Poorly researched and/or written column. Or intentionally written that way. The Innovation Center doesn't do any actual research and development (R&D). They give out grant money to organizations to do it. They have paid out $2 billion dollars in grants since 2011 with a budget of $10 billion over 10 years. And the caveat is the organizations doing to research need to produce results quickly. The jury is still out if he Center will ever recoup the money it has paid out. https://www.washingtonpost.com/politics/health-laws-center-for-medicare-and-medicaid-has-its-skeptics-about-innovation/2014/08/10/36882e1c-1c22-11e4-ae54-0cfe1f974f8a_story.html?utm_term=.b86eead585a5