I worked for CMS for 4 years in a large max facility, and I found their management philosophies to to be the same as any other corporate business:
Worship the almighty buck, work your staff as hard as possible, hire the next one in line when they quit, while constantly grinning and slapping 'em on the back, "empowering" them to "work smarter, not harder".
I thought all privatized type "corporations" were that way, too.
I found the same thing in dialysis, long term care, and small hospitals.