Berwick to Tame CMS

Don Berwick, soft spoken pediatrician, policy wonk, quality expert, and my friend, has been nominated by President Obama to head CMS. Berwick's global following is a powerful political force that could be harnessed for real reform, and initiate the creation of real value through a fundamental change in the reimbursement structure. Imagine if aspects of his prior writings and research come true---CMS becomes a savvy shopper with global payment, pay for performance, and comparative effectiveness research with teeth. I am giddy with anticipation, but I am also a realist. Can he tame the beast?? Can he manage the internecine politics?? Can he lead us to the Promised Land--very relevant during this holiday week. I am enthusiastic and excited at the prospect. It will be a telling confirmation process. Stand by for action!! What do you think about this nomination?? DAVID NASH