index.” Accessed 2026-10-20. https://clvintelligence.com/reimbursement-policy-indexJournalists and analysts: we will run a specific cut of this data — by MAC contractor, specialty, or code — on request. Get in touch, or read the full methodology.