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
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Task 1.1.1 of 7

Transfer CMS Center for Medicare staff (about 2,000 FTE) and its Medicare Administrative Contractor (MAC) contracts to the UHA.

Who does it
HHS
When
Month 0–3
Trade-off

Transferring Medicare staff gives instant expertise but carries over Medicare's institutional habits and legacy processes.

Part of: Create the Universal Health Administration

Stand up the agency that runs UHP by absorbing CMS's Medicare operations, then building out 10 regional offices, independent rate-setting and technology-assessment boards, and an Office of Patient Advocacy.

This step changes 4 existing laws, programs, or institutions. See the list.