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Trump’s Spring Cleaning – Executive Order Targets Agencies to Improve "Efficiency, Effectiveness, and Accountability"

Client Alert | 1 min read | 03.15.17

On March 13, 2017, the Trump Administration issued an executive order for a “comprehensive plan for reorganizing the executive branch[,]” which, according to its text, “is intended to improve the efficiency, effectiveness, and accountability of the executive branch….” To this end, the Order directs agency heads, within 180 days of the date of the order, to submit to the Director of the Office of Management and Budget “a proposed plan to reorganize the agency, if appropriate, in order to improve the efficiency, effectiveness, and accountability of that agency.” The OMB Director, in turn, must “propose a plan to reorganize governmental functions and eliminate unnecessary agencies…, components of agencies, and agency programs.” Notably, the OMB Director must “publish a notice in the Federal Register inviting the public to suggest improvements in the organization and functioning of the executive branch,” and must consider such suggestions when formulating the aforementioned plan.

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Client Alert | 2 min read | 02.03.26

CMS Doubles Down on RADV Audit Changes

On January 27, 2026, the Centers for Medicare and Medicaid Services (CMS) released a Health Plan Management System (HPMS) memo that provided a long-awaited update on how the agency plans to approach previously announced Risk Adjustment Data Validation (RADV) audits for Payment Years (PY) 2020-2024. The memo is the agency’s most comprehensive statement on the subject since September 25, 2025, when the Northern District of Texas vacated the 2023 RADV Final Rule. The memo makes clear that, while CMS has made certain operational adjustments in response to concerns expressed by Medicare Advantage Organizations (MAOs), the agency is largely pressing forward with the accelerated audit strategy announced in May 2025....