Wednesday 26 independent consumer advocates wrote the Lieutenant Governor supporting DSS’s decision to evaluate outcomes after the first wave of 200,000+ members into the new Medicaid shared savings program, MQISSP. The advocates support DSS’s prudent plan to assess the impact, good and bad, and make revisions before moving more people into the untested program. Enlightened policymakers incorporate robust evaluations in all programs, and use them in revising programs to limit harm and build value. More mature shared savings programs in other states and programs have struggled, many have not saved money, and quality improvement is weak. Given the state has recognized the higher danger for inappropriate underservice for Medicaid members in financial risk models, DSS’s plan to evaluate and adjust based on the evidence is especially wise.