How many times are we going to have to call upon Nancy Pelosi’s infamous words: “we have to pass the bill so that you can find out what is in it”?
Deep inside the legislation and the bureaucracy of Health and Human Services is a gigantic agency enabled by the Affordable Care Act costing taxpayers $10 billion each decade.
The “Center for Medicare and Medicaid Innovation” has flown below the political radar. That’s due to its seemingly innocuous mission: promoting new and more efficient “payment systems” and “models of care.”
It is a bureaucracy within the massive Department of Health and Human Services superstructure and therefore run by the president’s political appointees. But unlike most of the federal bureaucracy, the agency never has to go back to Congress to get an appropriation. ObamaCare provided it with $10 billion, upfront, to cover its costs for a full 10 years.
At the end of that first decade, and every decade thereafter, the agency will get another $10 billion appropriation. This massive infusion of funding has allowed the Center for Medicare and Medicaid Innovation to grow from 68 employees in 2012 to a planned 440 full-time workers in 2015.
The agency’s broad mandate reveals the mind-set of ObamaCare’s authors. The premise is that the federal government is best positioned to lead an effort in innovation in medical delivery, despite all evidence to the contrary.
But it’s fine, right? Congress will have oversight and can stop funding the CMMI if it gets out of control or if some rogue HHS bureaucrat starts cutting provider payments under CMMI mandates. Wrong.