In this episode, CMMI Director Abe Sutton shares his unique journey from the private sector back to government service and reveals how he's rapidly transforming Medicare through innovative payment models. Sutton discusses the newly launched WISER (Wasteful and Inappropriate Service Reduction) model, which leverages AI technology to reduce fraud and waste in Medicare, and the upcoming ASM (Ambulatory Specialty Model) targeting heart failure and lower back pain. The conversation explores CMMI's 2025 strategy focused on evidence-based prevention, patient empowerment, and choice and competition, while addressing how emerging technologies like generative AI are creating unprecedented opportunities to streamline healthcare administration and improve patient outcomes. Sutton also reveals how he spent four years during his "off season" developing a comprehensive roadmap for healthcare innovation that he's now implementing at warp speed.
Links:
WISeR (Wasteful and Inappropriate Service Reduction) model: https://www.cms.gov/priorities/innova...
ASM (Ambulatory Specialty Model): https://www.cms.gov/priorities/innova...
CMMI's 2025 Strategy Focus: https://www.cms.gov/priorities/innova...
Learn how AI can amplify your care coordination team by visiting https://link.careco.ai/HTRKQs
Timestamps:
00:00:00 - Introduction and Welcome
00:00:37 - Why Leave Private Sector for Government Service
00:09:16 - AI and Technology's Impact on Healthcare Innovation
00:17:49 - WISER Model Introduction and Goals
00:30:45 - Food Policy and Making America Healthy Again
00:34:08 - ASM Model for Heart Failure and Lower Back Pain
00:38:31 - Four Years of Preparation During "Off Season"
Popular Podcasts
On Purpose with Jay Shetty
I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.
The Joe Rogan Experience
The official podcast of comedian Joe Rogan.