Marilyn Tavenner as the administrator at the Centers for Medicare and Medicaid Services will be stepping down from her position by February. She is the top US agency official overseeing the rollout of health law and the Medicare insurance scheme for the elderly, and the agency has confirmed her plans to leave.

Her reasons for leaving are not immediately clear, but she will ultimately be replaced by Andy Slavitt, a United Health Group top executive who had worked closely with Medicare and Medicaid Services on’s technical needs. Although Slavitt was brought in-house last year, he may require Senate confirmation if he is fulfilling the Tavenner’s position as a permanent replacement.

Tavenner had been the health secretary for the state of Virginia before she moved to CMS. Her career started as a nurse through which she steadily rose through the ranks to assume executive positions in the private hospital sector. Her records as a cool-headed administrator without any dark controversies aided her nomination to CMS to succeed Don Berwick. Berwick served only as acting administrator because he never got Senate confirmation.

The Huffington Post first broke the news of Ms. Tavenner’s plan to leave office. She had spent five years at the agency and her tenure had been well-commended by all and sundry as the Medicare chief.

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