Message from the Administrator
I am pleased to present the Centers for Medicare & Medicaid Services’ (CMS) Fiscal Year (FY) 2020 performance budget. In FY 2020, over 145 million Americans will rely on the programs CMS administers including Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), and the Exchanges.
This is a critical time in healthcare – if nothing is done to better control healthcare costs by 2026, we’ll be spending one in every five dollars on healthcare. CMS’s unique position as the nation’s largest healthcare purchaser compels us to take a lead role in moving toward a valuebased healthcare delivery system. CMS is building on the successes of the last two years to focus all of its authority and programs on one objective: transforming the healthcare system to deliver better value and results for patients through competition and innovation.
CMS’s vision for the year ahead is to create a more competitive American healthcare system that delivers affordable, high quality care, at a sustainable cost…




