party-managed) cloud services. Additionally, in the committee’s view, the inevitable transformation from so-called Enterprise 1.0 to Enterprise 2.0 is just getting started. CMS would benefit significantly from the appropriate and efficient interaction among all of its stakeholders to achieve CMS objectives.

In summary, to take advantage of current and future business and technical advances, CMS should consider the relevant opportunities, such as those described above, and plan prudently to make transformations on the basis of its capacity to do so and using the proposed meta-methodology to manage the iterative process that will be needed.

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