First, new Medicare programs for lump-sums payments for cardiac care and joint replacements were scaled back.
Then, additional doctors were exempted from a new payment system that would have paid them more for the results they produce than for the quantity of care they provide.
Next, the Department of Health and Human Services presented a document outlining a new direction for its Center for Medicare and Medicaid Innovation.
And it announced that it was seeking input from doctors on payment policy.
All suggest that if the Trump administration is not moving away for paying for quality rather than quantity it is at least considering pursuing value in different ways.
What ways? A recent article in the New York Times looked at these recent changes and presented the views of experts on where the administration may be going with Medicare payment policy. Go here to see that article.