“Change is hard.” People say that all the time. Big change, small change. And it's true. Change is hard. But, it is also something that is constant. Particularly in health care. Particularly right now. The Centers for Medicare and Medicaid Services (CMS) – the principle driver of health care reform in the US – has well over 20 initiatives currently underway through the Innovation Center, in addition to major regulatory changes, such as the recently finalized Quality Payment Program.