Universal HealthcareBy NextBestFit

Create the Universal Health Administration

Months 0–18 · HHS Secretary; UHA Administrator (Senate-confirmed, 6-year term, removable only for cause)Discuss this step
← All system changes for this step

Centers for Medicare & Medicaid Services (CMS)

replacedYear 0Federal programs
Today

Runs Medicare, oversees state Medicaid and CHIP programs and the federal Marketplace.

Under the plan

The Center for Medicare and its contractors become the core of the Universal Health Administration; Medicaid and Marketplace oversight shrinks to the residual Medicaid program.

Trade-off

Builds on proven operations; carries over CMS's institutional culture and legacy systems.