| 00:00:01 |
Unidentified Speaker, -
COSGROVE, DIRECTOR OF THE HEALTH CARE GROUP AT THE GOVERNMENT ACCOUNTABILITY OFFICE, GYM KA CAPRETTA CAPRETTA, FELLOW AT THE ETHICS PUBLIC AND POLICIES...
|
| 00:00:53 |
Unidentified Speaker, -
OFFER MEDICARE BENEFICIARIES AN ALTERNATIVE TO THE FEE-FOR-SERVICE PROGRAM FOR MANY YEARS, PRIVATE HEALTH PLANS HAVE PLAYED AN IMPORTANT ROLE IN CARING...
|
| 00:05:49 |
Unidentified Speaker, -
THE OPPORTUNITY TO BE HERE AT THIS IMPORTANT HEARING. I WANT TO MAKE A COUPLE OF POINTS TODAY. FIRST,
|
| 00:05:53 |
Unidentified Speaker, -
CONTRARY TO WHAT IS OFTEN STATED, MEDICARE ADVANTAGE PLANS ARE NOT LESS EFFICIENT THAN THE TRADITIONAL MEDICARE FEE-FOR-SERVICE PROGRAM. DATA FROM...
|
| 00:10:58 |
Unidentified Speaker, -
THE OPPORTUNITY TO TESTIFY ON BEHALF OF A PROGRAM THAT SERVES 27% OF MEDICARE BENEFICIARIES. OUR TESTIMONY FOCUSES ON THREE THINGS, FIRST
|
| 00:11:05 |
Unidentified Speaker, -
THE SPECIFIC PROGRAMS OR MEMBERS HAVE IMPLEMENTED TO IMPROVE THE EFFECTIVENESS OF CARE, SECOND THE VALUE MEDICARE ADVANTAGE PLANS BRING TO BENEFICIARIES...
|
| 00:15:32 |
Unidentified Speaker, -
AND MEMBERS OF THE SUBCOMMITTEE, MY NAME IS TIM SCHWAB, I'M CHIEF
|
| 00:15:37 |
Unidentified Speaker, -
MEDICAL OFFICER OF S.C.A.M. HEALTH PLAN IN LONG BEACH, CALIFORNIA. I'VE BEEN WORKING AT S.C.A.N. FOR NEARLY 25 YEARS. I APPRECIATE THE OPPORTUNITY...
|
| 00:21:14 |
Unidentified Speaker, -
ASK THAT YOU LET THEM CONTINUE TO WORK. THANK
|
| 00:21:16 |
Unidentified Speaker, -
YOU. >> THANK YOU VERY MUCH. MR. TALLENT'S RECOGNIZED FOR FIVE MINUTES. >> CHAIRMAN HERGER, RANKING MEMBER STARK
|
| 00:21:24 |
Unidentified Speaker, -
AND DISTINGUISHED MEMBERS OF THE SUBCOMMITTEE, MY NAME IS JOHN TALLENT. I'M THE CHIEF EXECUTIVE OFFICER OF
|
| 00:21:30 |
Unidentified Speaker, -
MEDICAL ASSOCIATES HEALTH PLANS IN DE BUKE, IOWA. I'M HERE TODAY TESTIFYING ON BEHALF OF THE MEDICARE COST CONTRACTORS ALLIANCE, COALITION OF 15 MEDICARE...
|
| 00:25:45 |
Unidentified Speaker, -
SUBCOMMITTEE, I'M A SENIOR FELLOW
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| 00:25:47 |
Unidentified Speaker, -
AT MATHMATICA POLICY RESEARCH, AN INDEPENDENT, NONPARTISAN PUBLIC POLICY ORGANIZATION. I WANT TO MAKE SEVEN POINTS TODAY THAT I ERAB ELABORATE ON IN...
|
| 00:30:55 |
Unidentified Speaker, -
DEMONSTRATION WILL COVER UP NEARLY ONE THIRD OF THE OBAMA CARE CUTS TO MA PLANS OVER THE LIFE OF THE DEMONSTRATION. IS THIS CORRECT? >> THE DEMONSTRATION...
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| 00:31:13 |
Unidentified Speaker, -
THE CUTS WILL BE OFFSET EACH
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| 00:31:17 |
Unidentified Speaker, -
YEAR? >> THIS YEAR, IN 2012, JUST OVER 70%. NEXT YEAR IN 2013, ABOUT A THIRD AND THEN
|
| 00:31:28 |
Unidentified Speaker, -
THE FINAL YEAR ABOUT 16% I BELIEVE. >> IT SEEMS TO ME THE ADMINISTRATION IS TRYING THEIR HARDEST AND USING ANY MEANS NECESSARY TO HIDE THESE
|
| 00:31:37 |
Unidentified Speaker, -
CUTS UNTIL AFTER THIS ELECTION. MISS IGNAGNI, AS YOU WELL KNOW, OBAMA CARE'S CUTS TO MEDICARE ADVANTAGE ARE REAL, ESPECIALLY TO THE BENEFICIARIES...
|
| 00:33:07 |
Unidentified Speaker, -
THE LESSON THERE WAS THAT CONGRESS RESPONDED BY PUTTING ADDITIONAL RESOURCES AND TARGETED TOWARDS SPECIFIC COUNTIES, NORTHERN CALIFORNIA IS AN EXAMPLE,...
|
| 00:34:00 |
Unidentified Speaker, -
FOR BENEFICIARIES, MANY OF THEM DUAL ELIGIBLE, FOR OVER THE LAST 20 YEARS. CAN YOU DESCRIBE HOW THE PLAN INTEGRATES BENEFITS BETWEEN MEDICARE AND MEDICAID?...
|
| 00:34:26 |
Unidentified Speaker, -
CALIFORNIA TO PROVIDE ALL MEDICAID OR MEDICAL SERVICES. FROM A MEMBER STANDPOINTS ALL BENEFITS ARE ARRANGED THROUGH THE HEALTH PLAN, WHETHER MEDICARE...
|
| 00:35:13 |
Unidentified Speaker, -
CHAIRMAN. THANKS TO THE PANEL FOR THEIR
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| 00:35:20 |
Unidentified Speaker, -
TESTIMONY. MISS GOLD, MY REPUBLICAN COLLEAGUES WHO WOULD LIKE US TO BELIEVE THAT THE SKY IS FALLING IN TERMS OF ROLLING, BENEFITS, PREMIUMS, BUT THESE...
|
| 00:36:01 |
Unidentified Speaker, -
THAT IT JUST ISN'T A ONE-TIME EVENT, THIS
|
| 00:36:06 |
Unidentified Speaker, -
IS A TREND. COULD YOU JUST DISCUSS FOR A MOMENT THE DISTINCTIONS BETWEEN MEDICARE ADVANTAGE AND THE ROMNEY/RYAN VOUCHER OR PREMIUM SUPPORT PROGRAM...
|
| 00:36:35 |
Unidentified Speaker, -
ADVANTAGE, BENEFICIARIES ALWAYS HAVE THE OPTION TO RETURN TO MEDICARE, TRADITIONAL MEDICARE, WHEN THEY GET THE SAME BENEFITS IN MEDICARE ADVANTAGE WHETHER...
|
| 00:37:38 |
Unidentified Speaker, -
IS BECAUSE OF THE QUALITY BONUS PROGRAM. I THINK MOST OF OUR ESTIMATES SHOW THAT THE ACCOUNTABLE CARE -- AFFORDABLE CARE ACT HAS REDUCED MEDICARE ADVANTAGE...
|
| 00:38:28 |
Unidentified Speaker, -
AT THE MID LEVEL PLANS TO HELP THEM IMPROVE BEFORE
|
| 00:38:32 |
Unidentified Speaker, -
THIS BONUS PLAN TAKES OVER? >> YES. >> THANK YOU VERY MUCH. >> THANK YOU. MR. BUCHANAN IS RECOGNIZED FOR
|
| 00:38:40 |
Unidentified Speaker, -
FIVE MINUTES. >> THANK YOU, CHAIRMAN, FOR HOLDING THIS
|
| 00:38:43 |
Unidentified Speaker, -
IMPORTANT
|
| 00:38:44 |
Unidentified Speaker, -
HEARING TODAY AND I WOULD LIKE TO THANK ALL OUR WITNESSES FOR TAKING THE TIME TO DO THIS. I REPRESENT IN MY
|
| 00:38:49 |
Unidentified Speaker, -
DISTRICT IN FLORIDA ABOUT 200,000 SENIORS WHO RELY, OBVIOUSLY, HEAVILY ON MEDICARE. ABOUT 40,000 OF THOSE SENIORS ARE ON MEDICARE ADVANTAGE. I WANT...
|
| 00:39:48 |
Unidentified Speaker, -
BILLION IN CUTS. OF THAT, IT WILL BE APPLICABLE IN A LOT
|
| 00:39:54 |
Unidentified Speaker, -
OF CONGRESSIONAL DISTRICTS AROUND THE COUNTRY, BUT I HAVE 200,000 SENIORS 65 AND OLDER, $2.2 BILLION OF THOSE CUTS WILL BE IN MY IMMEDIATE AREA, IN...
|
| 00:40:21 |
Unidentified Speaker, -
OF THE -- >> MEDICARE ADVANTAGE? >> WELL OF THE COST CONTRACTS AND THE SITUATION THAT WE ARE IN. >> LET ME JUST -- I HAVE FIVE MINUTES. >> MOVED
|
| 00:40:32 |
Unidentified Speaker, -
OUT OF AREAS. >> DR.
|
| 00:40:34 |
Unidentified Speaker, -
SCHWAB, DO YOU HAVE ANY COMMENTS ON THAT IN TERMS OF
|
| 00:40:37 |
Unidentified Speaker, -
THE CUTS? >> WELL, THE CUTS ARE GOING
|
| 00:40:40 |
Unidentified Speaker, -
TO FORCE
|
| 00:40:42 |
Unidentified Speaker, -
ALL PLANS TO OPERATE MORE EFFICIENTLY AND EFFECTIVELY. I
|
| 00:40:47 |
Unidentified Speaker, -
THINK SOME OF THE THINGS THAT PLANS ARE LOOKING AT ARE HOW DO YOU USE TECHNOLOGY TO MORE EFFICIENTLY CARE FOR PEOPLE. ULTIMATELY, CUTS WILL POTENTIALLY...
|
| 00:41:38 |
Unidentified Speaker, -
HAPPEN IN ANY PARTICULAR AREA, BUT I DO THINK THAT LOOKING AT
|
| 00:41:42 |
Unidentified Speaker, -
WHAT HAPPENED IN THE PAST, POST THE BALANCED BUDGET ACT OF 1997, THERE'S REASON FOR CAUTION AND DELIBERATION. IN PARTICULAR, I THINK THAT AS WE SEE...
|
| 00:42:37 |
Unidentified Speaker, -
TODAY AND
|
| 00:42:38 |
Unidentified Speaker, -
THIS IS YET ANOTHER HEARING THAT WE'RE HAVING ON WHAT'S HAPPENING
|
| 00:42:41 |
Unidentified Speaker, -
WITHIN THE HEALTH CARE REFORM WHICH I THINK IS TOTALLY NECESSARY, TOTALLY APPROPRIATE, THAT WE HAVE THESE CONVERSATIONS, WE FIND OUT WHAT'S WORKING...
|
| 00:43:57 |
Unidentified Speaker, -
CHANGES GOING ON ALL ACROSS THE COUNTRY THAT ARE VERY EXCITING. THE STORY IS ABOUT COLLABORATION, HEALTH PLANS AND CLINICIANS COLLABORATING IN PATIENT...
|
| 00:45:31 |
Unidentified Speaker, -
UNDERSTAND THERE ARE TWO DIFFERENT COMPETING VISIONS OF WHERE HEALTH CARE REFORM NEEDS TO GO. UNDER THE ROMNEY/RYAN PLAN, THE CHANGES THEY'RE ADVOCATING...
|
| 00:46:28 |
Unidentified Speaker, -
YES. >> DO YOU RECALL SITTING HERE TODAY, WHETHER OR NOT THAT LEGISLATION THAT PASSED THAT ALSO CALLED FOR HIGHER REIMBURSEMENT LEVELS FOR MA PLANS, WHETHER...
|
| 00:46:36 |
Unidentified Speaker, -
OF THAT WAS PAID FOR IN THE 2004 BILL? >> I DO NOT. >> WELL, THE ANSWER AND I THINK EVERYONE UP HERE UNDERSTANDS IT WASN'T. IT WAS A MAJOR PIECE OF LEGISLATION,...
|
| 00:46:47 |
Unidentified Speaker, -
|
| 00:46:50 |
Unidentified Speaker, -
IN ESSENCE THROUGH A VOUCHER OR PREMIUM SUPPORT OR WHATEVER YOU WANT TO CALL IT WITH THE EXISTING MEDICARE PROGRAM. IS THERE AN IMPORTANT DISTINCTION...
|
| 00:47:53 |
Unidentified Speaker, -
OKAY. >> THANK YOU. >> MR. ROSS IS RECOGNIZED
|
| 00:47:56 |
Unidentified Speaker, -
FOR FIVE MINUTES. >> THANK YOU M CHAIRMAN. MR. COSGROVE, IN YOUR
|
| 00:48:00 |
Unidentified Speaker, -
TESTIMONY BEFORE THE GOVERNMENT
|
| 00:48:01 |
Unidentified Speaker, -
REFORM COMMITTEE, IN JULY AND
|
| 00:48:03 |
Unidentified Speaker, -
AGAIN BEFORE US TODAY, YOU NOTE THAT
|
| 00:48:05 |
Unidentified Speaker, -
CMS ENACTED A DEMONSTRATION THAT WAS SEVEN TIMES LARGER THAN ANY SINCE 1995, WAS GREATER THAN THE COMBINED BUDGETARY EFFECTS OF THE DEMONSTRATION, HAS...
|
| 00:48:31 |
Unidentified Speaker, -
OBAMA DURING THE LARGE DISCUSSIONS AROUND THE PASSAGE OF THE NEW HEALTH CARE LAW,
|
| 00:48:37 |
Unidentified Speaker, -
MADE MUCH OF THE ARGUMENT THAT IF YOU LIKE YOUR PLAN, YOU'RE GOING TO BE ABLE TO KEEP IT. CAN YOU REFLECT ON SORT OF HOW THE REALITY IS OF WHAT YOUR...
|
| 00:49:07 |
Unidentified Speaker, -
IMPROVE QUALITYP THAT'S WHAT BENEFICIARIES WANT AND THAT'S WHAT PURCHASERS WANT. AS WE LOOK AT THE CUTS WITH RESPECT TO ACA, IN MEDICARE, WE'RE VERY...
|
| 00:50:01 |
Unidentified Speaker, -
MR. CAPRETTA. IF YOU'RE ADVISING MISS IGNAGNI ON THE NATURE OF HER CONCERN, IF YOU'RE HER COUNCIL LARRY AND LOOKING OUT OVER A SPREADSHEET AND MAKING...
|
| 00:50:44 |
Unidentified Speaker, -
PROGRAM'S GOING TO SHRINK. THE QUESTION IS THE DEGREE
|
| 00:50:47 |
Unidentified Speaker, -
AND MAGNITUDE. IF YOU
|
| 00:50:49 |
Unidentified Speaker, -
MAKE THESE REDUCTIONS, THE LAW REQUIRES THAT ANY PAYMENTS ABOVE A BID, BUT BELOW THE BENCHMARK ARE RETURNED ESSENTIALLY TO THE BENEFICIARY IN THE FORM...
|
| 00:51:14 |
Unidentified Speaker, -
TRUISM. GO ON. >>
|
| 00:51:16 |
Unidentified Speaker, -
TRUSTEES PROTECT THAT ABOUT ONE THIRD OF THE PROGRAM IS
|
| 00:51:18 |
Unidentified Speaker, -
GOING TO DISENROLL
|
| 00:51:19 |
Unidentified Speaker, -
ONE WAY ORTS OTHER, THE PLANS ARE GOING TO
|
| 00:51:21 |
Unidentified Speaker, -
CLOSE DOWN SOME OF THE COUNTIES THEY'RE
|
| 00:51:23 |
Unidentified Speaker, -
OPERATING IN OR SOME OF THE BENEFICIARIES WILL DISENROLL VOLUNTARILY BECAUSE THE BENEFITS WILL BE LESS ATTRACTIVE. IN ABOUT FIVE YEAR'S TEAM THE TRUSTEES...
|
| 00:52:16 |
Unidentified Speaker, -
THIRD OF THE BENEFICIARIES ARE GOING TO BE OUT OF THE SYSTEM AND IT'S YOUR CONCLUSION THAT ONE THIRD LEAVES, BECAUSE OF THE DOWNWARD PRESSURE ON REIMBURSEMENTS...
|
| 00:52:43 |
Unidentified Speaker, -
BACK. >> MR. RIKER IS RECOGNIZED FOR FIVE MINUTES. >> THANK YOU, MR. CHAIRMAN. I'M GOING
|
| 00:52:50 |
Unidentified Speaker, -
TO CONTINUE THIS -- THE LINE OF QUESTIONING
|
| 00:52:52 |
Unidentified Speaker, -
THAT MR. ROSSCOM WAS PURSUING WITH
|
| 00:52:56 |
Unidentified Speaker, -
MR. CAPRETTA. SO JUST TO CLARIFY, WHEN THE BILL WAS FIRST DRAFTED, PASSED, WE WERE LOOKING AT A $523 BILLION CUT TO MEDICARE, ABOUT $200 BILLION OF...
|
| 00:53:37 |
Unidentified Speaker, -
ROSSCOM TOUCHED ON IT, THE PRESIDENT OF THE UNITED
|
| 00:53:40 |
Unidentified Speaker, -
STATES HAS SAID IF YOU LIKE YOUR HEALTH CARE PLAN YOU CAN KEEP IT. BUT I WAS AT AN EVENT FROM WHERE THE PRESIDENT CAME BACK AND SAID WHEN ASKED THAT...
|
| 00:54:22 |
Unidentified Speaker, -
ADVANTAGE PLANS, IS THAT CORRECT? >> THAT'S TRUE,
|
| 00:54:24 |
Unidentified Speaker, -
YES. >> SO LET'S TALK ABOUT THOSE SENIORS THAT LOSE THEIR PLAN. ISN'T IT TRUE THAT MEDICARE TRUSTEES EXPECT
|
| 00:54:31 |
Unidentified Speaker, -
MILLIONS OF
|
| 00:54:32 |
Unidentified Speaker, -
SENIORS TO LOSE ACCESS TO MEDICARE ADVANTAGE ALTOGETHER? >> I HAVEN'T SEEN THEM SPECIFY EXACTLY HOW THE -- IT'S LIKELY TO FALL OUT BUT ONE CAN SURMISE...
|
| 00:54:46 |
Unidentified Speaker, -
ENROLLED IN MEDICARE ADVANTAGE IN 2017 THAN IN 2013. OF THOSE 4 MILLION, ONE MIGHT SURMISE SOME ARE IN COUNTIES WHERE THE PLANS HAVE PULLED OUT, SOME...
|
| 00:55:18 |
Unidentified Speaker, -
WHO STAY
|
| 00:55:19 |
Unidentified Speaker, -
IN THAT PROGRAM ARE
|
| 00:55:20 |
Unidentified Speaker, -
GOING TO LOSE BENEFITS AS YOU MENTIONED. >> YES THEY WILL. >>
|
| 00:55:23 |
Unidentified Speaker, -
SO, REALLY, THESE SENIORS WILL BE FORCED BACK INTO THE
|
| 00:55:26 |
Unidentified Speaker, -
TRADITIONAL FEE FOR SERVICE MEDICARE, WHICH IS
|
| 00:55:29 |
Unidentified Speaker, -
NOT COORDINATED, DOES NOT HAVE THE
|
| 00:55:31 |
Unidentified Speaker, -
ADDITIONAL BENEFITS THAT SENIORS ARE USED TO, AND LACKS ANY TYPE OF OUT-OF-POCKET MAXIMUM. THAT IS CORRECT? >> THAT'S CORRECT. MANY OF THEM MAY END UP...
|
| 00:55:44 |
Unidentified Speaker, -
IS $150 OR $200 A MONTH. >> SO THAT WAS MY NEXT QUESTION. AS YOU KNOW, CHAIRMAN HERGER AND I HAVE BEEN DOING A LITTLE BIT
|
| 00:55:55 |
Unidentified Speaker, -
OF INVESTIGATION INTO AARP AND ITS RELATIONSHIP TO ITS INVOLVEMENT IN HELPING NEGOTIATE THIS OBAMA HEALTH CARE PLAN. AND I FIND IT INTERESTING THAT THE...
|
| 00:57:44 |
Unidentified Speaker, -
I APPRECIATE THE PANEL BEING HERE TODAY AND HELPING US TO LOOK AT WHAT THE FUTURE OF
|
| 00:57:50 |
Unidentified Speaker, -
THESE PROGRAMS MIGHT BE FOR ESPECIALLY THE VERY FRAIL POPULATION. AND GIVING MY HEALTH CARE BACKGROUND AND HAVING WORKED IN LONG-TERM CARE, I'M CERTAINLY...
|
| 00:59:36 |
Unidentified Speaker, -
THE ANSWERS DEPEND ON WHICH SNPS YOU'RE TALKING ABOUT. IN THE DUAL SNPS, ONE OF THE THINGS THAT COULD BE IMPROVED IS, BETTER COORDINATING AND REDUCING...
|
| 01:01:37 |
Unidentified Speaker, -
IMPROVEMENTS FOR PATIENTS AND PROVIDERS ACT OF 2008 WHICH, OF COURSE, ESTABLISHED THE CONTRACTING REQUIREMENTS FOR THE DUAL SPECIAL NEEDS PROGRAM....
|
| 01:02:02 |
Unidentified Speaker, -
AND PART OF IT THEY JUST EXPLAINED TO US ONE OF THE TERMS THEY USED WAS BANDWIDTH. IT'S JUST THE NUMBER OF ORGANIZATIONS THAT THEY WOULD HAVE TO CONTRACT...
|
| 01:02:53 |
Unidentified Speaker, -
THIS REPORT. >> GENTLE LADY'S TIME HAS EXPIRED. IF YOU CAN ANSWER THAT IN WRITING? >> THANK YOU, MR. CHAIRMAN. THAT WENT QUICKLY. >> MR. McDER MONTH
|
| 01:03:04 |
Unidentified Speaker, -
IS RECOGNIZED FOR FIVE MINUTES. >> THANK YOU, MR. CHAIRMAN.
|
| 01:03:07 |
Unidentified Speaker, -
AS I SIT HERE AND LISTEN TO THIS, I THINK ABOUT THE FACT
|
| 01:03:11 |
Unidentified Speaker, -
THAT DUST IS
|
| 01:03:13 |
Unidentified Speaker, -
THE BEST POLITICAL DEFENSE YOU HAVE. MAKE PEOPLE CONFUSED. I THINK THERE ARE A LOT OF PEOPLE WATCHING THIS THAT DON'T UNDERSTAND THAT EVERYONE WHO...
|
| 01:03:54 |
Unidentified Speaker, -
YES. IT GAVE -- YEAH. >> WHAT IS THE DIFFERENCE BETWEEN THESE
|
| 01:03:58 |
Unidentified Speaker, -
VOUCHER PLAN
|
| 01:03:59 |
Unidentified Speaker, -
THAT THE RYAN
|
| 01:04:01 |
Unidentified Speaker, -
BUDGET WANTS AND THIS MEDICAL PLAN? WHAT DOES IT MEAN TO PATIENTS? I SIT UP HERE AS A DOCTOR AND THINK ABOUT PATIENTS RATHER THAN PRODUCT AND NUMBERS...
|
| 01:04:03 |
Unidentified Speaker, -
OR REMAIN IN THE REGULAR MEDICARE PLAN? >> I THINK IT'S GOING TO BE A LOT MORE CONFUSING AND PROBABLY A LOT FOR EXPENSIVE DEPENDING ON HOW MUCH MONEY...
|
| 01:04:34 |
Unidentified Speaker, -
RIGHT NOW BENEFICIARIES KNOW THERE'S MEDICARE. MEDICARE IS VERY POPULAR. 70% OF BENEFICIARIES REMAIN IN THE TRADITIONAL PROGRAM AND LIKE IT. IF THIS...
|
| 01:05:46 |
Unidentified Speaker, -
WE'RE MAKING CUTS IN MEDICARE. DOES THAT MEAN YOU WON'T -- THEY WON'T TAKE MY BLOOD PRESSURE ANYMORE OR DOES THAT MEAN THEY WON'T TAKE MY BLOOD SUGAR...
|
| 01:06:11 |
Unidentified Speaker, -
CONGRESS DECIDES HOW MUCH MONEY IT'S GOING TO SPEND. IT
|
| 01:06:14 |
Unidentified Speaker, -
PAYS PROVIDERS, IT
|
| 01:06:15 |
Unidentified Speaker, -
DECIDES HOW MUCH TO UPDATE
|
| 01:06:16 |
Unidentified Speaker, -
THIS PROVIDER'S RATE AND THAT
|
| 01:06:18 |
Unidentified Speaker, -
PROVIDER'S RATE. AS I UNDERSTAND THE CUTS IN THE ACA, MOST OF THE GENERAL CUTS INVOLVE THOSE KIND OF DECISIONS AS TO WHAT AN EQUITABLE PAYMENT FOR A...
|
| 01:07:03 |
Unidentified Speaker, -
THE CUTS IS GOING TO MAKE THEM MORE EFFICIENT, DOES THAT MEAN YOU WON'T GET GOOD MEDICAL CARE IF IT'S EFFICIENT? >> YOU KNOW, WHAT'S I EFFICIENCY?...
|
| 01:07:19 |
Unidentified Speaker, -
LET ME ASK DR. SCHWAB OR DR. TALLENT, WHAT DO YOU INTEND TO CUT BECAUSE OF THESE CHANGES IN MEDICARE THAT WILL
|
| 01:07:32 |
Unidentified Speaker, -
MAKE PEOPLE GET OUT OF YOUR PROGRAM OR LEAVE OR IS IT JUST THAT THE RURAL AREAS ARE TOO FAR AWAY SO WE'RE NOT GOING TO GIVE THAT COVERAGE? WE'RE...
|
| 01:07:56 |
Unidentified Speaker, -
ON HOW DO YOU BECOME MORE EFFICIENT AND NOT
|
| 01:08:00 |
Unidentified Speaker, -
REDUCE QUALITY.
|
| 01:08:02 |
Unidentified Speaker, -
THE QUALITY COMES FIRST IN ALL PLANS AND EFFICIENCY MEANS YOU'RE GOING TO BE CUTTING ADMINISTRATIVE OVERHEAD THAT YOU CAN FIND BETTER WAYS TO DO THINGS...
|
| 01:08:36 |
Unidentified Speaker, -
YOU. >> MR. PAULSON'S
|
| 01:08:38 |
Unidentified Speaker, -
RECOGNIZED FOR FIVE MINUTES. >> THANK YOU, MR. CHAIRMAN. ALSO FOR HOLDING THIS VERY IMPORTANT HEARING. LIKE MANY OF MY COLLEAGUES
|
| 01:08:45 |
Unidentified Speaker, -
I'M CONCERNED ABOUT THE PENDING
|
| 01:08:47 |
Unidentified Speaker, -
CUTS TO THE MEDICARE ADVANTAGE PROGRAM AND THE LIKELIHOOD THAT MILLIONS OF SENIORS WILL BE PUSHED OUT OF THEIR HEALTH CARE PLANS IN THE COMING YEARS...
|
| 01:09:51 |
Unidentified Speaker, -
INSTABILITY OF UNKNOWN RATES FOR THE MA PLANS AND OVER HISTORY, WHICH HAS BEEN MENTIONED A NUMBER OF TIMES BY THE PANEL, WE HAVE OBSERVED THESE PLANS,...
|
| 01:10:49 |
Unidentified Speaker, -
ASSOCIATES PLANS AND COST PLANS ARE OLDER THAN THE AVERAGE OF MEDICARE BENEFICIARIES IN GENERAL AND IF THEY'VE BEEN MEMBERS FOR A DECADE OR LONGER SO...
|
| 01:11:27 |
Unidentified Speaker, -
OF OUR MEMBERSHIP IS OVER THE AGE OF 80 AND ALSO THAT MANY OF THESE MEMBERS HAVE BEEN WITH US FOR A VERY LENGTHY PERIODS OF TIME, HAVE BEEN WITH THE...
|
| 01:12:01 |
Unidentified Speaker, -
YOUR EXPERT TESTIMONY TODAY. TODAY WE
|
| 01:12:05 |
Unidentified Speaker, -
HEARD A DETAILED DISCUSSION OF THE FUTURE OF HEALTH PLANS AND MEDICARE. CLEARLY SIGNIFICANT CHANGES ARE COMING TO THE MEDICARE ADVANTAGE PROGRAM...
|
| 01:13:45 |
Unidentified Speaker, -
MONTH. >> IT'S TYPICAL OF YOU THAT YOU WOULD PUT
|
| 01:13:48 |
Unidentified Speaker, -
THIS ANNOUNCEMENT OF YOUR LEAVING
|
| 01:13:50 |
Unidentified Speaker, -
AT THE END. WHEN THERE'S NOBODY
|
| 01:13:54 |
Unidentified Speaker, -
HERE EXCEPT ME. WE'RE GOING TO MISS YOU. >> THANK YOU. >> AND YOU'VE DONE A GOOD JOB FOR YOUR PEOPLE IN CALIFORNIA AND FOR THE COMMITTEE AND I THINK...
|
| 01:14:04 |
Unidentified Speaker, -
BE
|
| 01:14:05 |
Unidentified Speaker, -
ACKNOWLEDGED PUBLICLY. GOOD MEMBERS RETIRE SOMETIMES BEFORE THEY'RE THROWN OUT AND IT'S GOOD TO SEE YOU GOING TO RETIREMENT. I HOPE YOU ENJOY IT. YOU'VE...
|
| 01:14:25 |
Unidentified Speaker, -
ADJOURNED. >>
|
NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.