This Robert Wood Johnson Foundation-funded paper by Robert Berenson and Nicole Cafarella provides a status report on the Innovation Center's activities to dateincluding delineating the goals envisioned by Congress, detailing the new tools it was given, and emphasizing how the enhanced authority compares with CMSs traditional demonstration programs. The paper describes the Center's major initiatives to date, including those that address primary care redesign, bundled payments, ACOs, dual-eligible beneficiaries, and the health care system's capacity for spreading innovative ideas. The authors note that some observers have expressed concern that the Innovation Center's fast-paced approach may be overwhelming to smaller delivery systems.