Government is a system.
summary
A government tech team rebuilds Medicare payment systems to pay for outcomes not volume, standing up data pipelines that ingest claims, compute risk‑adjusted hospital metrics, and feed payment rules into CMS. The effort targets 55 million beneficiaries, $650 billion in annual spending, and industrywide influence, uses the 30‑day readmission metric as a pilot quality signal, and reports early operational success meeting tight two‑year congressional deadlines.
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