The authors say that pilots ought not to be limited by Medicare but will include Medicaid and other public programs, and private payers, to be able to magnify the consequences of incentives across different payers, decrease administrative burdens, and address unwarranted variation among different payers. ‘The new Innovation Center presents CMS an opportunity to be flexible in quickly spreading promising fresh pilot programs,’ said Stuart Guterman, Associate Vice President for the Commonwealth Fund’s Program on Payment System Reform and lead writer of both reviews. ‘By developing this center to stop wasting time, responsive, and involved, CMS can go a long way toward ensuring that the health care system sees the savings health care reform can deliver.’ The Commonwealth Fund is usually an exclusive foundation supporting independent study on health plan reform and a high performance health system..These cuts are in addition to a recently-enacted Medicare regulatory change cutting Medicare-funded nursing home treatment by $12 billion through the same time frame. Lawmakers must acknowledge that labor expenses constitute about 70-% of facility costs so that is what is affected initial when cuts are made. Additionally, nursing homes presently operate with the tiniest of overall margins amongst all healthcare providers at around three-%. Other claims with cuts exceeding $1 billion through ten years include California, Florida, NY, Texas, Ohio, Illinois, Pennsylvania and Indiana.