CMS Has The Clout To Significantly Improve Health Care Delivery, But Fearing Political And Legal Backlash Has Settled Instead For Band-Aids There are a lot of sheriffs in the wild, wild west of healthcare delivery, all digging in to protect their own interests. Getting to a new value-based model will require hard work and introspection from all stakeholders to fundamentally change the way they think about care and how it’s delivered.