The Centers for Medicare & Medicaid Services (CMS) effort to implement Patient Protection and Affordable Care Act (PPACA) programs was about as open as the federal underground laboratories that allegedly store dead space aliens.
In early 2013, I could do search for “federal UFO alien labs” and get (literally) about 50 million results.
The managers of the state-based exchanges in Nevada and Minnesota seemed to be posting just about everything up to and including what their board members ate as children.
If I wanted to know who was really in charge of computers or broker relations at the Center for Consumer Information and Insurance Oversight (CCIIO), that was harder than getting a map of the tunnels that supposedly connect the U.S. military’s alien autopsy sites.
Steven Brill reports in his book about U.S. health reform and PPACA implementation, America’s Bitter Pill, that the lack of communications was evident inside CMS and CMS’s parent department, the U.S. Department of Health and Human Services (HHS).
CMS wasn’t sharing much information with the public, and, according to Brill, it and HHS weren’t sharing much information with each other, either.