In 2020, the Trump Administration launched a new policy “experiment” that represents the first step towards privatizing traditional Medicare.

Under this plan, the Centers for Medicare and Medicaid Services (CMS) could move more than 30 million people in traditional Medicare into mostly commercial, for-profit plans called Direct Contracting Entities (DCE) without understanding or consent.

DCEs have the potential to interfere with care decisions and waste taxpayer money when compared with the efficiency of traditional Medicare.

The Biden Administration is continuing Trump's DCE program, threatening the future of Medicare as we know it.