| 00:00:40 |
Baucus, Max - U.S. Senator, [D] Montana
A GREAT THOUGHT BEGINS BY SEEING SOMETHING DIFFERENTLY, FOR THE SHIFT OF THE MINES I. TODAY WE HOLD THEIR THIRD ROUNDTABLE ON MEDICARE PHYSICIAN PAYMENTS....
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| 00:05:08 |
Hoven, Ardis D. - Member
SUPPORT HIGH-QUALITY AND HIGH VALUE CARE. AS WE MOVE FORWARD TWO FACTORS ARE CRITICAL, PHYSICIAN PRACTICES WIDELY VARY IN THE DEVELOPMENT AND DISSEMINATION...
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| 00:08:16 |
Stream, Glen - President
DELIVERS LOWER-QUALITY CARE BARZEE BECAUSE IT UNDERVALUES PRIMARY CARE. BFT IS CONVINCED THAT NO SINGLE ALTERNATIVE PAYMENT METHOD WILL REBUILD PRIMARY...
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| 00:11:15 |
Opelka, Frank - Professor
IMPROVING TO CARE FOR THE SURGICAL PATIENT AND INSPIRING QUALITY AMONG SURGEONS. ON BEHALF OF THE AMERICAN COLLEGE OF SURGEONS THERE A COUPLE OF KEY...
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| 00:14:12 |
Weaver, Douglas - Chief
FOR SERVICES IN THE FORD HEALTH SYSTEM IN DETROIT. I'M PLEASE TO SPEAK YOU ON BEHALF OF THE AMERICAN COLLEGE OF CARDIOLOGY. IF THE COLLEGE TO MAKE ONE...
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| 00:17:46 |
McAneny, Barbara - Member
ON BEHALF OF THE AMERICAN SOCIETY OF POLITICAL ONCOLOGY WHICH REPRESENTS 30,000 ONCOLOGIST. WE SUPPORT YOUR PURSUIT TRANSFORM THE MEDICARE PAYMENT...
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| 00:21:01 |
Baucus, Max - U.S. Senator, [D] Montana
YOU. JUST ONE
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| 00:21:08 |
Q&A, -
QUESTION. SINCE PHYSICIANS ARE SO INVOLVED WITH SUCH A LARGE PERCENTAGE OF PAYMENTS, HEALTH CARE PAYMENTS, AND OUR COUNTRY, SEEMS TO IT SEEMS TO ME THAT...
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| 00:22:47 |
Hoven, Ardis D. - Member
ARE BEING USED, BE THEY IN PRIMARY CARE MODELS, MEDICAL HOME MODELS, PAYMENTS WHEREVER THEY ARE. WE ARE GOING TO BE LOOKING CONSTANTLY AT THE VALUE...
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| 00:24:14 |
Stream, Glen - President
CENTER. THE CARE COORDINATION THAT HAS TO DO WITH COORDINATING CARE BUT THE ANSWER TO YOUR QUESTION SENATOR, THE SHARED SAVINGS COMPONENT OF THAT MODEL...
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| 00:26:10 |
Wyden, Ronald "Ron" Lee - U.S. Senator, [D] Oregon
NUMBER ONE, LEAVE THE PATIENT IN A POSITION TO BE HAPPIER AS THE ONCOLOGIST NOTED AND START USING THE PAYMENT SYSTEMS JUST REWARD THOSE KINDS OF EFFORTS....
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| 00:26:38 |
McAneny, Barbara - Member
PARTS OF HEALTH CARE AND THE COST OF DRUGS THAT WE HAVE NO ABILITY TO MANAGE, BUT WE CAN MANAGE THE SITE OF SERVICE AND WE ALL KNOW IT'S A LOT LESS EXPENSIVE...
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| 00:28:21 |
Weaver, Douglas - Chief
THE INFRASTRUCTURE WHICH MAY BE NURSES, MEDICAL ASSISTANTS, PART-TIME PHARMACIST, REALLY NOT DOCTOR STAFF. THIS IS STUFF THAT KEEPS PEOPLE ON THE RIGHT,...
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| 00:30:36 |
Stabenow, Debbie - U.S. Senator, [D] Michigan
DOING IT SINCE WE ARE TALKING ABOUT IT DAVID -- DATA-DRIVEN SYSTEM? >> LET ME RESPOND TO THAT AND CMS IS CURRENTLY PROMOTING A LOT MORE TRANSPARENCY...
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| 00:30:46 |
Weaver, Douglas - Chief
BUT THE MEASURES THAT ARE REPORTED, READMISSION RATES, SMOKING CESSATION IN THESE THINGS, THERE VERY VERY CRUDE MEASURES AND THEY DON'T TELL YOU WHAT...
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| 00:31:33 |
McAneny, Barbara - Member
CAN WE IMPROVE WHAT WE DO? THIS COSTS MONEY FOR PRACTICES TO PARTICIPATE IN BUT THOUSANDS OF ONCOLOGISTS HAVE PARTICIPATED WILLINGLY SPENDING THAT MONEY...
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| 00:32:20 |
Weaver, Douglas - Chief
PROGRAM MANY YEARS AGO AND PEOPLE MOVED FROM 50% TO ESSENTIALLY EVERYWHERE. YOU WANT TO MOVE ON AFTER THAT. YOU HAVE GOT THAT ONE DOWN AND YOU CAN'T...
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| 00:32:58 |
Bingaman, Jeff - U.S. Senator, [D] New Mexico
A FOCUS ON REPORTING ABOUT OUTCOMES. IT SEEMS TO ME THAT YOU KNOW, A SORT OF UNDERLYING OR OVER ARCHING DATASET THAT SHOULD SORT OF SPAM ALL OF THE VARIOUS...
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| 00:34:03 |
Opelka, Frank - Professor
100 TO 130 DATA ELEMENTS OVER 30 DAYS ON THE PATIENT'S CARE. THAT DATA THEN CHURNS OUT INTO THE RISK-ADJUSTED EXPECTED OUTCOME AND WE MEASURE THE ACTUAL...
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| 00:36:06 |
Stream, Glen - President
CHRONIC ILLNESS AND IT IS PAYBACK TIME TO HAVE GOOD OUTCOMES MIGHT BE FIVE, 10 OR 15 YEARS. TO AVOID THEM BEING ON DIALYSIS 10 YEARS FROM NOW SO INSTEAD...
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| 00:37:19 |
Cantwell, Maria - U.S. Senator, [D] Washington
BETTER? >> DELIGHTS HELP. >> YOU WERE TALKING ABOUT QUALITY AND OUTCOMES IN ONE OF THE THINGS IN THE AFFORDABLE CARE ACT IS MOVING TO THIS VALUE-BASED...
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| 00:38:19 |
Hoven, Ardis D. - Member
MAKE SURE THE METHODOLOGY GETS US TO A GOOD PLACE. I DO THINK IT IS A GOOD FIRST STEP. WE ARE IN THE PROCESS OF REVIEWING IT SO I THINK WE WILL BE GETTING...
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| 00:38:45 |
Weaver, Douglas - Chief
THE COST THAT IS REGIONAL. I HAVE TO TELL YOU THAT WHAT PEOPLE HAVE SAID TODAY IS YOU NEED MEANINGFUL, CREDIBLE DATA IN ORDER TO DO ANY ADJUSTMENT ...
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| 00:43:07 |
Stream, Glen - President
ON ALL OF THESE THINGS BUT POPULATIONS DO DIFFER SOMEWHAT. INNER-CITY POPULATIONS HAVE MORE POVERTY AND LESS EDUCATION. >> THE SEVEN HUGE IMPACT ON...
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| 00:45:04 |
Hoven, Ardis D. - Member
WHICH PROCEEDED CURRENT ISSUES. LOOKING AT SPOTS FOR MEDICAL EDUCATION AND A CHANGE IN CRICHTON AND MEDICAL SCHOOLS MAKING SURE THAT PRIMARY CARE IS...
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| 00:46:04 |
Kyl, Jon - U.S. Senator, [R] Arizona
REGARDLESS OF THEIR IDIOSYNCRASIES AND I BEGAN TO PRACTICE AND DEFENSE WORK AND FOUND IT WAS TRUE IN THE MEDICAL PROFESSION. DATA IS COLLECTED TO PROVIDE...
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| 00:48:59 |
Opelka, Frank - Professor
THE ATTRIBUTION, IT BECOMES MORE PATIENT CENTRIC. SO WHERE WE WERE 30 OR YEARS AGO WHEN WE STARTED REALLY PUSHING HARD ON PERFORMANCE MEASUREMENT ...
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| 00:50:57 |
Stream, Glen - President
WITH A PHYSICIAN BEAR -- SHOULD BE THE HIGHEST PART IN MAKING SURE THAT PATIENT GETS THE TREATMENT THAT THEY NEED THAT WILL IMPROVE THEIR HEALTH AND...
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| 00:52:11 |
McAneny, Barbara - Member
THE COUNTRY SO AREAS SUCH AS ARE AREAS IN THE WEST AND ARIZONA HAVE LOWER PAYMENT RATES FOR THE SAME SERVICE. THERE ARE DIFFERENTIALS ON THE SITE OF...
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| 00:54:10 |
Hatch, Orrin - U.S. Senator, [R] Utah
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| 00:57:11 |
McAneny, Barbara - Member
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| 00:58:37 |
Hoven, Ardis D. - Member
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| 00:59:16 |
Weaver, Douglas - Chief
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| 01:00:58 |
Baucus, Max - U.S. Senator, [D] Montana
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| 01:02:22 |
Opelka, Frank - Professor
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| 01:05:26 |
Weaver, Douglas - Chief
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| 01:06:42 |
Stream, Glen - President
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| 01:07:31 |
Kyl, Jon - U.S. Senator, [R] Arizona
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| 01:08:56 |
McAneny, Barbara - Member
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| 01:10:49 |
Hoven, Ardis D. - Member
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| 01:13:37 |
McAneny, Barbara - Member
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| 01:15:01 |
Opelka, Frank - Professor
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| 01:16:19 |
Weaver, Douglas - Chief
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| 01:17:25 |
Stream, Glen - President
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| 01:17:34 |
Baucus, Max - U.S. Senator, [D] Montana
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| 01:17:46 |
Stream, Glen - President
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| 01:18:48 |
Opelka, Frank - Professor
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| 01:19:56 |
Hoven, Ardis D. - Member
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| 01:20:46 |
Thune, John R. - U.S. Senator, [R] South Dakota
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| 01:23:19 |
Stream, Glen - President
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| 01:25:11 |
McAneny, Barbara - Member
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| 01:28:10 |
Hoven, Ardis D. - Member
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| 01:29:09 |
Thune, John R. - U.S. Senator, [R] South Dakota
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| 01:29:21 |
Opelka, Frank - Professor
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| 01:30:47 |
Weaver, Douglas - Chief
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| 01:31:24 |
Opelka, Frank - Professor
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| 01:31:38 |
Stream, Glen - President
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| 01:32:22 |
Opelka, Frank - Professor
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| 01:34:08 |
Thune, John R. - U.S. Senator, [R] South Dakota
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| 01:34:57 |
Opelka, Frank - Professor
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| 01:35:20 |
Hoven, Ardis D. - Member
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| 01:36:20 |
Carper, Thomas "Tom" R. - U.S. Senator, [D] Delaware
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| 01:38:11 |
Opelka, Frank - Professor
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| 01:41:01 |
Stream, Glen - President
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| 01:41:50 |
Baucus, Max - U.S. Senator, [D] Montana
THE
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.