Burden Reduction

Developing Efficiencies Across the Healthcare Enterprise to Improve Patient and Provider Experiences

OBRHI engages as a trusted partner with stakeholders across the health system to understand, measure, and identify opportunities to reduce unnecessary burden and increase efficiencies to improve access to quality, affordable, equitable healthcare. OBRHI engages with the public through diverse channels to seek insights, and ensures those perspectives are reflected in CMS policy and operations. OBRHI curates these insights to drive action across the healthcare enterprise.

Recent Projects


CMS Releases the Barriers to Oral Health Care Illustration

In the spring of 2022, CMS conducted the Oral Health Human-Centered Design Customer Engagement to understand barriers to oral health care access for Medicaid or dual (Medicare-Medicaid) eligible children and adults. CMS engaged directly with a broad range of external customers, including people with Medicaid, oral health providers, state representatives, and advocates, through interviews and onsite visits to capture their lived experience.

As a product of our research, we co-created the “Barriers to Oral Health” illustration with our external customers to represent their perspective and highlight the most prominent obstacles individuals’ face as they seek to access or provide oral health care.

The Oral Health Customer Engagement supports CMS’ Oral Health Cross-Cutting initiative, a priority for CMS.

View the Barriers to Oral Health Care Illustration.


Make Your Voice Heard RFI Summary: Reducing Burden and Increasing Efficiencies

CMS recently released a summary of the results from its Make Your Voice Heard Request for Information. CMS received more than 900 individual submissions which included over 4,000 comments, and  gained valuable public insight on topics like accessing healthcare and related challenges and the experience of providers delivering healthcare. The shared burdens, thoughtful recommendations, and welcomed insight received from stakeholders will serve to inform our work and better support the populations we serve. Thank you to everyone who took the time to send in their comments. You can find more information on the RFI results by clicking here (PDF).