| 00:00:06 |
none, -
TO BE ITH YOU AND I WANT TO SAY I APPRECIATE YOUR SHOW. IT GETS INTO DEPTS OF ISSUES THAT I THINK ARE WORTH EXPLORING. A LOT WENT INTO MY DECISIONS,...
|
| 00:00:22 |
Unidentified Speaker, -
DINNERS WITH MY CHILDREN.
|
| 00:00:26 |
Unidentified Speaker, -
I WORKED AS THE F.D.A. COMMISSIONER AND BEFORE THAT IN THE WHITE HOUSE. SO IT HAS BEEN A LONG HAUL. IT HAS BEEN A WONDERFUL EXPERIENCE. >> WHEN IS...
|
| 00:01:00 |
Unidentified Speaker, -
|
| 00:01:02 |
Unidentified Speaker, -
IMPLEMENTING THEM TO IMPROVE OUR HEALTH CARE SYSTEMS. WE'VE MET A LOT OF PROGRESS BUT THERE IS MORE WORK TO BE DONE. >> I WANT TO GO BACK OVER AGAIN...
|
| 00:02:00 |
Unidentified Speaker, -
I WAS A MEMBER OF THE COUNCIL OF ECONOMIC ADVISERS. I STARTED EARLY IN THIS
|
| 00:02:05 |
Unidentified Speaker, -
ADMINISTRATION UNDER PRESIDENT BUSH. WHAT WAS
|
| 00:02:07 |
Unidentified Speaker, -
IN THE WHITE HOUSE I COORDINATED A LOT OF THE HEALTH CARE POLICIES FOR THE ADMINISTRATION'S
|
| 00:02:12 |
Unidentified Speaker, -
FOR ITS FIRST COUPLE OF YEARS. >> GO BACK TO THE EDUCATION.
|
| 00:02:15 |
Unidentified Speaker, -
YOU HAVE GOT A LOT OF IT. START WITH YOUR UNDERGRADUATE DEGREE. >>
|
| 00:02:20 |
Unidentified Speaker, -
I'M A FOURTH GENERATION TEXAN SO I WENT TO THE UNIVERSITY OF TEXAS LIKE MY PARENTS AND GRANDPARENTS. I DID MY GRADUATE TRAINING IN BOSTON. I WENT TO...
|
| 00:02:34 |
Unidentified Speaker, -
WAS NOT A PLAN GOING IN. THINGS WENT ON THAT WAY. I WENT ON FROM THERE TO DO MY RESIDENCY TRAINING IN INTERNAL
|
| 00:02:41 |
Unidentified Speaker, -
MEDICINE AND I MOVED TO STANFORD UNIVERSITY WHERE I WORKED WITH THE FACULTY THERE IN A COMBINATION OF WORKING ON IDEAS IN HEALTH CARE POLICY BUT ALSO...
|
| 00:03:32 |
Unidentified Speaker, -
CLEAR WASN'T CUT OUT WITH BEING NOT FAR AWAY FROM PATIENTS AND HAVING A DIRECT IMPACT ON
|
| 00:03:37 |
Unidentified Speaker, -
PEOPLE'S LIVES. ONE THING LED TO ANOTHER AND I HAD A LOT OF BACKGROUND IN STATISTICS AND SOME OF THE MATHEMATICAL TECHNIQUES THAT WERE VERY HELPFUL...
|
| 00:04:15 |
Unidentified Speaker, -
ARE ENCOURAGING A COMBINATION OF PEOPLE GETTING MEDICAL TRAINING AND TRAINING IN
|
| 00:04:20 |
Unidentified Speaker, -
ONE OR MORE OF THE SCIENCES. IN MY CASE IT WAS ECONOMICS. HAVING THAT COMBINATION OF HANDS-ON EXPERIENCE WITH CLINICAL MEDICINE AND UNDERSTANDING THE...
|
| 00:04:56 |
Unidentified Speaker, -
WIFE? >> WE MET WHILE WE WERE BOTH IN BOSTON. SHE WAS A GRADUATE STUDENT THERE AS WELL.
|
| 00:05:01 |
Unidentified Speaker, -
WE HAD MUTUAL FRIENDS WHO SET US UP ON A BLIND DATE
|
| 00:05:04 |
Unidentified Speaker, -
IS THOUGHT WE WOULD GET ALONG BECAUSE THE
|
| 00:05:06 |
Unidentified Speaker, -
REBELS AND -- FROM TEXAS. >> DOES SHE STILL WORK? >> SHE WAS A PROSECUTOR WHEN WE LIVED IN CALIFORNIA. SHE IS NOT WORKING OUTSIDE THE HOME HERE BECAUSE...
|
| 00:05:16 |
Unidentified Speaker, -
HAVE TWO YOUNG KIDS, TWIN
|
| 00:05:18 |
Unidentified Speaker, -
DAUGHTERS, AND MY JOB IS KEEPING AWAY FROM HOME ON A LOT FOR THE PAST FEW YEARS. >> IT IS UP TO YOUR TWIN DAUGHTERS. THEY ARE SEVEN. WHAT ARE THEIR...
|
| 00:05:29 |
Unidentified Speaker, -
ILEANA AND ALEX. THEY ARE BOTH VERY
|
| 00:05:31 |
Unidentified Speaker, -
MUCH AWARE OF ALL THINGS GOING AROUND IN POLITICS. ONE OF THE NICE THINGS ABOUT RAISING A FAMILY IN WASHINGTON IS THAT EVERYTHING IS HAPPENING ALL...
|
| 00:05:45 |
Unidentified Speaker, -
I WANT TO ASK YOU ABOUT YOUR DAUGHTERS AND MEDICARE,
|
| 00:05:49 |
Unidentified Speaker, -
BUT THERE IS MORE. THERE IS YOUR BROTHER, SCOTT MCCLELLAN, FORMER PRESS SECRETARY FOR PRESIDENT BUSH. WHERE IS HE NOW PUTS >> HE IS SPENDING SOME TIME...
|
| 00:06:06 |
Unidentified Speaker, -
THREE YEARS. AND BEFORE THAT HE WAS A DEPUTY PRESS SECRETARY AND WENT BACK TO TEXAS FOR THEN GOVERNOR BUSH WORKING IN AND PRESS -- HIS PRESS OFFICE....
|
| 00:06:49 |
Unidentified Speaker, -
WONDERFUL TIME RIGHT NOW DOING JUST THAT. >> SEVERAL YEARS AGO YOUR FATHER WAS IN THE NEWS. BECAUSE OF A BOOK HE WROTE.
|
| 00:06:57 |
Unidentified Speaker, -
HE USED TO WORK FOR LYNDON JOHNSON. I DID NOT READ IT BUT I GUESS HE SUGGESTED THAT LYNDON JOHNSON WAS BEHIND THE ASSASSINATION OF JFK. IS THAT TRUE?...
|
| 00:07:13 |
Unidentified Speaker, -
WHERE YOU GET ALL THIS INTEREST IN POLITICS AND EDUCATION? WHERE DOES IT COME FROM? >> I THINK IT IS PART OF A FAMILY TRADITION. MY GRANDFATHER WAS...
|
| 00:07:27 |
Unidentified Speaker, -
HE HAD A SAYING THAT HE TOLD US A LOT THAT HE WAS BY HIMSELF, WHICH WAS IT IS NOT THE DOLLARS
|
| 00:07:34 |
Unidentified Speaker, -
YOU MAKE IT IS THE DIFFERENCE YOU MAKE. THROUGH HIS EXAMPLE AND HANDED DOWN THROUGH MY
|
| 00:07:40 |
Unidentified Speaker, -
FAMILY, MY MOTHER'S INVOLVEMENT IN POLITICS, LOTS OF PUBLIC SERVICE GOING WAY BACK IN THE FAMILY, IT HAS BEEN VERY IMPORTANT TO ALL OF US TO FOCUS ON...
|
| 00:08:17 |
Unidentified Speaker, -
TO THINK THAT WITH THE ACADEMIC BACKGROUND AND FOCUSING ON THE IDEAS THAT THAT IS THE BEST PLACE
|
| 00:08:22 |
Unidentified Speaker, -
TO START IN POLICY. A LOT OF THE IDEAS THAT I SUPPORT ARE ONES
|
| 00:08:27 |
Unidentified Speaker, -
THAT REPUBLICANS HAVE BEEN VERY COMFORTABLE WITH. BUT ALSO THAT DEMOCRATS HAVE BEEN. A LOT OF THE IDEAS WE ARE IMPLEMENTING OUT IN MEDICARE STARTED...
|
| 00:08:38 |
Unidentified Speaker, -
AND WITH PEOPLE IN THE DEPARTMENT OF TREASURY AND UNDER SECRETARY RUBIN AND PREVIOUS WHITE HOUSE GENE SPERLING AND CHRIS JENNINGS AND OTHERS WHO WERE...
|
| 00:09:16 |
Unidentified Speaker, -
WASHINGTON, THE GIRLS WERE JUST THREE, MY
|
| 00:09:18 |
Unidentified Speaker, -
WIFE CAME HOME AND THERE WERE PLAYING DOWNSTAIRS AND HAVE ARRANGED ANOTHER BARBIE AND PRINCESS FALLS IN A CIRCLE. I ASKED THEM IF THEY WERE HAVING A...
|
| 00:09:28 |
Unidentified Speaker, -
TOWN MEETING. THAT IS WHAT THEY REALLY FOCUSED ON GROWING UP HERE IN THIS HOT THE IMPORTANCE OF GETTING INVOLVED IN FINDING OUT ABOUT PUBLIC POLICY...
|
| 00:10:57 |
Unidentified Speaker, -
STEPS. FOR
|
| 00:10:58 |
Unidentified Speaker, -
EXAMPLE, EDUCATING PEOPLE ABOUT THE OPPORTUNITIES THEY HAVE FOR THEIR HEALTHCARE NEEDS AND RETIREMENT, ON IMPROVING LONG-TERM CARE SERVICES WHICH MEDICARE...
|
| 00:11:47 |
Unidentified Speaker, -
ARE HOSPITAL SERVICES, THAT IS PART A, AND PHYSICIAN SERVICES, THAT IS PART BE. IN THE 1980'S AND 1990'S MEDICARE MADE SOME CHANGES TO RECOGNIZE THAT...
|
| 00:11:59 |
Unidentified Speaker, -
GETTING THEIR HEALTH CARE THROUGH HEALTH PLANS THAT PROVIDE MORE COMPREHENSIVE SET OF SERVICES. MEDICARE PART C PAYS FOR WHAT ARE CALLED MEDICARE MANAGED...
|
| 00:12:43 |
Unidentified Speaker, -
ACCOUNTS AND MEDICARE FOR THE FIRST TIME. FOR THE FIRST TIME SENIORS ARE GOING TO HAVE A
|
| 00:12:47 |
Unidentified Speaker, -
FULL RANGE OF OPTIONS AVAILABLE FOR GETTING THEIR HEALTH CARE COVERAGE JUST AS EVERY FEDERAL EMPLOYEE HAS FOR DECADES AND JUST AS MANY EMPLOYEES IN...
|
| 00:13:29 |
Unidentified Speaker, -
THE MEDICARE HOSPITAL FUND. RIGHT NOW THAT PROJECTED DATE IS STILL A DECADE
|
| 00:13:33 |
Unidentified Speaker, -
OR MORE AWAY, BUT THAT IS NOT THAT FAR. WE NEED TO MAKE SURE WE ARE TAKING STEPS TO MAKE MEDICARE MORE FINANCIALLY SUSTAINABLE. >> LET ME ASK YOU THIS....
|
| 00:14:01 |
Unidentified Speaker, -
INCOME LIMITS. THIS ADDS UP TO A LOT OF MONEY EVERY YEAR. STILL IT IS NOT ENOUGH.
|
| 00:14:07 |
Unidentified Speaker, -
WE'VE GOT IT SET UP TO MAKE IT SUSTAINABLE FOR THE LONG TERM. WE NEED TO TAKE THESE OTHER STEPS TO IMPROVE MEDICARE. >> WHEN WAS THAT TAX RATES? >> THAT...
|
| 00:14:18 |
Unidentified Speaker, -
IN THE EARLY 1990'S AND THAT DID IMPROVE THE FINANCIAL OUTLOOK
|
| 00:14:21 |
Unidentified Speaker, -
FOR THE MEDICARE PROGRAM. REALLY THE MAIN THING THAT HAPPENED AND THAT, ABOUT 15 YEARS AGO, IS TO RAISE THE CAP SO THERE IS NO INCOME LIMITS SUBJECT...
|
| 00:14:35 |
Unidentified Speaker, -
THAT IS FOR HOSPITALS? >>
|
| 00:14:38 |
Unidentified Speaker, -
THAT IS FOR HOSPITAL CARE AND IT ALSO COVERS SOME ALTERNATIVES TO HOSPITAL CARE LIKE HOME HEALTH SERVICES. THE IDEA IS IF WE CAN SUPPORT SERVICES PEOPLE...
|
| 00:14:57 |
Unidentified Speaker, -
COMES FROM GENERAL GOVERNMENT REVENUES
|
| 00:14:59 |
Unidentified Speaker, -
THAT IS FINANCED AND A TIE% FROM A GENERAL FEDERAL TAX REVENUES AND IT IS FINANCED 25% FROM PREMIUMS THAT BENEFICIARIES PAY. ALL ARE BENEFICIARIES HAVE...
|
| 00:15:14 |
Unidentified Speaker, -
THE COSTS OF PART B TRANSLATES DIRECTLY INTO THE COST
|
| 00:15:18 |
Unidentified Speaker, -
OF BENEFICIARIES HAVE TO PAY. AND ALSO AS PART B COSTS RISE IT BECOMES HARDER AND HARDER FOR THE FEDERAL GOVERNMENTS TO PAY FOR ALL THE SERVICES AND PAY...
|
| 00:15:54 |
Unidentified Speaker, -
ARE RAISED AND THEY ARE USED TO FINANCE THE BENEFITS THAT PEOPLE
|
| 00:15:59 |
Unidentified Speaker, -
ARE GETTING TODAY. BECAUSE IN RECENT YEARS THE PAYROLL TAXES HAVE BEEN A LITTLE BIT BIGGER THAN THE SPENDING IN MEDICARE PART A, SOME OF THAT MONEY HAS...
|
| 00:17:37 |
Unidentified Speaker, -
FOR AROUND 90 MILLION
|
| 00:17:40 |
Unidentified Speaker, -
AMERICANS. OF MATCHES TO ANY PERSON, THESE OF THE PEOPLE WHO CAN GET THE MOST OUT OF OUR HEALTH-CARE SYSTEM -- OUR SENIORS, PEOPLE WITH DISABILITY,...
|
| 00:18:14 |
Unidentified Speaker, -
TALK ABOUT PART D. WE TALKED ABOUT A, B, AND SEE AND WHAT SPARKED -- SPEND
|
| 00:18:21 |
Unidentified Speaker, -
A MINUTE TALKING ABOUT PART D. THIS IS NEW PRESCRIPTION
|
| 00:18:24 |
Unidentified Speaker, -
DRUG COVERAGE THAT FILL AN ABSOLUTELY CRITICAL GAP IN THE MEDICARE PROGRAM FROM THE STANDPOINT OF PREVENTING DISEASES AND SPENDING MONEY WELL. UP...
|
| 00:18:33 |
Unidentified Speaker, -
SPENDING HUNDREDS OF BILLIONS OF DOLLARS, ALMOST ALL OF IT GOING TO PAY FOR COMPLICATIONS AND HEALTH PROBLEMS AFTER THEY OCCURRED. IN 2006 I CAN TELL...
|
| 00:23:45 |
Unidentified Speaker, -
JUST A FEW MINUTES AND WE'RE SEEING VERY HIGH BENEFICIARY SATISFACTION RATES WITH THE SERVICE THEY ARE ACTUALLY GETTING. THAT
|
| 00:23:51 |
Unidentified Speaker, -
IS ONE IMPORTANT PLACE TO GO. PEOPLE CAN GET THIS IMPORTANT PERSONALIZED INFORMATION AT OUR WEB SITE. A LOT OF SENIORS TO NOT LIKE TO GO ON THE INTERNET,...
|
| 00:25:36 |
Unidentified Speaker, -
I HEALTH CARE CUTS. WHAT ARE THE LARGEST HEALTH CARE PAYOR IN THIS COUNTRY AND IT IS IMPOSSIBLE TO MAKE HEALTHCARE BETTER UNLESS MEDICARE IS LEADING...
|
| 00:25:52 |
Unidentified Speaker, -
MOVING TOWARDS MORE OF AN EMPHASIS ON PREVENTATIVE CARE AND NOT JUST PAY THE BILLS AND PEOPLE JUST GET SICK. MOVING TOWARDS MORE OF AN EMPHASIS ON SUPPORTING...
|
| 00:28:07 |
Unidentified Speaker, -
IT IS GOING TO BE $93.50. FOR MOST PEOPLE THAT IS $5 ABOVE WHERE IT WAS HERE. IT IS THAT IT 5% INCREASE WHICH IS LESS THAN MEDICAL INFLATION AND THAT...
|
| 00:28:20 |
Unidentified Speaker, -
PHYSICIANS TO KEEP OVERALL COSTS DOWN. >> THAT IS PER MONTH. >> FOR PEOPLE WHO ARE WEALTHIER, INSTEAD OF A 25% OF THE COST OF THEIR HEALTH INSURANCE...
|
| 00:28:43 |
Unidentified Speaker, -
UNDER THIS NEW PROGRAM AND
|
| 00:28:46 |
Unidentified Speaker, -
TO PAY A LARGER PART OF THEIR SHARE OF THE EXPENSES. THEIR PREMIUMS COULD BE 110 OR $130 DEPENDING UPON THEIR INCOME. THAT HIGHER INCOME PREMIUM STARTS...
|
| 00:29:33 |
Unidentified Speaker, -
EVEN THERE, THE BENEFICIARIES ARE STILL GOING TO GET THOUSANDS OF DOLLARS WORTH
|
| 00:29:37 |
Unidentified Speaker, -
OF SUBSIDIES FROM MEDICARE TO CONTINUE THEIR HEALTH INSURANCE. WE'RE JUST TRYING TO SHIFT THE BALANCE TO SOMETHING THAT IS A LITTLE BIT MORE SUSTAINABLE...
|
| 00:30:07 |
Unidentified Speaker, -
SPECIAL KIND OF MONSTER IF IT IS A MONSTER. THE THING THAT MEDICARE HEALTH BRING TO THIS COUNTRY IS UP-TO- DATE HEALTHCARE. WITHOUT GOOD HEALTH INSURANCE...
|
| 00:30:27 |
Unidentified Speaker, -
NATION IS LEADING THE WAY INNOVATIVE TREATMENTS BASED ON NEW SCIENCES LIKE GENOMICS. NANOTECHNOLOGY WHERE WE SHOULD CONTINUE TO GET, JUST AS WE HAVE ...
|
| 00:31:51 |
Unidentified Speaker, -
GET TO GET OUT IN THE COUNTRY.
|
| 00:31:53 |
Unidentified Speaker, -
WE ARE TURNING MEDICARE INTO A MUCH MORE GRASSROOTS PROGRAM WHERE WE INTERACT DIRECTLY WITH THE BENEFICIARIES THERE ARE REGIONAL STAFFS AND INCREASINGLY...
|
| 00:33:32 |
Unidentified Speaker, -
YOU HEAR A LOT OF DOCTORS TODAY WILL NOT TREAT
|
| 00:33:35 |
Unidentified Speaker, -
PEOPLE OF MEDICARE PAYMENTS. THEY WILL NOT TAKE MEDICARE PAYMENTS. >> WE HEAR A LOT OF CONCERNS ABOUT THAT BUT WE TRACK THIS VERY CAREFULLY. THERE ARE...
|
| 00:33:53 |
Unidentified Speaker, -
MAJORITY OF BENEFICIARIES ARE REPORTING NO PROBLEMS WITH ACCESS TO POSITIONS AND MEDICARE. THERE ARE TO SOME CONCERNS ABOUT WHERE
|
| 00:34:00 |
Unidentified Speaker, -
MEDICARE PHYSICIAN PAYMENTS ARE HEADED FOR THE FUTURE. THAT IS A GOOD EXAMPLE OF THE RIGHT WAY AND THE WRONG WAY TO SOLVE MEDICARE'S PROBLEMS. UNDER...
|
| 00:36:27 |
Unidentified Speaker, -
HAPPENS TO EACH OF OUR PAYMENT RATES EACH YEAR AND WE IMPLEMENT THAT. SOMETHING IS DETERMINED
|
| 00:36:31 |
Unidentified Speaker, -
BY STATUTE AND THAT IS WHY TO ADDRESS THESE PROBLEMS WITHOUT PHYSICIAN PAYMENT SYSTEMS, THE PROBLEM THAT IS NOT SUSTAINABLE FROM A COST STANDPOINT,...
|
| 00:37:26 |
Unidentified Speaker, -
PART OPERATIONS AND EVERYTHING ELSE. WE ISSUE REGULATIONS EVERY YEAR THAT IMPLEMENT
|
| 00:37:31 |
Unidentified Speaker, -
THOSE PAYMENT RULES. >> CITED BY DOCTORS OR INSURANCE COMPANY? >> PROVIDED BY STATUTE.
|
| 00:37:38 |
Unidentified Speaker, -
THERE ARE A WHOLE LOT OF FACTORS THAT GO INTO INFLUENCING WHERE THE LAW COMES OUT.
|
| 00:37:42 |
Unidentified Speaker, -
IT IS SOMETHING THAT IS SET BY CONGRESS EVERY YEAR. BECAUSE OF THE GROWING FRUSTRATION WITH OUR CURRENT PAYMENT SYSTEM WHERE ON THE ONE HAND DOCTORS...
|
| 00:37:55 |
Unidentified Speaker, -
OTHER HAND MEDICARE SPENDING
|
| 00:37:56 |
Unidentified Speaker, -
HAS KEPT GOING UP AND OUT. THERE IS A REAL PRESSURE TO GET TO A BETTER SYSTEM WHERE WE ARE PAYING FOR THE KIND OF CARE THAT WE WANT, NOT PREVENTING COMPLICATIONS....
|
| 00:39:57 |
Unidentified Speaker, -
HOSPITALS AND OTHERS SENDEN FOR BILLING. WE ARE INCREASINGLY
|
| 00:40:01 |
Unidentified Speaker, -
SHIFTING RESOURCES INTO PROVIDING PERSONALIZED SUPPORT FOR BENEFICIARIES. THAT IS THE 1-800-MEDICARE OPERATORS. THAT IS THE WORK WE'RE DOING FOR LOCAL...
|
| 00:40:45 |
Unidentified Speaker, -
FROM NOVEMBER 3 -- 15 TO THE END
|
| 00:40:47 |
Unidentified Speaker, -
OF THE YEAR. WE ARE ENCOURAGING PEOPLE TO LOOK AT THEIR OPTIONS
|
| 00:40:50 |
Unidentified Speaker, -
STARTING NEXT MONTH IN OCTOBER. FIND OUT ABOUT WHETHER THERE
|
| 00:40:53 |
Unidentified Speaker, -
ARE BETTER OPTIONS AVAILABLE FOR THEM IF THEY'RE NOT SATISFIED WITH THEIR CURRENT COVERAGE. WE WILL BE STAFFING UP A LOT. WE WILL BE GETTING UP TO...
|
| 00:41:26 |
Unidentified Speaker, -
YEARS THAT MAKE SURE THE OPERATORS ARE FAMILIAR WITH THE KEY FEATURES OF
|
| 00:41:30 |
Unidentified Speaker, -
THE MEDICARE PROGRAM BEFORE ANYONE CAN START AS A CUSTOMER SERVICE REPRESENTATIVE WITH US THEY HAVE TO GO THROUGH A FULL-TIME TRAINING COURSE. THEY...
|
| 00:42:12 |
Unidentified Speaker, -
OVER THE COUNTRY. WE'VE GOT 10
|
| 00:42:15 |
Unidentified Speaker, -
MAJOR REGIONAL OFFICES FROM COAST TO COAST AND POINTS IN BETWEEN. WE ALSO HAVE STAFF THAT STAND OUT FROM THERE THAT WORKED I I STATE CAPITALS, THAT WORK...
|
| 00:42:53 |
Unidentified Speaker, -
COUNTRY. PHARMACY SERVICES ARE NOW SUCH AN ESSENTIAL
|
| 00:42:56 |
Unidentified Speaker, -
PART OF THE PROGRAM. >> IF AN INDIVIDUAL IS FRUSTRATED AND THEY CANNOT GET THROUGH 800 NUMBER -- THIS IS SOMEONE MIND-BOGGLING WHEN YOU TRY TO DEAL WITH...
|
| 00:43:18 |
Unidentified Speaker, -
WE REALLY ARE TRYING TO GET PEOPLE ONE-STOP SHOP FOR GETTING ALL THEIR QUESTIONS ANSWERED BECAUSE THAT IS SO IMPORTANT TO HAVE PERSONALIZED SERVICES....
|
| 00:43:30 |
Unidentified Speaker, -
TO BE A, B, C, OR D. PWE ARE SEEING MORE OF BENEFICIARIES TO USE THE MINUTE -- MANAGED HEALTH PLANS THAT PROVIDE THE FULL SPECTRUM OF COVERAGE AND PHYSICIAN...
|
| 00:44:32 |
Unidentified Speaker, -
PAYROLL TAX, THERE IS ABOUT AS MUCH MONEY COMING IN RIGHT NOW AS IS GOING OUT. THEY ARE A LITTLE BIT OUT OF BALANCE. WHAT IS COMING IN IS CLOSE TO WHAT...
|
| 00:44:48 |
Unidentified Speaker, -
SOCIAL SECURITY. SOCIAL SECURITY IS FUNDED ENTIRELY FROM A DEDICATED PAYROLL TAX. MEDICARE HAS A PAYROLL TAX TO PROVIDE SOME OF OUR FUNDING BUT IN...
|
| 00:45:29 |
Unidentified Speaker, -
BUDGET THIS YEAR IS THE STEP TOWARDS GREATER SUSTAINABILITY. I THINK WE'VE GOT TO MOVE ON TWO PROBLEMS. ONE PRONG IS THAT'S LIKE THE INCOME RELATED...
|
| 00:45:41 |
Unidentified Speaker, -
IS RECOGNIZING WE'VE GOT TO DO MORE TO PAY FOR CARE THAT IS HIGH-QUALITY AND WE'VE GOT TO KEEP TAKING STEPS LIKE WE HAVE TAKEN IN THE LAST FEW YEARS...
|
| 00:47:06 |
Unidentified Speaker, -
WHAT IS IT COSTING THE GOVERNMENT A YEAR NOW COMPARED TO WHAT THE PREDICTION WAS. >> NOW THE COST TO OUR WAY BACK DOWN. NOW THAT WE ACTUALLY HAVE EXPERIENCE...
|
| 00:47:35 |
Unidentified Speaker, -
NEXT YEAR THE COSTS ARE GOING TO BE EVEN LOWER. BECAUSE OF STRONG COMPETITION THE BID, THE AMOUNT OF MONEY THAT THE PLANS BE TO PROVIDE COVERAGE, IS...
|
| 00:47:45 |
Unidentified Speaker, -
BY NEXT YEAR WE WILL BE
|
| 00:47:47 |
Unidentified Speaker, -
40% BELOW WHERE THE PROJECTED COST HAS BEEN JUST THE YEAR-AGO. WE ARE WAY
|
| 00:47:52 |
Unidentified Speaker, -
LOWER THAN
|
| 00:47:54 |
Unidentified Speaker, -
THAT $700 BILLION THAT YOU MENTIONED. >> WE ARE BACK IN THE OVAL OFFICE AND THE PRESIDENT STILL DOES NOT HAVE ENOUGH FROM YOU AND THE WAY OF SUGGESTIONS...
|
| 00:48:17 |
Unidentified Speaker, -
HOW YOU DO THAT? >> SOME OF THESE STEPS THAT WE ARE TAKING ALREADY. WE TALK ABOUT GIVING BENEFICIARIES PERSONALIZE SUPPORT TO CHOOSE A HEALTH PLAN COVERS...
|
| 00:48:30 |
Unidentified Speaker, -
YOU DO THAT? >> IT IS PAYING FOR PART B ALREADY. WE'RE SEEING MUCH MORE LAHR COSTS
|
| 00:48:38 |
Unidentified Speaker, -
BECAUSE ARE
|
| 00:48:39 |
Unidentified Speaker, -
BENEFICIARIES ARE INVOLVED IN CHOOSING THEIR CARE AND STRONG COMPETITION IS WORKING. IT ALSO CAN WORK FOR MEDICARE PART C, PEOPLE TO DRAW ANY MEDICARE...
|
| 00:48:50 |
Unidentified Speaker, -
THE HEALTH CARE COSTS ON AVERAGE AND MANY PEOPLE ARE DOING THAT. >> LET ME ASK ABOUT THAT.
|
| 00:48:55 |
Unidentified Speaker, -
SAY I AM 65 YEARS OLD AND I WANT TO DEPART SEE. WHAT DO I I DO? >> YOU CALL US AT 1-800-MEDICARE OR YOU GO ON TO OUR WEB SITE FOR A NEW TOOL WE HAVE...
|
| 00:49:13 |
Unidentified Speaker, -
YOUR CARE. SOME ARE BENEFICIARIES WANT COORDINATED CARE DID NOT LIKE TO PAY MUCH OUT OF POCKET. THEY LIKE THE CARE YOU CAN GET IN
|
| 00:49:21 |
Unidentified Speaker, -
AN HMO. WE HAVE OPTIONS FOR THEM. OTHER PEOPLE LIKE TO GET MUCH MORE INVOLVED IN MAKING DECISIONS. THEY LIKE TO HAVE ACCESS TO ANY DOCTOR OR HOSPITAL....
|
| 00:50:45 |
Unidentified Speaker, -
ADMINISTRATION'S PREVIOUS. WHAT I REALLY LIKE DOING IS WORKING ON THE BIG IDEA IS THAT WE CAN GET TO A
|
| 00:50:53 |
Unidentified Speaker, -
BETTER HEALTH CARE SYSTEM. NOT JUST SIT AND AN IVORY TOWER OFFICE OR SOMETHING LIKE THAT BUT ROLLING UP SLEEVES AND ACTUALLY IMPLEMENTING IT AND MAKING...
|
| 00:52:03 |
Unidentified Speaker, -
IN IMPLEMENTING SOLUTIONS. THAT IS
|
| 00:52:06 |
Unidentified Speaker, -
MORE SUITED TO MY BACKGROUND AND MY PREFERENCE. >> YOU ARE STILL IN THE OVAL OFFICE AND THE PRESIDENT DOES NOT HAVE ENOUGH INFORMATION, HE IS AFRAID...
|
| 00:52:29 |
Unidentified Speaker, -
UNNECESSARY HEALTH- CARE COSTS, AND KEEP MAKING STEPS TO MAKE MEDICARE MORE SUSTAINABLE FROM THE FINANCING STANDPOINT AS WELL. SECRETARY LEAVITT AT HHS...
|
| 00:52:39 |
Unidentified Speaker, -
US AND IT'S REALLY BEEN LEADING THE NATIONWIDE INITIATIVE ON GETTING BETTER INFORMATION AVAILABLE OF QUALITY CARE AND COST OF CARE. THAT IS AN IMPORTANT...
|
| 00:53:33 |
Unidentified Speaker, -
PEOPLE ARE DOWN $1,500 WORTH OF HELP. YOU CAN GET A COMPREHENSIVE PLAN FOR MUCH LESS THAN THE COST OF
|
| 00:53:40 |
Unidentified Speaker, -
PAYING FOR ALL THOSE DRUGS IN THE DOUGHNUT HOLE YOURSELF. THAT IS SOMETHING WE WANT PEOPLE TO LOOK INTO WHAT PEOPLE TO MAKE SURE THEY KNOW THAT THEY...
|
| 00:54:58 |
Unidentified Speaker, -
OF OPTIMISM ABOUT THE FUTURE OF THIS COUNTRY. THERE ARE A LOT OF PEOPLE HERE ON THE SURFACE WHEN THEY GET ON NEW
|
| 00:55:04 |
Unidentified Speaker, -
SHOWS, NOT YOURS, MI DREAM THINGS THAT REALLY WANT TO GET IT TO MAKE THE NATION'S PROBLEMS BETTER. >> WE ARE HERE FOR THE RIGHT REASONS. I'VE HAD THE...
|
| 00:55:32 |
Unidentified Speaker, -
DO OVER ALL AGAIN WE TO GET A MEDICAL DEGREE AND A PH.D. IN ECONOMICS? >> THE COMBINATION HAS BEEN HELPFUL FOR ME AND MY WORK. IT CERTAINLY WASN'T A...
|
| 00:55:53 |
Unidentified Speaker, -
ERRORS AND USING MEDICATIONS EFFECTIVELY IN STAYING WELL AS SAVING
|
| 00:55:57 |
Unidentified Speaker, -
A LOT OF MONEY AND A LOT OF LIVES BY DELIVERING CARE MORE EFFECTIVELY. ON THE ECONOMIC SIDE YOU REALLY SEE THAT HOW YOU PAY MATTERS. WE ARE TRYING TO...
|
| 00:56:43 |
Unidentified Speaker, -
PAY A LITTLE BIT HIGHER PREMIUM FOR AND THAT REFLECTS THE FACT
|
| 00:56:46 |
Unidentified Speaker, -
THAT PEOPLE WAIT UNTIL THEY GET SET TO USE THEIR INSURANCE. WE NEED THEM TO PAY MORE TO MAKE SURE THE INSURANCE WORKS FOR EVERYBODY. >> AND IF YOU DO
|
| 00:56:55 |
Unidentified Speaker, -
NOT AT 65, DID
|
| 00:56:58 |
Unidentified Speaker, -
YOU STILL CONTINUE TO PAY FOR PART A? >> IF YOU ARE STILL WORKING PAST AGE 65 YOU'RE GOING TO CONTINUE TO PAY YOUR PAYROLL TAXES ON PART A SERVICES....
|
| 00:57:17 |
Unidentified Speaker, -
ENCOURAGE MORE THAT'S A WE ARE TRYING TO FIND WAYS TO MAKE MEDICARE BETTER OFF WITH EXISTING
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| 00:57:22 |
Unidentified Speaker, -
COVERAGE THAT OLDER WORKERS HAVE. >> DR. MARK MCCLELLAN BELIEVES MEDICARE AS THE -- DIRECTOR? >> ADMINISTRATOR, DIRECTOR, ACHIEVE. I LEAVE BY MID OCTOBER....
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| 00:57:47 |
Unidentified Speaker, -
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| 00:57:50 |
Unidentified Speaker, -
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| 00:57:58 |
Unidentified Speaker, -
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| 00:58:00 |
Unidentified Speaker, -
BRITISH
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.