On June 23, the Centers for Medicare & Medicaid Services (CMS) announced an internal agency reorganization and the creation of a new office intended to help reduce provider burden. The change was announced with a CMS press release titled, “CMS Unveils Major Organizational Change to Reduce Provider and Clinician Burden and Improve Patient Outcomes.” While it remains unclear what impact the creation of this new office will have, it clearly signals that reducing provider burden is one of agency’s top policy and political priorities. As such, the staff leadership and work focus of this office will be important for physicians and other heavily regulated healthcare stakeholders to understand. The new office is an outgrowth of the agency’s Patients over Paperwork Initiative, which is the cornerstone of CMS’s efforts under the Trump Administration to eliminate duplicative, unnecessary, and excessively costly requirements and regulations. According to CMS, “this announcement permanently embeds a culture of burden reduction across all platforms of CMS agency operations.” CMS launched Patients over Paperwork in 2017 and a big part of that initiative has been stakeholder outreach, with CMS gathering feedback from over 2,500 providers, clinicians, administrative staff, and beneficiaries through 158 site visits and listening sessions the past few years. The new office is expected to expand these stakeholder outreach efforts by increasing “the number of clinicians, providers, and health plans the Agency engages, to ensure that CMS has a better understanding of how various regulatory burdens impact healthcare delivery.” CMS is hopeful that these efforts will enable a more proactive approach to reducing burden, with the agency carefully considering the impact of new regulations on the industry through this enhanced stakeholder feedback process.