I was trying to write about the comings and goings at the top of the new Patient Protection and Affordable Care Act (PPACA) public exchange programs, when the English language got me all tangled up.
The exchanges were replacing “acting” or “interim” executive directors with managers designated, in one way or another, as the “real,” “permanent executive” directors.
See also: Cover Oregon gets a chief.
PPACA is creating two “transitional” risk-management programs to try to keep PPACA changes from capsizing health insurers, and it also has a “permanent” risk-adjustment program.
I was thinking, maybe I conjured the word “permanent,” as it pertains to the PPACA risk-adjustment program, out of thin lay brain air, but officials at the Centers for Medicare & Medicaid Services (CMS) use the word “permanent” to refer to the risk-adjustment program in a summary of regulations they posted in March 2012.