As the healthcare bureaucracy expands, small businesses and entrepreneurs are paying the price.

With little oversight, unelected bureaucrats at a little-known federal agency are imposing unpredictable nationwide changes to policies that affect patients and providers. Larger healthcare entities can absorb these changes in ways small business innovators cannot. The irony is that this agency was supposed to be all about supporting “innovation,” yet it is undermining the very activity needed to solve our toughest healthcare challenges.