U.S. DOGE Service

What’s DOGE been working on, you ask? Oh, just: 🧵

America loves DOGE 🇺🇸

Stronger systems build a stronger America. The things some people never think about are the things millions depend on.

Second that.

Fixing healthcare staffing doesn’t start in hospitals. It starts earlier. New @CMSGov programs are offering up to $40,000 in loan repayment and supporting nurses who commit to roles where they are needed most. This is how you build a workforce that holds.

STRONGER SYSTEMS FOR A STRONGER AMERICA 🇺🇸

There are too many different ways states verify Medicaid eligibility. That slows everything down. We're helping build a shared system backed by real data and APIs, so eligibility is determined faster and people get the coverage they qualify for.

You either do or you don’t.

We’ve been helping millions of students access financial aid without fighting broken systems. Dragging decades-old healthcare infrastructure into this century. Making it easier for veterans to get appointments. Moving veteran disability decisions faster so people aren’t waiting forever. Turning eligibility into something that can be verified instantly. Fixing workflows that used to collapse under their own weight. Building a usable provider directory so enrollment isn’t a guessing game. Putting AI tools in the hands of federal staff so work doesn’t take 10x longer than it should. Eliminating paper-based processes that should have been retired a generation ago. And running to deploy apps that give patients faster access to their data, help them manage chronic conditions, and navigate care more easily. In case you were wondering.

Medicare.gov isn't just being updated. It's getting Al tools that guide people based on their actual health conditions. This type of navigation is built around you, not the system.

When we negotiate contracts down 70% or more and then give states the same leverage, that's not internal savings, it’s taxpayer savings.

Over 120 companies launching their new health technology joined CMS last week at CMS's Health Tech Ecosystem event. This is a significant step forward, as CMS is advancing healthcare by focusing on enhancing the patient experience and improving the quality of care by killing the clipboard. More on the Health Tech Ecosystem: go.cms.gov/3Qb056Y

Dr. Marty Makary, Commissioner of the Food and Drug Administration (FDA): “As a doctor, I remember patients trying to get their medical record, getting relegated to some corner basement of the hospital. Those records belong to the American patient; they belong to you.” “We recently announced new draft guidance that makes it clear when the FDA needs to approve medical software, including AI software, and when we need to just get out of the way and you can go.”

Amy Gleason, Acting Administrator, U.S. DOGE Service, and Strategic Advisor to HHS/CMS: “We have patients who can now access and share their data using their identity without logging into multiple patient portals and without acting as their own human fax machine.” “Patients can get apps that they choose and share their records with anyone they want, and they can use conversational AI to get powerful, personalized advice any time, day or night.”

Last week, healthcare took a major step forward. CMS launched the first wave of a digital, patient-first ecosystem, replacing clipboards, fax machines, and fragmented systems with connected tools that put people in control of their data. Hundreds of organizations stepped up. Now it’s live.

Our team is working across federal agencies to rebuild the systems millions rely on, using modern technology to make government faster, simpler, and better for the American people.

We come to this place for efficiency. Not because it is efficient, but because it needs to be.

The accountability the American people asked for is here.

The clipboard just got clipped