The report notes that these reforms are possible because of the ACA and the Center for Medicare and Medicaid Innovation that runs healthcare innovation models, from ACOs to bundled payments. If the Fifth Circuit Court of Appeals rules the ACA unconstitutional, the CMMI would effectively be eliminated.
However, The Times notes the Trump administration has a plan for this, citing an interview with CMS Administrator Seema Verma by Bloomberg News. “The idea here is to keep what’s working,” she told Bloomberg. She did not elaborate on details of the plan.
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