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Marilyn Tavenner

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Sen. Tom Harkin, chairman of the Senate Health, Education, Labor and Pensions Committee, greets Medicare chief Marilyn Tavenner on Capitol Hill in Washington on Tuesday, Nov. 5, 2013, prior to her testimony before the committee on problems with the debut of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Sen. Tom Harkin, chairman of the Senate Health, Education, Labor and Pensions Committee, greets Medicare chief Marilyn Tavenner on Capitol Hill in Washington on Tuesday, Nov. 5, 2013, prior to her testimony before the committee on problems with the debut of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Marilyn Tavenner, the administrator of the Centers for Medicare and Medicaid Services, testifies on Capitol Hill in Washington, Tuesday, Oct. 29, 2013, before the House Ways and Means Committee hearing on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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** FILE ** Marilyn Tavenner, the administrator of the Centers for Medicare and Medicaid Services, testifies on Capitol Hill in Washington, Tuesday, Oct. 29, 2013, before the House Ways and Means Committee hearing on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Marilyn Tavenner, administrator of the Centers for Medicare and Medicaid Services, pauses while testifying on Capitol Hill in Washington on Tuesday, Oct. 29, 2013, before the House Ways and Means Committee on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Marilyn Tavenner, administrator of the Centers for Medicare and Medicaid Services, pauses while testifying on Capitol Hill in Washington on Tuesday, Oct. 29, 2013, before the House Ways and Means Committee on the implementation of the Affordable Care Act. (AP Photo/J. Scott Applewhite)

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Marilyn Tavenner is administrator of the Centers for Medicare and Medicaid Services. (AP Photo/Manuel Balce Ceneta)

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Marilyn Tavenner is administrator of the Centers for Medicare and Medicaid Services. (AP Photo/Manuel Balce Ceneta)

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**FILE** Medicare administrator Marilyn Tavenner (Associated Press)

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**FILE** Medicare administrator Marilyn Tavenner (Associated Press)