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TRANSCRIPT
| TIME | SPEAKER | TEXT |
|---|---|---|
| 00:00:08 |
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THE SENATE FINANCE COMMITTEE TODAY HELD A ROUNDTABLE DISCUSSION ON THE NATION'S HEALTHCARE SYSTEM.... |
| 00:00:34 |
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THE COMMITTEE WILL COME TO ORDER. UBERHUMPHREYS SAID AND I QUOTE CAM, FREEDOM IS HAMMER OUT ON THE... |
| 00:04:59 |
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THANK YOU MR. CHAIRMAN AND THANKS TO ALL OF YOU WHO ARE GOING TO PARTICIPATE TODAY AS WELL AS THE... |
| 00:07:13 |
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THANK YOU SENATOR. IN AN EFFORT TO ENSURE THE MOST PRODUCTIVE CONVERSATION I WOULD URGE ALL OF MY... |
| 00:08:34 |
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THANK YOU SENATOR BAUCUS. THE PANELIST, GIVEN MY POSITION ON THE TABLE HERE KATIE LEAVITT COMMODORES... |
| 00:09:42 |
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THANKS. FIRST OF ALL IS AN HONOR TO BE HERE. I AM PRIVILEGED TO BE A PART OF THIS GROUP AND I THINK... |
| 00:11:40 |
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LET ME FOLLOW-UP ASK YOU, MANY OF YOUR PATIENTS IN SOME OF YOUR SYSTEM ARE LOCATED IN RURAL AREAS... |
| 00:12:02 |
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DWELL THE OBVIOUS ISSUE IS ACCESS TO PRIMARY CARE, ACCESS TO A SERIES OF SMALL HOSPITALS THAT ARE... |
| 00:13:38 |
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NOW YOU DESCRIBE THE GUYS-- GEISINGER SYSTEM AS AN INTEGRATED SYSTEM, WHICH IT CERTAINLY IS BUT THE... |
| 00:14:31 |
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DO YOU KNOW I AM GOING TO BE LITTLE CIRCUITOUS ON THIS ONE. 70% OF OUR PAYER IS CAPITAL BLUE CROSS,... |
| 00:15:46 |
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AND THEN ONE LAST QUESTION, DO YOU HAVE A PROBLEM HIRING OR RETAINING UNDER CONTRACT PRIMARY-CARE... |
| 00:15:59 |
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WE DON'T JOHN BECAUSE WE PAY THEM BETTER THAN MARKET AND WE PAY THEM BETTER THAN MARKET BECAUSE WE... |
| 00:16:52 |
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JOHN IF I MIGHT ASK OF BOTH GLENN AND ALSO MR. HACKBARTH, YOUR RECOMMENDATION AS TO HOW WE CAN TRANSPORT... |
| 00:17:40 |
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THE FIRST THING I WOULD DO IS TO COME IS TO REDESIGN CMS. I THINK CMS AND NEEDS TO, NEEDS TO BE AN... |
| 00:18:58 |
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SENATOR STABENOW. |
| 00:18:59 |
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THANK YOU VERY MUCH AND THANK YOU MR. CHAIRMAN AND THANK YOU TO EACH OF YOU. |
| 00:19:03 |
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IF I MIGHT, GLENN DID NOT GET A CHANCE TO ANSWER THAT QUESTION. AS THE SAME QUESTION OF GLENN. GLENN... |
| 00:19:18 |
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THANK YOU SENATOR BAUCUS. GEISINGER IS A TERRIFIC ORGANIZATION. MY OWN PROFESSIONAL EXPERIENCE IN... |
| 00:22:44 |
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SENATOR. |
| 00:22:46 |
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THANK YOU. I WONDERED IF HE COULD SPEAK A LITTLE BIT MORE ABOUT YOUR ABILITY TO FOCUS ON CHRONIC ... |
| 00:23:27 |
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I THINK SENATOR, I THINK IT IS CRITICAL AND YOU KNOW WE COULD TALK ABOUT THE BLOCKING, BUT THE MAIN... |
| 00:25:20 |
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SENATOR CONRAD? |
| 00:25:22 |
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JUST FOLLOWING UP ON DR. STEELE AND OPPOSE THIS TO THE PANEL BECAUSE I DON'T KNOW, PERHAPS MR. IDOL... |
| 00:26:20 |
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YOU KNOW, WE ARE GOING TO TURN A PAPER IN WITH AN EXPERIENCE OF ABOUT 35,000, 30,000 MEDICARE IN THREE... |
| 00:27:51 |
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DR. MCCLELLAN. |
| 00:27:52 |
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SENATOR, JUST TO PICK UP ON YOUR QUESTION, THERE IS NO DOUBT THAT FOR MANY OF THESE MEDICARE BENEFICIARIES... |
| 00:30:48 |
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JOHN I MUST INTERRUPT HERE. WE HAVE A LITTLE BUSINESS TO CONDUCT IT WILL HELP HEALTHCARE REFORM AND... |
| 00:31:15 |
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MR. CHAIRMAN? |
| 00:31:18 |
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CENTER KYL. |
| 00:31:19 |
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MR. CHAIRMAN I APPRECIATE THE GOVERNOR'S EFFORTS TO CLARIFY HER RELATIONSHIP WITH DR. GEORGE TILLER... |
| 00:34:17 |
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IF THERE IS NO FURTHER DEBATE THE COMMITTEE WILL VOTE AND THE MOTION TO REPORT FOR THE NOMINATION... |
| 00:35:36 |
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THE CLERK WILL ANNOUNCE THE VOTE. [INAUDIBLE CONVERSATIONS] |
| 00:36:05 |
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MR. CHAIRMAN THAT TALLY OF THE MEMBERS PRESENT IS 11 AYES, FIVE DAYS, THE FINAL TALLY INCLUDING PROXY'S... |
| 00:36:15 |
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THE AYES HAVE IT. RETURN BACK TO BUSINESS. |
| 00:36:22 |
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MR. HACKBARTH, I WOULD LIKE TO GET BACK TO YOUR DAYS AS AN EXECUTIVE AT THE HARVARD COMMUNITY HEALTH... |
| 00:37:19 |
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WELL, HARVARD VANGUARD, WHICH IS A 500 PHYSICIAN MALTESE SPECIALTY GROUP PRACTICE IN BOSTON, WE ARE... |
| 00:38:40 |
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TAKING THE EXPERIENCE OF THE LAST NINE YEARS INSURING MEDPAC AND RECOGNIZING THAT EARLIER EXPERIENCE... |
| 00:39:04 |
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YOU KNOW I THINK WE NEED TO LOOK AT BOTH ENDS OF THE PROVIDER CONTINUUM A WE TO HAVE SOME ORGANIZATIONS... |
| 00:40:43 |
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A QUESTION ON THIS POINT A WE HAVE BEEN ADDED MAYBE 20, 25 MINUTES IN THIS PANEL HAS ALREADY DONE... |
| 00:42:41 |
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SENATOR, THIS IS THE CORE QUESTION AND I'M SURE OTHER PANELIST HAVE SOME VIEWS ON IT THAT WILL BRING... |
| 00:45:14 |
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THANK YOU. IT HAS BEEN WIDELY OBSERVE THAT WE DON'T REALLY HAVE THE HEALTHCARE SYSTEM. WE HAVE A... |
| 00:47:00 |
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MR. LEE. |
| 00:47:03 |
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I JUST WANT TO AFFIRM THE QUESTION AND THAT MANY LARGE EMPLOYERS ARE INVESTING A LOT OF MONEY, TIME... |
| 00:48:12 |
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THANK YOU. I WAS JUST DROPPED BY DR. STEELE'S POINT WHEN HE WAS ASKED WHAT COULD BE DONE TO TAKE ... |
| 00:49:10 |
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LET ME START BY SAYING IT WORD OF PRAISE FOR THE STAFF AT CMS THAT HAVE ENORMOUSLY IMPOSSIBLY COMPLEX... |
| 00:51:28 |
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AM I ASKED DR. STEEL MOCK-- STEELE WHAT DID YOU HAVE IN MIND? |
| 00:51:36 |
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YOU KNOW, I HAVE THE ABILITY TO SPEAK WITHOUT ANY KNOWLEDGE AT ALL. [LAUGHTER] |
| 00:51:46 |
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YOU ARE NOT ALONE. |
| 00:51:47 |
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YOU KNOW AGAIN I DON'T THINK WE ARE GOING TO GET IT RIGHT FOR ALL OF THESE CHANGES STRAIGHT AWAY AND... |
| 00:53:15 |
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THANK YOU. |
| 00:53:16 |
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SENATOR SNOWE? |
| 00:53:22 |
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THANK YOU. WHAT I -- IN THE LISTENING SESSIONS IN MAINE OVER THE RECESS AND MANY OF THE ISSUES YOU... |
| 00:55:20 |
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I WOULD BE DELIGHTED. THANK YOU, SENATOR SNOW AND CHAIRMAN BAUCUS AND RANKING MEMBER FOR THIS OPPORTUNITY.... |
| 00:59:44 |
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MR. HACKBARTH? |
| 00:59:46 |
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TO A QUICK ADDITIONAL POINTS, SENATORS KNOW. IN ADDITION TO THE MEDICAL MADE PAC HAS RECOMMENDED THAT... |
| 01:01:29 |
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MR. ENGELHARD? |
| 01:01:30 |
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YOU HAVE A QUICK COMMENT? |
| 01:01:32 |
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I'M WITH BLUE CROSS BLUE SHIELD ASSOCIATION AND I THINK I CAN YIELD SOME OF THE SUGGESTIONS MADE BY... |
| 01:03:12 |
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I SEE THAT SENATOR CARPER HAS BEEN TRYING TO SEEK RECOGNITION FOR A WHILE. I DON'T WANT TO GET IN... |
| 01:03:19 |
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I WANTED TO JUMP IN ON THE PRIMARY CARE SHORTAGE AND ASK TO EMPHASIZE MORE OF THE EDUCATION SYSTEM... |
| 01:04:32 |
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MEDPAC RECENTLY BEGAN LOOKING AT MEDICAL EDUCATION AND MEDICARE'S ROLE IN FINANCING MEDICAL EDUCATION... |
| 01:06:02 |
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SENATOR HATCH? |
| 01:06:04 |
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THANK YOU. MY OPINION ON THE SAME LINES, WE HAVE ACCESS TO THE FINEST FACILITIES AND TECHNOLOGY AND... |
| 01:07:25 |
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THANK YOU VERY MUCH. I THINK THAT BUILDS ON THE COMMENT FROM YOU FROM SENATOR SNOWE AND ALSO THE TESTIMONY... |
| 01:10:19 |
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I APPRECIATE THE COMMENTS. CAN I ASK A FOLLOW-ON QUESTION, MR. HACKBARTH? DR. BRENT JAMES OF THE INTERMOUNTAIN... |
| 01:11:24 |
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DR. OPELKA FROM THE SURGICAL COMMUNITY. THOUGHTS ON THAT AND ALSO ABOUT YOUR WORK FORCE PERSPECTIVE... |
| 01:11:35 |
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THANK YOU VERY MUCH AND CHAIRMAN BACHUS AND SENATOR GRASSLEY AND THE REST OF THE COMMUNITY MEMBERS,... |
| 01:14:31 |
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I PRESUME WE ARE ABLE TO SUBMIT QUESTIONS TO THE PANEL BECAUSE THIS IS AN EXCELLENT PANEL. I WANT... |
| 01:14:44 |
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WE MAY WANT TO COME BACK THIS AFTERNOON AND KEEP GOING BECAUSE WE DON'T HAVE MANY OPPORTUNITIES LIKE... |
| 01:14:53 |
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MR. CHAIRMAN, I HAVE A LOT OF QUESTIONS. |
| 01:14:58 |
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THANK YOU. I WANTED TO ALLOW THE COUPLE OF IDEAS AND GET YOU ALL TO RESPOND. NUMBER ONE, THE ADVANTAGE... |
| 01:15:52 |
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THANK YOU, SENATOR. IT'S A PLEASURE TO BE HERE AND HAVE THAT OPPORTUNITY SHARE OUR POINT OF VIEW.... |
| 01:17:24 |
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WOULD YOU BE IN FAVOR OF COMPETITIVE BIDDING? |
| 01:17:27 |
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I THINK LIKE MOST IDEA WE ARE OPEN TO ALL IDEAS. WE DON'T UNDERSTAND EXACTLY WHAT SPECIFICALLY COMPETITIVE... |
| 01:17:34 |
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SO THE PLANS WOULD BE BASED ON THEIR COST INSTEAD OF GOVERNMENT SET RATE. |
| 01:17:42 |
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WELL I THINK WE ARE OPEN TO ANY CHANGE IN THE SYSTEM THAT RESULTS IN A PREDICTABLE SLOPE, MINIMAL... |
| 01:18:05 |
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FOR THE MEDICAL -- |
| 01:18:07 |
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GALLANT THANK MR. CHAIRMAN AND MEMBERS OF THE COMMITTEE FOR BEING HERE. I AM RICHARD UMDENSTOCK AND... |
| 01:19:23 |
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MR. UMDENSTOCK, QUESTION. IF A NUMBER OF GM THE POSITIONS THAT MEDICARE FUNDS WITH INCREASE WHAT GUARANTEE... |
| 01:19:40 |
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JOHN, IT IS ON HOW YOU DESIGN BOTH THE PROGRAM AND THE REWARDS SO THAT BOTH THE INCENTIVES FOR MEDICAL... |
| 01:20:22 |
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OKAY. SENATOR? |
| 01:20:25 |
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THANK YOU VERY MUCH. VERY INFORMATIVE, AND I APPRECIATE YOUR WILLINGNESS TO COME TO YOUR SERVICE AND... |
| 01:22:19 |
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SENATOR, WE DON'T THINK THAT A 10% BONUS BY ITSELF IS SUFFICIENT. WE HAVE RECOMMENDED AS PART OF A... |
| 01:23:53 |
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THANK YOU. I APPRECIATE THE OPPORTUNITY TO BE HERE, SENATORS. I AM REALLY ENCOURAGED BY THE CONVERSATION... |
| 01:29:26 |
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WE BETTER MOVE ON. |
| 01:29:29 |
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I WANT TO ASK DR. NAYLOR TO FOLLOW-UP. 13 AT THE UNIVERSITY OF PENNSYLVANIA HAS DONE WORK TARGETING... |
| 01:29:42 |
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DR. NAYLOR, REMIND US WHO YOU REPRESENT. |
| 01:29:46 |
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I REPRESENT THE UNIVERSITY OF PENNSYLVANIA SCHOOL OF NURSING AND I HAVE HAD THE GREAT FORTUNE TO WORK... |
| 01:33:39 |
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[INAUDIBLE] |
| 01:33:41 |
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I WOULD ASK SENATOR BACHUS QUESTION IS THE SCALE ON YOUR MODEL? |
| 01:33:45 |
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FIRST OF ALL I THINK THIS MODEL IS HIGHLY COMPLEMENTARY TO GREAT PRIMARY-CARE, GREAT CHRONIC CARE... |
| 01:35:00 |
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SENATOR GRASSLEY. |
| 01:35:02 |
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I WANT TO BRING AN ISSUE I HAVE TO GIVE SOME COMFORT WITH OVER THE NEXT TWO OR THREE MONTHS AS WE TRIED... |
| 01:37:01 |
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I WOULD START BY SAYING THAT IT STARTS WITH THE NOTION OF STARTING WHERE WE ARE AND WORKING WITH WHAT... |
| 01:38:51 |
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DR. STEELE? |
| 01:38:54 |
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SENATOR, I THINK THE LEVERAGE IS IN MEDICARE, AND I BELIEVE IF YOU INSTRUCT SOME SORT OF PATIENT FOCUSED... |
| 01:39:57 |
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WHAT SOME OF THE COMPONENTS BE OF THE PLAN BE? |
| 01:40:01 |
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I'M NOT WILLING TO SAY RIGHT NOW. [LAUGHTER] |
| 01:40:06 |
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THAT'S WHY WE ARE MEETING. |
| 01:40:09 |
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I'M INTERESTED IN PUSHING PLAN EIGHT. PLAN A IS INNOVATION, TAKING ADVANTAGE OF THE MARKET-BASED ... |
| 01:40:35 |
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SOMETIMES A SOBERING PLAN B WOULD ENCOURAGE PLAN A. |
| 01:40:46 |
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I WANT TO COMMENT, KANSAS SENATOR FOR HIMSELF ASSUME SINCE I HAVEN'T HEARD ANYBODY ON THE PANEL SUGGESTED... |
| 01:41:12 |
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I THOUGHT THAT DR. MCCLELLAN SAID WE DO HAVE TO SPEND MORE MONEY ON MEDICARE AND MEDICAID. WASN'T... |
| 01:41:19 |
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LET ME CLARIFY IN TWO WAYS. ONE, IF YOU ARE GOING TO ASK CMS TO DO MORE AND MORE QUICKLY TO DRIVE... |
| 01:43:20 |
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SENATOR BAUCUS, THERE'S A NUMBER OF SENATORS WHO HAVE QUESTIONS. I MIGHT ASK THESE FOLKS IF THEY COULD... |
| 01:43:31 |
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I THINK IT IS MORE IMPORTANT AT THIS TIME THE SENATORS ASKED THE QUESTIONS. WE WILL PLAY BY EAR AND... |
| 01:43:38 |
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THANKS TO ALL OF YOU FOR BEING HERE AND IT HAS BEEN AN AWFUL LOT OF TALK ABOUT MEDICAL HOME AND TALK... |
| 01:43:50 |
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MR. HACKBARTH OF AROUND THIS SUBJECT OF INVESTMENT IN RETURNS MIGHT SPEND A SECOND TO MAYBE GET THOUGHTS... |
| 01:44:06 |
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I LARGELY AGREE WITH WHAT MARK MCCLELLAN SAID. I THINK YOU'RE GOING TO NEED TO MAKE TARGET IN INVESTMENTS... |
| 01:44:21 |
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WHAT ELSE? |
| 01:44:23 |
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THOSE ARE THE TWO BIG INVESTMENTS IN ADDITION OF COURSE TO THE UNIVERSAL COVERAGE, WHICH OF COURSE... |
| 01:46:05 |
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SENATOR KERRY? |
| 01:46:07 |
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I DIDN'T GET TO ASK MY QUESTION. |
| 01:46:10 |
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SENATOR LINCOLN GETS TO GO NEXT. |
| 01:46:12 |
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THANK YOU. WE JUST TALKED ABOUT MEDICAL HOME, AND WE TALK ABOUT I DON'T KNOW, I NEVER CAME IN HERE... |
| 01:49:34 |
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LET ME ALSO ADD A LEVEL OF SATISFACTION OF HEALTH CARE -- THE LEVEL OF SATISFACTION OF HEALTH CARE... |
| 01:50:12 |
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I MIGHT SAY IF I MIGHT SENATOR CARPER HAS BEEN SEEKING RECOGNITION FOR QUITE SOME TIME. SO I DON'T... |
| 01:50:32 |
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I WILL BE BRIEF. |
| 01:50:33 |
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THANK YOU FOR BEING HERE. IT'S GOOD TO SEE SOME OF YOU BEGIN TO HAVE A CHANCE TO HEAR FROM YOU FOR... |
| 01:54:07 |
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MW -- 160 MILLION AMERICANS ARE COVERED THROUGH THEIR EMPLOYERS, EMPLOYERS BELIEVE IN THE MARKET AND... |
| 01:55:31 |
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ON A QUESTION OF EFFICIENCY AND SAVINGS -- ISN'T THERE A OPPORTUNITY IN, SAVING IN A LONG-TERM CARE... |
| 01:56:05 |
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THERE IS NO QUESTION THERE ARE STILL SIGNIFICANT OPPORTUNITIES UPWARD TO TAKE A VANTAGE OF A COMMUNITY-BASED... |
| 01:57:24 |
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JUST TO ADD TO THIS, WASHINGTON STATE HAS SOME EXPERIENCE WITH PUTTING MORE EMPHASIS ON HOME COMMUNITY-BASED... |
| 01:58:58 |
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THE SAVINGS HAVE BEEN HUNDREDS, WOULD IT BE HAVE BILLIONS NATIONWIDE IF IMPLEMENTED THE SAME SYSTEM?... |
| 01:59:07 |
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ABSOLUTELY. |
| 01:59:08 |
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THANK YOU MR. CHAIRMAN. I WANT TO GO BACK BECAUSE THERE HASN'T BEEN EMPHASIZED A COUPLE OF SENATORS... |
| 02:03:13 |
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MOI SENATOR, I COULDN'T AGREE MORE THAT A KEY COMPONENT HERE IS GETTING TO A REAL PATIENT ENGAGEMENT... |
| 02:05:12 |
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SENATOR CORNYN. |
| 02:05:13 |
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I HAVE A QUESTION FOR MR. MORRIS THERE AND RESPONDING OR REACTION TO THE RANKING MEMBER, THAT SOME... |
| 02:06:49 |
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SENATOR, FIRST LET ME SAY THAT WE IN THE LAW ENFORCEMENT COMMUNITY OF RESHAPING PART OF THIS DISCUSSION... |
| 02:11:38 |
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EL LIKE TO FOLLOW ON THAT QUESTION THAT SENATOR CORNYN ASKED, THE QUESTION IS WHERE IS THE WASTE?... |
| 02:13:08 |
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ALL OF THE PUBLICITY IN THIS SINGLE PRIZE IN THAT WE HAVE GONE CALLED A WARRANTY IS NOT THE REAL SUBSTANCE... |
| 02:14:45 |
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THANK YOU MR. CHAIRMAN, TO FOLLOW-UP ON THAT POINT, ONE OF THE QUESTIONS -- HAVE HAD A COUPLE OF QUESTIONS... |
| 02:16:15 |
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THANK YOU VERY MUCH. I THINK THAT THE WAY LOOK AT THIS IN THE PAST HAS BEEN AT LEAST FOR ME ALMOST... |
| 02:19:00 |
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AND I PIGGYBACK ON WHAT HE JUST SAID CRANKS' WE'VE GOT TWO VERY SPECIFIC EXAMPLES ANY RAISED ONE OF... |
| 02:20:14 |
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, BECAUSE I THINK THE CHAIRMAN IS RIGHT AND GETTING CLOSE TO WRAPPING UP THE MORNING SESSION WAS CRUISING... |
| 02:21:58 |
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I DO THINK IT IS IMPORTANT AND SENATOR ENSIGN HIGHLIGHTED THE VALUE OF THIS KIND OF CHOICES AS WELL.... |
| 02:23:47 |
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NOEL -- ABSOLUTE CHOICE IS CRITICAL AND RETURNED A LOT ABOUT CHOOSING A TREMENDOUS BLAST OUT INTO... |
| 02:24:31 |
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I JUST WANT TO CHIME IN ON IT SENATOR BIDEN'S POINT -- I CERTAINLY AGREE PERIOD IN BAGHDAD THINK THAT... |
| 02:25:20 |
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COLI TO FOCUS MORE ON CMS. WHAT INVESTMENTS, WHAT CHANGES ARE NEEDED PRESUMABLY? WE IN THE CONGRESS... |
| 02:26:05 |
|
THANK YOU. I WANT TO COME IN FROM THE PERSPECTIVE OF A MULTISTATE PROVIDER, WE OPERATE IN 40 STATES... |
| 02:27:40 |
|
MR. HACKBARTH. |
| 02:27:42 |
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I WOULD SAY THREE THINGS AND THESE HAVE BEEN MENTIONED BY OTHER PEOPLE -- THEY NEED MORE MONEY, MORE... |
| 02:29:16 |
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IT OF BLUE CROSS COULD SUPPORT A MODEL IN PHILADELPHIA THE LIFE OF MEDICARE AND THE TABLE, OF ALL... |
| 02:29:46 |
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I WANT ALIGNMENT OF THE CMS PARTNERING WITH THE PRIVATE PLANS IS A BORING, BUT I AGREE WITH MR. HACKBARTH... |
| 02:30:25 |
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AND JUST VERY BRIEFLY BUILDING ON WHAT PETER SAID AT THINK WE NEED TO MAKE SURE THAT THE INNOVATION... |
| 02:30:47 |
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ONE OF THE THINGS WE LEARNED WITH OUR OTHER INSURERS AS WE SIT DOWN IN PART OR OVER ISSUES AND TRY... |
| 02:31:58 |
|
DR. STEELE. |
| 02:32:01 |
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AGAIN I THINK THE NARRATIVE IS IMPORTANT AND IF WE FOCUS ON WHERE WE ARE NOW WITH SOME OF THESE INCREDIBLY... |
| 02:32:42 |
|
WE ARE GOING TO DO IT. |
| 02:32:46 |
|
YOUR GOAL SHOULD BE TWO HAVE CMS AS THE WORK PLACE THAT EVERYBODY WANTS TO BE A PART OF BECAUSE YOU... |
| 02:33:00 |
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THAT IS A GOOD POINT, HOW DO WE ACCOMPLISH THAT? |
| 02:33:06 |
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WE COULD TALK LATER. [LAUGHTER] |
| 02:33:08 |
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OK, THANKS. |
| 02:33:10 |
|
MR. CHAIRMAN -- |
| 02:33:14 |
|
ANYONE ELSE WANT TO COMMENT? |
| 02:33:17 |
|
ANOTHER POSSIBLE POINTS ON CMS, ONE IS PUBLIC-PRIVATE PARTNERSHIPS THAT ARE IS AN IMPORTANT AND I... |
| 02:35:31 |
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I WANT TO MAKE A FOLLOW-UP POINT, ABOUT CMS, AND LOOKS TO ME THAT WE ARE GOING TO TRY TO TEST MULTIPLE... |
| 02:38:31 |
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THANK YOU, I WANT TO THANK YOU BEEN WITH THIS IS GREAT MORNING, I HAVE WATCHED A LITTLE FROM OFFICE.... |
| 02:40:37 |
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COMPETITION IS HEALTHY. WE ARE ALWAYS OPEN TO DISCUSSION AND I THINK THAT NO DOOR IS EVER SLAM SHUT.... |
| 02:41:48 |
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AND I SAY TO THAT THE NEXT SESSION WILL DEAL WITH COVERAGE WHICH IS MORE APPROPRIATE FORUM FOR THIS... |
| 02:43:23 |
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I APPRECIATE THAT, THE POINT I WAS MAKING TO DR. CORNYN IS IT MIGHT BE THAT FOR A PRIVATE PROFIT FOR... |
| 02:44:25 |
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AT THIS POINT OUT SAY MR. CHAIRMAN HAS SPOKEN AND WE UNDERSTAND IS ALL ON THE TABLE. [LAUGHTER] |
| 02:44:31 |
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EVERYONE I AGREE WITH THAT? EVERYTHING IS ON THE TABLE. [LAUGHTER] WITH THE SINGLE EXCEPTION OF A ... |
| 02:45:24 |
|
WE HAVE TALKED ABOUT A NUMBER OF DIFFERENT APPROACHES TO TRY TO GET PAYMENTS THE LINE BETTER SUPPORT... |
| 02:46:56 |
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I ALSO THINK WE ONLY TO LOOK AT THE CURRENT LAWS TO ENSURE THAT THE PHYSICIANS ISN'T BLOCKED BY CURRENT... |
| 02:47:22 |
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THREE THINGS QUICKLY, FIRST OF ALL, CONCEPTUALLY WE UNDERSTAND WHERE THIS IS TRYING TO GO AND WH YOU'RE... |
| 02:48:41 |
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MS. NAYLOR. |
| 02:48:42 |
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THE IDEA THAT EVERYTHING SHOULD BE ON THE TABLE, I HOPE WE CONSIDER THE PAYMENT OPTION AN OPPORTUNITY... |
| 02:49:22 |
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I WANT TO TAKE A DIFFERENT TACK, THE SILOS AND THE HEALTH CARE DELIVERY WE HAVE TALKED ABOUT ARE NOT... |
| 02:50:13 |
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A COUPLE OF POINTS I WOULD MAKE IS AS WE THINK ABOUT THE PROCESS OF BUNDLING WE NEED TO MAKE CERTAIN... |
| 02:51:15 |
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MR. CHAIRMAN, AS YOU KNOW HOW THIS PLAYS OUT IN A ROW COMMITTED TO A RESTAURANT SERVICE CAPABILITIES... |
| 02:51:29 |
|
WE WERE TALKING ABOUT RURAL. [LAUGHTER] ROLE IN THE USE IS AN INTERESTING CONCEPT. OUR ROLE IN THE... |
| 02:51:41 |
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AND MEMBER OF THE PANELISTS ABOUT THE SUBJECT OF HOSPITAL AND BE EMISSIONS IN THE CONTEXT OF EXPRESSING... |
| 02:51:59 |
|
I'M SORRY, WE WERE FINISHING UP ON THE LAST TOPIC. |
| 02:52:05 |
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PRIETA MISSIONS AND WHAT THE AHA VIEW IS HOW TO ADDRESS THAT MY, FIRST OF ALL,. MISSION IS NOT A REAL... |
| 02:53:43 |
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IS, ONE FURTHER POINT. I APPRECIATE AND THINK IT'S VERY IMPORTANT THE CARE HAS BEEN IN THE DISCUSSION... |
| 02:54:46 |
|
DR. STEELE? |
| 02:54:49 |
|
I THINK THE READMISSION IS A METRIC YOU COULD EASILY APPLIED TO YOUR GOALS FOR CHRONIC DISEASE MANAGEMENT... |
| 02:55:41 |
|
YOU KNOW THE GAME WHACK-A-MOLE? [LAUGHTER] EVERY ONCE IN AWHILE I SEE ANOTHER GO UP THERE. [LAUGHTER]... |
| 02:55:51 |
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I WANT TO SEE FROM THE PATIENT AND FAMILY CAREGIVER PERSPECTIVE THE HOSPITAL READMISSION IS A HOSPITAL... |
| 02:56:37 |
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MY MOTHER IS IN A HOSPITAL THREE YEARS AGO WITH A COLIN MATTER, BUT IN THE OFFICE OF THE DAY SHE HAD... |
| 02:57:12 |
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I HAVE A FINAL QUESTION. I THINK THAT THE GENERATION TO THE REPUBLICAN ADMINISTRATION OF RICHARD NIXON... |
| 02:58:11 |
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THANK YOU, JOHN. I THINK THAT'S AN EXCELLENT QUESTION. I LIKE PANELISTS TO THINK ABOUT THAT, FRANKLY.... |
| 03:00:40 |
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THANK YOU, MR. CHAIRMAN. |
| 03:00:41 |
|
THE HEARING IS ADJOURNED. THANK YOU VERY MUCH. |
NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.
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Morris, Lewis
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