CMS Takes First Step Toward Predicting Long-Term Health Effects Of Provider Cuts - InsideHealthPolicy.com: CMS’ actuary is taking initial steps toward understanding the long-term health-care effects of cutting provider pay, and insuring young adults, by requesting two research proposals. One of those requests for proposals would measure the long-term effect of Medicare cuts on the quality of health care and the other seeks to estimate the savings, or cost, of making young adults buy health insurance, which is one of the most controversial pieces of the Affordable Care Act (ACA).