After talking to folks tonight about Biden’s HHS/CMS leadership picks, it’s interesting how his selection of Becerra/Brooks-LaSure is shaping up to be the inverse of the Azar/Verma dynamic, in more ways than one.

A thread for health policy wonks…
washingtonpost.com/health/2021/02…
First, the résumés are kinda inverted. 

Azar — who had been HHS deputy and its top lawyer, plus a pharma president — had prepared for years to run HHS.

Becerra has many defenders, but what he doesn’t have is HHS experience (and relatively little executive experience overall).
It’s the opposite case with Biden/Trump’s CMS picks.

Brooks-LaSure was a well-regarded Obama HHS/CMS veteran who co-led Biden’s HHS transition team.

Verma, meanwhile, was a DC outsider who spent much of her early time at CMS learning programs beyond Medicaid (her specialty).
Also key: the interpersonal dynamics, a point that @adamcancryn hit today. politico.com/news/2021/02/1…

Becerra and CBL go back years, with her supporting him on Capitol Hill.

Meanwhile, Trump smushed Tom Price together with Verma, making for a chilly dynamic that worsened w/Azar.
To put it another way: Trump’s last HHS secretary was a bureaucratic expert who had little warmth (or need) for a CMS chief who emerged as his rival.

Biden’s HHS secretary, meanwhile, will need to rely on the CMS chief — a former staffer — to understand the sweeping department.

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More from @ddiamond

12 Feb
Biden moving to wipe out Trump’s Medicaid work requirements on Friday, per draft plan obtained by the Post. washingtonpost.com/health/biden-e… with @goldsteinamy, confirming @adamcancryn’s scoop
The Medicaid work requirements were championed by Trump appointee SEEMA VERMA — even as the pandemic worsened.

Here’s Verma defending the policy at an Aspen Institute talk in October 2020, arguing work requirements could help lift people out of poverty.
But the Biden administration will release its own analysis critical of Trump’s policy, steered by former @HarvardChanSPH standout BEN SOMMERS — one of the nation’s most prominent researchers on Medicaid — two officials told the Post.
Read 4 tweets
8 Feb
NEW: The House @COVIDOversight panel is renewing its probe into Trump political interference in covid response, alleging further meddling in testing and treatments.

washingtonpost.com/health/2021/02…
In one internal email obtained by the panel, a Trump appointee argued that widespread testing for covid was backfiring by hurting efforts to reopen the economy.

“The purpose of testing is NOT to detect low risk and asymptomatic people,” Paul Alexander wrote.
In another email, Alexander pushed FDA officials on boosting access to hydroxychloroquine, touting an embargoed BMJ analysis on the supposed benefits of a drug favored by Trump.

(However, the analysis later published by BMJ found “no evidence” of those benefits.)
Read 4 tweets
26 Jan
SCOOP: Biden is set to a tap a nurse, SUSAN ORSEGA, as acting surgeon general — a role traditionally filled by a doctor. washingtonpost.com/health/2021/01…
Biden asked for JEROME ADAMS’ resignation last week, leaving a hole in the surgeon general’s office. washingtonpost.com/us-policy/2021…

While VIVEK MURTHY is Biden’s pick as full-time surgeon general, he must be confirmed and his hearings aren’t scheduled yet.
Meanwhile, @JeromeAdamsMD defended doctors’ decisions to stay, not quit Trump’s task force.

“If Dr. Birx or I weren’t there, many medical/ public health conversations would’ve had no input whatsoever from a woman, or a person or color,” Adams writes.

foxnews.com/politics/fauci…
Read 4 tweets
17 Jan
I wrote one last story for POLITICO, about the crash landing of Operation Warp Speed.

Officials last year hoped it would be the greatest success of the Trump administration. Team Biden has instead deemed it a failure and just announced they’ll rename it.

politico.com/news/2021/01/1…
In interviews last year, officials talked about their optimism that “MP2” (short for “Manhattan Project 2,” an early name for what became Warp Speed) would deliver an end to the pandemic.

And they insisted history would bear them out, even after Trump lost.
Operation Warp Speed clearly achieved some goals — they helped deliver two working vaccines in 2020, an achievement that would’ve been seen as implausible a year ago.

But as problems piled up in recent weeks, officials have started blaming a familiar punching bag: the CDC.
Read 5 tweets
16 Jan
Reports that Azar resigned effective today are incorrect, multiple people w knowledge of his thinking tell me. Health secretary is staying til Jan 20.
In his Jan. 12 resignation letter, first obtained by @noahweiland, Azar made clear he would stay until the end of administration.
Am also seeing questions “why submit a resignation letter but stay til the last day?”

This is a routine practice of all outgoing administrations, considered part of good governance. politico.com/news/2021/01/0…
Read 4 tweets
14 Jan
Before the election, Trump promised “incredible” $200 cards for seniors to buy drugs.

“Joe Biden won't be doing this,” Trump claimed.

But officials are now conceding: the cards aren’t going to happen. politico.com/news/2021/01/1…
As drug card questions grew, officials repeatedly claimed the $7.9 billion plan was on track, quoting ambitious timelines to reporters.

The reality: numerous legal and logistical issues still aren’t resolved, with Inauguration Day less than a week away. ImageImage
Medicare chief Seema Verma — who oversees the relevant programs and funds — acknowledged that reality in a @leonardkl scoop today.
Read 4 tweets

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