The Times says, despite the seeming contradiction, Leavitt's work is actually in line with how Romney might govern if he's elected.
Mr. Leavitt’s work suggests how insurance exchanges might operate under a President Romney — with less federal regulation, more emphasis on free market principles, more choice for consumers and more latitude for states.
Aaron Sisk, a lawyer at the Mississippi Insurance Department, said Mr. Leavitt and his company had done “a great job for us.”
Cheryl Smith, a director at Leavitt Partners, pointed to Utah’s health insurance exchange as a possible model. It serves as “a market organizer, a market facilitator,” not a regulator or contracting agent, she said.
Mr. Leavitt has recommended that approach to governors. He chided those who were delaying action in the hope that the health care law would be repealed.

