Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health,

where we bring evidence, experience, and perspective to make sense of today's leading health challenges.

If you have questions or ideas for us, please send an email to public health question at jh.h.edu.

That's public health question at jh.u.edu for future podcast episodes.

This is Lindsay Smith-Rogers, producer of Public Health On Call.

Today, an unlikely federal agency takes steps to address climate change.

I'm talking about the Centers for Medicare and Medicare Services, the nation's trillion-dollar

health care agency.

Dr. Perva Rawal is the chief strategy officer in the CMS Innovation Center.

She joins Dr. Josh Sharfstein to talk about a new proposal that aims to engage a large number of

U.S. hospitals in the work of reducing greenhouse gas emissions. Globally, health care is

responsible for about twice the amount of these emissions as the aviation industry. Let's listen.

Dr. Perva Rawal, thank you so much for joining me today on public health on call to talk about

efforts of the Innovation Center at the Centers for Medicare and Medicaid Services, CMS, efforts

on climate. But before we get there, could you tell me a little bit about your role at the

Innovation Center? Yeah, I'd be happy to. And Josh, I'll just start by thanking you for having me here today.

I've really admired your leadership in public health for many years.

So it's an honor.

I also finished my graduate training at the Bloomberg School of Public Health and at the Kennedy

Krieger Institute across the street.

So that makes it especially exciting to contribute to your podcast. I, at the CMS

Innovation Center, I am the chief strategy officer, so I support our leadership team and our

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