In her first week in office, Health and Human Services Secretary Sylvia Mathews Burwell has already shaken up the Affordable Care Act (ACA, aka Obamacare) personnel structure and announced plans to hire a "marketplace chief executive officer," in other words, a CEO for

In addition, she hired Andy Slavitt, group executive vice president of Optum, the main contractor coordinating the work of fixing and creating parts of the federal website, as a senior administrator within HHS’s Centers for Medicare and Medicaid Services (CMS).

In a statement, Burwell said: “These actions will bolster our team and further instill ongoing accountability for reaching milestones, measuring results and delivering results for the American people. Under this new structure, we bring additional operational and technological fire power and have a clear single point of contact in the Marketplace CEO to streamline decision-making."