CMS is overseen by HHS which has a trillion dollar budget and 80,000 employees.
I think some cuts can be made in that financial black hole.
And CMS has over 6,000 employees...
And therein lies the key to saving and cuts...
My business partner attended an event in Washington DC focused on new ideas and better ways of providing services to our citizens
The key takeaway from the whole event was when members of different departments shared that they do not interoperate or share data. We know this as the Department of Redundancy department.
Left hand, meet right hand
You know the drill, and bloated bureaucracies have no incentive to downsize and reduce the overhead we pay and the bite it takes
In process development I call it TPM, Time People and Money
I strive for efficiency, they do not.
The upshot of the event was they were looking for solutions outside of the Bureaus to develop new methods, dare I say solutions to bridge the problem as they could not in the atmosphere and self protecting world in Washington that like Trump I disdain
A visual if I may, watch Nancy signing the Impeachment docs using a pile of pens each with only part of her signature. Each to me represents a bureaucracy that collectively became the result.
Madness
Change the processes and cut the staffs needed to support this archaic and nonsensical system and measure the effectiveness of it and tune it for best results and cost
I think this is the part that is so conveniently left out.
There will be massive cuts to overhead (offices, people and supplies) but not to the actual money that will flow to Medicare and Medicaid.
This is how the MSM and the deep state operative. Control the narrative