Amid the grim drumbeat of layoffs comes this bright note: The CMS is hiring. Are you supernaturally detail-oriented? Good at balancing competing demands? Able to foresee geometrically rippling consequences of your actions?
The Division of Technical Payment Policy has lost the two employees responsible for writing the rules carrying out the governments simple wish that physicians not leverage their referrals at Medicares expense by sending patients to providers where the physician stands to make money from the business generated, also known as the Stark law. Both have joined law firms. The divisions former director, Donald Romano, started last week at Arent Fox, and Deputy Director Lisa Ohrin begins with Sonnenschein Nath & Rosenthal in January.
Outliers reached out to Romano for tips hed offer his would-be successors in what he calls a very difficult position, and heres an edited bit of what he provided in an e-mail:
Listen to others, but listen to yourself most of all. Continue to take advantage of the large payment rules as vehicles for proposing and finalizing Stark changes, because those rules have to, and do, go out on time. Try to get things right, and if that means reversing what somebody else (including me) has done, or changing your own view, so be it. (And right is right, whether that means tightening restrictions or loosening them). Be sensitive to unintended consequences and err on the side of giving too long of a delayed effective date so as to allow parties the opportunity to restructure, if necessary, or the agency an opportunity to correct any problems. The most valued commodity (in) the industry is clarity. Most physicians and providers are more than willing to abide by the rules they just want to make sure they understand them.
The salary range is $115,317 to $149,000. Apply at usajobs.com.