Meet the Former CMS Manager Who Blasted the DOGE-Directed Firings

  • Mar 07, 2025

    Until February, Jeffrey Grant had no immediate plans to retire from his role as the deputy director for operations at CMS’s Center for Consumer Information and Insurance Oversight (CCIIO), which oversees the Affordable Care Act marketplaces and other programs. 

    But he says that changed when it became clear that the new administration — as part of a broader effort to pare back the federal workforce — wanted to cut from what Grant describes as an already-understaffed CMS.  

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  • Leslie Small

    Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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