The poorly named Affordable Care Act created the office of the Center for Medicare and Medicaid Innovation (CMMI). As Joe Albanese explains in National Review the new agency’s mission
…is to test new ways of paying for and delivering health-care services in federal health programs through pilot programs called “models.” These models are required by law to reduce costs and/or improve quality of care, which they pursue by enacting major policy changes.
Vermont Senator Bernie Sanders wants to reform the U.S. health care system, describing it as “broken, dysfunctional, and getting worse,”
While 12.5% of individuals under 65 are uninsured at a point in time, twice as many—one in four—are uninsured at some point over a 2-y period. Moreover, the risk of losing insurance remained virtually unchanged with the introduction of the landmark ACA. Risk of insurance loss is particularly high for those with health insurance through Medicaid or private exchanges; they have a 20% chance of losing coverage at some point over a 2-y period, compared to 8.5% for those with employer-provided coverage.