The Centers for Medicare and Medicaid Services (CMS) announced a goal of driving all Medicare fee-for-service beneficiaries and most Medicaid beneficiaries into accountable care by 2030, according to a white paper outlining a “strategic refresh” at the CMS Innovation Center. Accountable care relationships might include advanced primary care, Accountable Care Organizations or other models that emphasize accountability for quality and total cost of care. Other strategic objectives outlined in the white paper include advancing health equity and affordability, spurring care innovations and partnering with stakeholders.