DOGE/CMS Medicare Claims System Overhaul — National Provider Directory March 31 Launch

CMS is scrapping $200M in failed modernization contracts (14 missed deadlines, zero usable output) and handing Medicare systems overhaul to DOGE. The 1970s COBOL-based claims processing system is being replaced with a real-time cloud platform. A refurbished national provider directory launches March 31, replacing fragmented systems that cost $6B/year to maintain. CMS is embedding AI into care delivery and agency operations, including claims adjudication.