CMS is about to lose a top Medicaid official

Here’s the easiest prediction I will make this week: Dr, Andrey Ostrovsky, chief medical officer of the Center for Medicaid and CHIP Services, is about to lose his job after just six months.

How do I know this? Ostrovsky isn’t just privately opposed to the American Health Care Act — the newly released Republican “repeal and replace” of the Affordable Care Act. He tweeted his opposition to the bill yesterday.

And he made the likely fatal mistake of citing outside opinions that don’t square with those of the Trump administration. Indeed, the American Medical Association, American Academy of Family Physicians and American Academy of Pediatrics have all come out against the first iteration of the AHCA.

We know that President Donald Trump pays attention to what gets said on Twitter. We also know what the Trump White House thinks of dissension within the ranks. Ask longtime U.S. Department of Justice attorney Sally Yates about that.

On Jan. 31, Yates, who was serving as acting attorney general before Jeff Sessions had been confirmed by the Senate, got canned for opposing Trump’s executive order that cut off immigration from seven majority-Muslim countries.

And she wasn’t just fired. The administration questioned her patriotism by saying Yates “betrayed the Department of Justice by refusing to enforce a legal order designed to protect the citizens of the United States.”

Expect Ostrovsky to lose his job soon, in no small part because his tweet has so many likes and retweets. Perhaps it was a calculated move on his part?