Congratulations, I think, to Marilyn Tavenner, a former nurse and hospital executive, on her U.S. Senate confirmation May 15, 2013, to lead the Centers for Medicare and Medicaid Services (CMS). She has served as the acting administrator of CMS since late 2010, and she is the first permanent leader of CMS since 2006.

I’m not sure her work changes at all – except for maybe having to stop justifying that she can do the job and just get on with it. There is, indeed, much work. Best wishes to Tavenner and her team as they implement the Affordable Care Act and attempt to reinvent CMS services.