This week, our In Focus section comes to us from HMA Atlanta’s Danielle Pavliv, who reviews a report published on January 21, 2016, by the Centers for Medicare & Medicaid Services (CMS) entitled “Report on Early Implementation of Demonstrations under the Financial Alignment Initiative.” The report, which was prepared for CMS by RTI International, provides a preliminary update on the implementation status for the seven CMS Financial Alignment Initiative (FAI) demonstrations for Medicare-Medicaid enrollees (dual eligibles) implemented as of May 1, 2014. The report describes activities and experiences in implementing these demonstrations during the first six months of operations in each demonstration state, including successes and challenges encountered by states in aligning Medicare and Medicaid systems and policies.