I met up with Scully briefly this week after he served on a panel to discuss the future of quality that was hosted by the Alliance for Health Reform and the Commonwealth Fund on Capitol Hill. Now a senior counsel at the law and lobbying firm of Alston & Bird, Scully is also a general partner at private investment firm Welsh, Carson, Anderson & Stowe. I also asked him about his take on the entitlement reforms outlined in Rep. Paul Ryan's (R-Wis.) budget proposal earlier this month. Scully had a split view on that one. He strongly supports the premium-support model, which he likened to Medicare part D. But Scully said he thought Ryan over-simplified block grants for Medicaid. “Block grants are never going to happen,” Scully said. “There's never going to be full support for them,” he said, adding that there should be a system in which states receive money on a per-capita basis instead.
As for Berwick, Scully said, he was nominated soon after “the most partisan, divisive health or policy issue of any type in the last 50 years was passed,” which subsequently made Berwick a symbol for the anger surrounding the bill—and a target.
“I may not agree with him substantively on everything, but he's definitely doing a good job,” Scully said. “And my view for him personally is he ought to keep his head high, and keep cranking, and go out with his chin up happily on December 31,” he added. “And that may or may not be right or fair—but that's what's going to happen.”
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