Top AHIP officials departing

Donahue formerly worked as chief-of-staff to President Bill Clinton's secretary of Health and Human Services (HHS), Donna Shalala.

Many other top AHIP officials got their start in politics, often working for left-of-center groups or politicians regarded as hostile to the insurance industry. Former AHIP CEO Karen Ignagni, who stepped down after two decades at the group earlier this year, got her start working with the AFL-CIO and a Democratic congressman. She was replaced by Marilyn Tavenner, who headed the Centers for Medicare & Medicaid Services (CMS) under President Obama.

See also: Former CMS head to lead AHIP

AHIP paradoxically played a crucial role in both crafting the Patient Protection and Affordable Care Act and the campaign to derail it. Although its officials publicly supported the law and lobbied to make the bill as amenable to the insurance industry as possible, it also funneled $86 million to the U.S. Chamber of Commerce, which aggressively campaigned to undermine the law and unseat elected officials (including the president) who had supported it.

See also: Insurer participation in AHIP HSA survey drops