Earlier this week, I noticed the fact that the Medicare and Medicaid Services Center was strangely fortified to Doge Ax, not only by comparing other HHS departments and agencies but almost through the federal government. This appeared in a large part of it due to the role of Brad Smith, a main conical working in CMS during the first period of Trump, and because of the nominal Doge Gleason code that worked in high roles in Smith companies. I noticed that the relative immunity is because there are signs that may change soon. It has changed now.
On March 31, CMS COO Amy Brandt sent instructions for the main discounts that must be made via CMS. As she explained, HHS was set a total amount of savings of canceled contracts. From this total amount, CMS was responsible for a little more than $ 2.7 billion. This reached 35 % of the average CMS total spending on contracts of FY2023 and 2024 years. So technically, there are funds of money and a large percentage of the total budget.
As CMM CMM explained, the CMS is fully contracted. Therefore, this is not a condition in which most things are completed at home and a sub -group of work is contracted. It has been almost fully contracted. I have also learned that the IT component is responsible for at least $ 750 million of it. The demand fell on March 31 with the responses due on April 3, that is, today. So four days to determine how to reduce more than a quarter of the CMS budget.
I was told through well -known sources that there is no way to reduce this much without some parts of the system simply stop working. So they will reach a proposed plan, warn of what will be broken and wait to listen. Brandt’s memo says that these recommendations will be reviewed and the final decision on discounts will enter on April 18.
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