The often controversial head of the Centers for Medicare and Medicaid Services has chosen to resign his post, effective December 2, 2011. Initially given the position through a recess appointment, more than 40 Republican senators had vowed to block his full confirmation to head the agency this year. Berwick has been the figure head for many of the most controversial policies being implemented as part of the Affordable Care Act and has testified to congress multiple times on the progress of program rollouts and budget constraints.
From the Associated Press:
As Medicare chief, Berwick oversaw the drafting and rollout of major regulations that will begin to reshape the healthcare system, steering Medicare away from paying for sheer volume of services and procedures and instead putting a premium on quality care that keeps patients healthier and avoids costly hospitalizations.