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.