Donald Berwick, M.D., did not mince words during his keynote address at the Healthcare Financial Management Association annual meeting taking place this week: “The public is quite confused and scared” about the direction of the health care industry, said the former Centers for Medicare and Medicaid Services administrator.

Now running for governor in Massachusetts, Berwick described the environment in Washington, D.C. as both toxic and counterproductive. He served as the leader of CMS during the early days of the Obama administration and is widely credited as being a leading architect of many of the reform elements eventually passed under the Affordable Care Act.

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