STAT+: Medicare and Medicaid agency faces compromised functions and disruption from Trump’s firings
CMS is facing employee firings, flagging morale, confusing messaging, and the specter of additional disruption.
The federal agency that oversees Medicare, Medicaid, and other major health care programs is facing employee firings, flagging morale, confusing messaging, and the specter of additional disruption — compromising its oversight and administration of key programs that finance care for half of Americans.
Leaders at the Centers for Medicare and Medicaid Services still haven’t formally received a list of who was fired in the initial round of cuts from the Trump administration, which focused on employees in their probationary periods. CMS leaders think at least 300 of the agency’s 6,700 employees have been let go, or a little under 5%, one senior CMS official told STAT.
The Trump administration, guided by Elon Musk’s U.S. DOGE Service, has cut thousands of people across federal health agencies, and more firings appear to be coming across departments, with plans due by March 13. An order for workers to return to their offices is also likely to contribute to attrition. However, some terminated CMS employees who are attorneys or work on Medicare Advantage have been asked to come back — a sign of the haphazard approach to the job cuts.
