Sync Upstream
nyaruka/phonenumbers
Sync this Go port with a new upstream google/libphonenumber release — regenerate the embedded metadata and reconcile the ported Java logic.
This skill should be used when the user asks "what does this CMS rule do to [TICKER]", "impact of the OPPS/PFS/IPPS rule", "reimbursement change impact", "how does the rate change affect…
Install Reimbursement Impact
$ npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a claude-codeProject install by default; add -g for ~/.claude/skills/.
$ gh skill install hh-health-AI/healthcare-equity reimbursement-impact --agent claude-codeProject scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .claude/skills && cp -r skills-src/modules/cms-reimbursement/skills/reimbursement-impact .claude/skills/reimbursement-impact && rm -rf skills-srcUse ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.
Claude Code skills documentation · loads skills from .claude/skills/
Install the "reimbursement-impact" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/cms-reimbursement/skills/reimbursement-impact into .claude/skills/reimbursement-impact/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "reimbursement-impact", then confirm the skill loads.Claude Code copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$skill-installer install https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/cms-reimbursement/skills/reimbursement-impactType this inside Codex. $skill-installer <name> installs a curated skill from openai/skills. The installer writes to $CODEX_HOME/skills (default ~/.codex/skills). Restart Codex if the skill does not show up.
$ npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a codexProject install goes to .agents/skills/; add -g for ~/.codex/skills/.
$ gh skill install hh-health-AI/healthcare-equity reimbursement-impact --agent codexProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .agents/skills && cp -r skills-src/modules/cms-reimbursement/skills/reimbursement-impact .agents/skills/reimbursement-impact && rm -rf skills-srcUse ~/.agents/skills/ instead of .agents/skills for a personal install.
Codex skills documentation · loads skills from .agents/skills/
Install the "reimbursement-impact" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/cms-reimbursement/skills/reimbursement-impact into .agents/skills/reimbursement-impact/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "reimbursement-impact", then confirm the skill loads.Codex copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a cursorProject install goes to .agents/skills/; add -g for ~/.cursor/skills/.
$ gh skill install hh-health-AI/healthcare-equity reimbursement-impact --agent cursorProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .cursor/skills && cp -r skills-src/modules/cms-reimbursement/skills/reimbursement-impact .cursor/skills/reimbursement-impact && rm -rf skills-srcUse ~/.cursor/skills/ instead of .cursor/skills for a personal install.
Cursor skills documentation · loads skills from .cursor/skills/, .agents/skills/, .claude/skills/, .codex/skills/
Install the "reimbursement-impact" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/cms-reimbursement/skills/reimbursement-impact into .cursor/skills/reimbursement-impact/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "reimbursement-impact", then confirm the skill loads.Cursor copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gemini skills install https://github.com/hh-health-AI/healthcare-equity.git --path modules/cms-reimbursement/skills/reimbursement-impact--scope user (default) or --scope workspace; --path is the subfolder of the repo that holds the skill; --consent skips the security confirmation prompt.
$ npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a gemini-cliProject install goes to .agents/skills/; add -g for ~/.gemini/skills/.
$ gh skill install hh-health-AI/healthcare-equity reimbursement-impact --agent gemini-cliProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .gemini/skills && cp -r skills-src/modules/cms-reimbursement/skills/reimbursement-impact .gemini/skills/reimbursement-impact && rm -rf skills-srcUse ~/.gemini/skills/ instead of .gemini/skills for a personal install, then run /skills reload.
Gemini CLI skills documentation · loads skills from .gemini/skills/, .agents/skills/
Install the "reimbursement-impact" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/cms-reimbursement/skills/reimbursement-impact into .gemini/skills/reimbursement-impact/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "reimbursement-impact", then confirm the skill loads.Gemini CLI copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gh skill install hh-health-AI/healthcare-equity reimbursement-impactInstalls for Copilot at project scope by default; add --scope user for a personal install. Preview a skill first with gh skill preview. Needs GitHub CLI 2.90.0 or later (public preview).
$ npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a github-copilotProject install goes to .agents/skills/; add -g for ~/.copilot/skills/.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .github/skills && cp -r skills-src/modules/cms-reimbursement/skills/reimbursement-impact .github/skills/reimbursement-impact && rm -rf skills-srcUse ~/.copilot/skills/ instead of .github/skills for a personal install. Commit .github/skills so cloud agent and code review can use it.
GitHub Copilot skills documentation · loads skills from .github/skills/, .claude/skills/, .agents/skills/
Install the "reimbursement-impact" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/cms-reimbursement/skills/reimbursement-impact into .github/skills/reimbursement-impact/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "reimbursement-impact", then confirm the skill loads.GitHub Copilot copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a opencodeOpenCode documents no install command of its own. Project install goes to .agents/skills/; add -g for ~/.config/opencode/skills/.
$ gh skill install hh-health-AI/healthcare-equity reimbursement-impact --agent opencodeProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .opencode/skills && cp -r skills-src/modules/cms-reimbursement/skills/reimbursement-impact .opencode/skills/reimbursement-impact && rm -rf skills-srcUse ~/.config/opencode/skills/ instead of .opencode/skills for a personal install.
OpenCode skills documentation · loads skills from .opencode/skills/, .claude/skills/, .agents/skills/
Install the "reimbursement-impact" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/cms-reimbursement/skills/reimbursement-impact into .opencode/skills/reimbursement-impact/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "reimbursement-impact", then confirm the skill loads.OpenCode copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
Facts
- Skill name
reimbursement-impact- GitHub stars
- 101
- Token cost
- ~509 tokens
- SKILL.md length
- 229 words
- Files
- 2 (incl. references)
- Skills in repo
- 72
- Repo updated
- First seen
- Licence
- MIT
At a glance
This skill should be used when the user asks "what does this CMS rule do to [TICKER]", "impact of the OPPS/PFS/IPPS rule", "reimbursement change impact", "how does the rate change affect…
- Works in 6 steps: Identify the event precisely: which rule… → Run the analysis using the SUB-MED-02… → Quantify both price and behavior: a rate… → …
- Asks what does this CMS rule do to [TICKER]
- SKILL.md covers Workflow and Data discipline
- Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md
What it does
Reimbursement Impact is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks "what does this CMS rule do to [TICKER]", "impact of the OPPS/PFS/IPPS rule", "reimbursement change impact", "how does the rate change affect [company/procedure]", or when a coverage or coding change needs a dollar and revenue translation.
Its SKILL.md is about 510 tokens, which your agent loads only when the skill is triggered. The skill folder holds 2 other files, including reference files (for example `references/prompts.md`).
It sits in Business, Finance & HR, covering Accounting and bookkeeping. The repository describes itself as: Synthesis engine for buy-side healthcare equity research. The licence is MIT.
When your agent uses it
- Asks what does this CMS rule do to [TICKER]
- Impact of the OPPS/PFS/IPPS rule
- Reimbursement change impact
- How does the rate change affect [company/procedure]
Example prompts
- “what does this CMS rule do to [TICKER]”
- “impact of the OPPS/PFS/IPPS rule”
- “reimbursement change impact”
- “/reimbursement-impact”
Workflow steps
6 steps, taken from the first numbered list in SKILL.md.
- Identify the event precisely: which rule (IPPS, OPPS/ASC, PFS, CLFS, NCD/LCD change, NTAP/TPT decision), proposed vs final, effective…
- Run the analysis using the SUB-MED-02 prompt in ${CLAUDE_PLUGIN_ROOT}/skills/reimbursement-impact/references/prompts.md as the working…
- Quantify both price and behavior: a rate cut changes per-unit economics and site-of-service and adoption incentives (e.g., HOPD→ASC…
- Separate proposed from final: proposed rules are a probability-weighted catalyst (note the comment-period end and final-rule date); final…
- Cross-check who actually bears the change — provider economics vs device ASP vs payor MLR — before assigning the impact to a ticker. The…
- End with the EVIDENCE BRIEF block, and hand the model-variable changes to healthcare-equity model-valuation (and the event dates to the…
What it can do on your machine
Read from SKILL.md and the folder at commit 6c7bda8. It shows what the files ask for, not the result of running them.
Tool permissions
Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.
From allowed-tools in the SKILL.md frontmatter.
Runs code
No scripts in the folder and no shell commands in SKILL.md.
From the folder's file list and the shell code blocks in SKILL.md.
Network
No URLs in SKILL.md.
From URLs in SKILL.md, links to its own repository left out.
Credentials
Names no API keys, tokens, secrets or passwords.
From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.
Context cost
Reimbursement Impact loads about 509 tokens when it runs, and up to ~703 if it reads all its reference files. Until then it costs about 76 tokens; SKILL.md has 229 words of instructions outside code blocks.
Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.
Safety
Auto-check passed
The automated check found no risky patterns in SKILL.md.
Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.
SKILL.md
The full file from hh-health-AI/healthcare-equity at commit 6c7bda8, republished under its MIT licence (© hh-health-AI). 229 words, ~509 tokens.
Download SKILL.mdSave it as
.claude/skills/reimbursement-impact/SKILL.md (or your agent's skills folder). This skill also uses 1 other file; get the full folder from GitHub.- name
- reimbursement-impact
- description
- This skill should be used when the user asks "what does this CMS rule do to [TICKER]", "impact of the OPPS/PFS/IPPS rule", "reimbursement change impact", "how does the rate change affect [company/procedure]", or when a coverage or coding change needs a dollar and revenue translation.
- metadata.version
- 0.1.0
Reimbursement & Coding Change Impact
Turn a CMS rule or coverage/payment change into a per-procedure dollar delta and a name-level revenue and thesis impact.
Workflow
- Identify the event precisely: which rule (IPPS, OPPS/ASC, PFS, CLFS, NCD/LCD change, NTAP/TPT decision), proposed vs final, effective date, and the affected codes/APCs/DRGs. Pull rule specifics from cms.gov via web research; use the CMS Coverage connector for the coverage side.
- Run the analysis using the SUB-MED-02 prompt in
${CLAUDE_PLUGIN_ROOT}/skills/reimbursement-impact/references/prompts.mdas the working template: rule details → dollar impact per procedure → volume impact → competitive impact → implementation timeline → thesis delta → engagement plan. - Quantify both price and behavior: a rate cut changes per-unit economics and site-of-service and adoption incentives (e.g., HOPD→ASC migration). Model each separately.
- Separate proposed from final: proposed rules are a probability-weighted catalyst (note the comment-period end and final-rule date); final rules are a model update.
- Cross-check who actually bears the change — provider economics vs device ASP vs payor MLR — before assigning the impact to a ticker. The company whose procedure is repriced is not always the company whose P&L moves.
- End with the EVIDENCE BRIEF block, and hand the model-variable changes to
healthcare-equitymodel-valuation (and the event dates to the catalyst calendar).
Data discipline
State the rule year and version (proposed/final/corrected) on every number. Payment rates come from the fee-schedule files, coverage from the MCD — cite both when both move.
© hh-health-AI, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file
Files
SKILL.md and 1 other file (references) in modules/cms-reimbursement/skills/reimbursement-impact of hh-health-AI/healthcare-equity.
- SKILL.md
- references/prompts.md
Open the folder on GitHubat commit 6c7bda8
Compare with similar skills
Reimbursement Impact next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.
| Skill | Stars | Used in | Tokens | Auto-check | Licence | Repo updated |
|---|---|---|---|---|---|---|
| Reimbursement Impact this skillhh-health-AI/healthcare-equity | 101 | — | ~509 | Automated safety check: Pass | MIT | |
| Sync Upstreamnyaruka/phonenumbers | 1.6k | — | ~2.8k | Automated safety check: Pass | MIT | |
| Radiology Tablehuang-sir1/radiology-skills | 1.9k | — | ~1.3k | Automated safety check: Pass | Custom licence | |
| ERPClaw ERP Controlleravansaber/erpclaw | 116 | — | ~18k | Automated safety check: Pass | GPL-3.0 | |
| Odoo Agency Fleet Reviewerpipe-org/mcp-odoo | 421 | — | ~699 | Automated safety check: Pass | MIT | |
| Beancount Closebex-co/beancount-io | 297 | — | ~1.4k | Automated safety check: Pass | MIT |
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Related
Categories
Questions about Reimbursement Impact
What does Reimbursement Impact do?
This skill should be used when the user asks "what does this CMS rule do to [TICKER]", "impact of the OPPS/PFS/IPPS rule", "reimbursement change impact", "how does the rate change affect…. Reimbursement Impact is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks "what does this CMS rule do to [TICKER]", "impact of the OPPS/PFS/IPPS rule", "reimbursement change impact", "how does the rate change affect [company/procedure]", or when a coverage or coding change needs a dollar and revenue translation.
When should I use Reimbursement Impact?
Reimbursement Impact fits situations like: asks what does this CMS rule do to [TICKER]; impact of the OPPS/PFS/IPPS rule; reimbursement change impact; how does the rate change affect [company/procedure].
How do I install Reimbursement Impact in Claude Code?
Run `npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a claude-code`. Or copy the skill folder (modules/cms-reimbursement/skills/reimbursement-impact in hh-health-AI/healthcare-equity) into .claude/skills/reimbursement-impact in your project. Claude Code loads it when a task matches its description.
How do I install Reimbursement Impact in Codex?
Run `npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a codex`. Or copy the skill folder (modules/cms-reimbursement/skills/reimbursement-impact in hh-health-AI/healthcare-equity) into .agents/skills/reimbursement-impact in your project. Codex loads it when a task matches its description.
Can I use Reimbursement Impact in Cursor, Gemini CLI or GitHub Copilot?
Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add hh-health-AI/healthcare-equity --skill reimbursement-impact -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/reimbursement-impact, .gemini/skills/reimbursement-impact, .github/skills/reimbursement-impact and .opencode/skills/reimbursement-impact in your project.
What does Reimbursement Impact need to run?
SKILL.md names no scripts, command-line tools or credentials: Reimbursement Impact is instructions for the agent only.
Does Reimbursement Impact access the network?
SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.
Is Reimbursement Impact safe to install?
Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.
What licence does Reimbursement Impact use?
Reimbursement Impact is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.
How many tokens does Reimbursement Impact use?
About 509 tokens (SKILL.md is roughly 2k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full. Its references folder adds about 194 tokens, read only when the agent opens those files.
What are the alternatives to Reimbursement Impact?
Skills that share tags, products or a category with Reimbursement Impact: Sync Upstream (nyaruka/phonenumbers, 1.6k stars), Radiology Table (huang-sir1/radiology-skills, 1.9k stars), ERPClaw ERP Controller (avansaber/erpclaw, 116 stars) and Odoo Agency Fleet Review (erpipe-org/mcp-odoo, 421 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.
Who maintains Reimbursement Impact?
hh-health-AI (a GitHub user) maintains it in hh-health-AI/healthcare-equity, which has 101 GitHub stars. The repository holds 72 skills in this directory. The repository was last updated on October 8, 2026.
Source: hh-health-AI/healthcare-equity on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.