As hospitals, systems and practices gear up to make needed adjustments under MACRA, the Centers for Medicare & Medicaid Services’ top official advises that “the best way to go fast is to start slow.” Andy Slavitt, acting administrator for CMS, spoke at the CAPG Colloquium in the District of Columbia on Thursday morning, saying that health providers have the option of being a “pace car” for the transition to care under MACRA, or they can choose to go full speed and leave many of their peers in the dust.