Managers of the Trump administration's Centers for Medicare& Medicaid Services want to hear from the public about ways torevamp government health care programs.

The Centers for Medicare and Medicaid Innovation,an idea development lab inside CMS, has put out an informal"request for information" (RFI) from the general public.

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The innovation center is seeking "feedback on a new direction topromote patient-centered care and test market-driven reforms thatempower beneficiaries as consumers, provide price transparency,increase choices and competition to drive quality, reduce costs, and improve outcomes," the centersays on the RFI website.

Drafters of the Affordable Care Act created the innovationcenter in an effort to organize tests of ideas for improvingMedicare, Medicaid and other government health care delivery andpayment programs.

Because the programs are so big, any changes they make couldalso end up reshaping the commercial health insurance market, and,possibly, non-health insurance markets.

Tom Price, the secretary of the U.S. Department of Health andHuman Services, the parent of CMS and the innovation center,recently wrote to the innovation center to ask it to give up onexisting programs that could require care providers to put the costof treating some kinds of conditions into bundles, in the hope ofsaving money by discouraging providers from increasing theirrevenue by billing for extra, closely related services.

Innovation center officials are asking in the new RFI thatrespondents try to base their ideas on "objective, empirical andactionable evidence," and to cite the evidence in theirresponses.

Officials note that they will simply use the replies forplanning purposes. The notice is not an official request forproposals or part of a procurement process.

CMS may end up posting the comments it gets, or a summary of thecomments, on the web, officials say.

Replies to the request for information are due at 11:59 p.m. ESTNov. 20.

A copy of the request for information, which includes a link tothe RFI comment form, is available here.