Many healthcare policy observers found their heads and necks experiencing some form of whiplash under the previous administration, as they found the messages coming out of the Centers for Medicare & Medicaid Services (CMS), and particularly, the pronouncements coming from Seema Verma, to be confusing and sometimes contradictory. On the one hand, then-Administrator Verma spent a great deal of time and energy pushing the Trump administration line (which over time literally became template language inserted in nearly every CMS press release) that the way forward must inevitably involve unleashing consumer choice and the "power of the free market," even as Verma regularly castigated the leaders of accountable care organizations (ACOs) for not moving quickly into two-sided risk. Verma seemed to be completely unaware of any contradiction between on the one hand insisting that the market would take care of everything (once healthcare consumers were fully empowered with data and information), and on the other hand, staring quite vehemently that provider leaders needed to move tout de suite into two-sided risk under the Medicare Shared Savings Program (MSSP), and, as some provider leaders insisted, failing to give them adequate time to decide how to move forward into risk, or even enough time to sort through their data to figure out whether they could succeed in two-sided risk, or even continue to participate in the MSSP.
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机译：许多医疗保健政策观察员发现他们的头部和颈部正在以前的行政当局遇到某种形式的鞭打，因为他们发现了来自Medicare＆Medicaid服务中心（CMS）的消息，特别是来自Seepa Verma的声明令人困惑，有时矛盾。一方面，然后，管理员verma花了大量的时间和能量推动特朗普管理线（随着时间的推移，从几乎每个CMS新闻稿中插入的模板语言），前进的方式必须不可避免地涉及释放消费者选择和“自由市场的力量”，即使是Verma定期为负责人护理组织领导人（ACOS）而迅速转移到双面风险。 Verma似乎完全没有意识到一方面坚持的任何矛盾，因为市场将照顾所有东西（一旦医疗保健消费者充分赋予数据和信息），另一方面，旨在激烈地盯着提供者领导者所需的将Tout De Suite移动到Medicare共享储蓄计划（MSSP）下的双面风险，并且由于一些提供商领导者坚持，未能提供足够的时间来决定如何向风险转入风险，甚至足够的时间通过他们数据弄清楚他们是否可以成功地以双面风险成功，甚至继续参与MSSP。
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