| 00:00:05 |
Unidentified Speaker, -
THE DIRECTOR HOSTED THE ADVANCE. IT IS JUST OVER TWO HOURS. >> THANK YOU. GOOD MORNING.
|
| 00:00:18 |
Unidentified Speaker, -
I WANT TO THANK YOU FOR COMING TO WHAT I THINK IS OUR SIXTH MEETING LIKE THIS THAT WE HAVE HAD AT THE WHITE HOUSE.
|
| 00:00:33 |
Unidentified Speaker, -
THERE IS A LOT OF PEOPLE AT THE TABLE AND WHEN YOU COME TO TALK ABOUT A SUBJECT LIKE HEALTH CARE IS GREAT TO SEE SOME FAMILIAR FACES AND PEOPLE WHO I...
|
| 00:03:03 |
Unidentified Speaker, -
THE CEO OF KINDRED HEALTHCARE. >>
|
| 00:03:10 |
Unidentified Speaker, -
I
|
| 00:03:18 |
Unidentified Speaker, -
REPRESENT AND THE UNITED STATES AND SEVERAL POSSE THEIR MAJOR ADVOCACY AND THE DISABILITY COMMISSION. >>
|
| 00:03:25 |
Unidentified Speaker, -
I'M THE EXECUTIVE DIRECTOR OF THE NATIONAL ASSOCIATION OF SCHOOL NURSES. WE TAKE CARE OF KIDS AT SCHOOL. >>
|
| 00:03:40 |
Unidentified Speaker, -
IN THE CHIEF OPERATING OFFICER AT THE HEALTH INITIATIVE AND WE ARE A MULTI -- WE ARE A NONPROFIT ASSOCIATION. >>
|
| 00:03:51 |
Unidentified Speaker, -
PRESIDENT OF --
|
| 00:04:02 |
Unidentified Speaker, -
WE ARE DOING OUR BEST. >> WE JUST HAD A REGIONAL SUMMIT ON MONDAY THERE. >>
|
| 00:04:18 |
Unidentified Speaker, -
I AM WITH MERCK. >> I MAY MANAGING ATTORNEY TO HELP LOW-INCOME COMMUNITIES. >>
|
| 00:04:34 |
Unidentified Speaker, -
I AM WITH THE ADVANCED MEDICAL TECHNOLOGY ASSOCIATION. >> WE ARE
|
| 00:04:46 |
Unidentified Speaker, -
A 125 YEAR-OLD FAMILY BUSINESS.
|
| 00:04:52 |
Unidentified Speaker, -
WE HAVE A COMMERCIAL SALES DIVISION. WE ARE TRYING TO STAY ALIVE. >>
|
| 00:04:59 |
Unidentified Speaker, -
I AM WITH THE NATIONAL URBAN LEAGUE WITH THE POLICY
|
| 00:05:08 |
Unidentified Speaker, -
INSTITUTE WHERE WE TO RESEARCH AND POLICY ANALYSIS. >> I AM WITH BLUE SHIELD OF CALIFORNIA. WE ARE A LARGE NONPROFIT HEALTH PLAN IN CALIFORNIA. WE HAVE...
|
| 00:05:26 |
Unidentified Speaker, -
IN THE CEO OF WATSON PHARMACEUTICALS. >>
|
| 00:05:33 |
Unidentified Speaker, -
I AND THE SENIOR VICE PRESIDENT FOR THE ALLIANCE FOR HISPANIC HEALTH. WE DELIVERED COMMUNITY-BASED SERVICE TO 15 MILLION HISPANICS EVERY YEAR. >>
|
| 00:05:50 |
Unidentified Speaker, -
WE ADVOCATE FOR A STRONGER PUBLIC HEALTH SYSTEM AND MAKING PREVENTION THE CENTERPIECE OF
|
| 00:05:58 |
Unidentified Speaker, -
HEALTH REFORM. >> WE OPERATE HOSPITALS AND IN THIS YEAR'S CHAIRMAN OF THE FEDERATION OF AMERICAN HOSPITALS. >> WE OPERATE 166
|
| 00:06:13 |
Unidentified Speaker, -
HOSPITALS IN 20 STATES ACROSS AMERICA. >> EXECUTIVE VICE PRESIDENT OF THE UNITED HEALTH GROUP. WE
|
| 00:06:22 |
Unidentified Speaker, -
SERVED APPROXIMATELY 70 MILLION AMERICANS. >> I AM CHAIRMAN AND CEO OF
|
| 00:06:33 |
Unidentified Speaker, -
MEDCO HEALTH SOLUTIONS. WE MANAGE THE DRUG BENEFITS FOR ABOUT 65 MILLION AMERICANS.
|
| 00:06:39 |
Unidentified Speaker, -
I IN THE CHAIRMAN OF THE PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION. >> I AM WITH THE CALIFORNIA
|
| 00:06:52 |
Unidentified Speaker, -
PUBLIC EMPLOYEES RETIREMENT SYSTEM. WE PURCHASED HEALTH BENEFITS FOR THE STATE OF CALIFORNIA AND WE HAVE ABOUT 1100 LOCAL AGENCIES IN CALIFORNIA AND...
|
| 00:07:11 |
Unidentified Speaker, -
WE HAVE PHARMACEUTICAL MEDICAL DEVICE CONSUMER PROGRAMS. >> A SENIOR FELLOW AT THE CENTER ON BUDGET AND POLICY PRIORITIES WHICH IS AN ORGANIZATION THAT...
|
| 00:07:29 |
Unidentified Speaker, -
I AM A HEART SURGEON AT THE CHILDREN'S HOSPITAL IN BOSTON. I AM ON THE FACULTY AT HARVARD MEDICAL SCHOOL.
|
| 00:07:40 |
Unidentified Speaker, -
WE REPRESENT ABOUT 5000 INTERNATIONAL HEART AND LUNG SURGEON AND THE UNITED STATES. >>
|
| 00:07:54 |
Unidentified Speaker, -
EXECUTIVE VICE PRESIDENT FOR PUBLIC AFFAIRS FOR EASTER SEALS. WE ARE THE LARGEST PROVIDER OF DISABILITY SERVICES IN THE COUNTRY AND WE SERVE ABOUT 1.3...
|
| 00:08:20 |
Unidentified Speaker, -
WE ARE THE INSTITUTE OF NURSING AND WE ARE A POLICY THINK TANK FOR NURSING ACROSS THE BOARD. WE ARE PROMOTING PRACTICAL SOLUTIONS TO CARE FOR BOTH PUBLIC...
|
| 00:08:38 |
Unidentified Speaker, -
WE DO BEST BY DRUGS WHICH IS A COMPARISON OF DIFFERENT TYPES OF DRUGS FOR DIFFERENT TYPES OF SERVICES. IT IS AVAILABLE TO THE PUBLIC. >> I AM THE PRESIDENT...
|
| 00:08:57 |
Unidentified Speaker, -
WE HAVE A SMALL CHAIN OF RETAIL TOY AND HOBBY STORES AND WE HAVE ABOUT 50 EMPLOYES. >> I AM WITH FAMILY VOICES, WE REPRESENT THE NEEDS OF CHILDREN WITH...
|
| 00:09:13 |
Unidentified Speaker, -
CARE NEEDS AND OUR FOCUS IS ON FAMILY CENTERED CARE. >> THE PRESIDENT AND CEO OF GROUP HEALTH COOPERATIVE. WE ARE DISTINCT AND THAT WE RUN THE LARGEST...
|
| 00:09:29 |
Unidentified Speaker, -
STATE OF WASHINGTON WITH 35 CENTERS AND 900 PROVIDERS THAT ARE EMPLOYED BY OUR HEALTH CARE ASSOCIATION. >>
|
| 00:09:40 |
Unidentified Speaker, -
I AM CHAIRMAN AND CEO OF A CORPORATION AND WE ARE THE LARGEST MAKER OF MEDICAL PRODUCTS USED IN THE HOME AND I AM HERE TO REPRESENT THE HEALTH- CARE...
|
| 00:10:03 |
Unidentified Speaker, -
WHAT SOLUTIONS NEW YOU NEED? >> WE HAVE GONE IN THE LAST 12 YEARS FROM PAYING 100% OF OUR EMPLOYEES' HEALTH CARE COST TO SHIFTING NOT ONLY THE BURDEN...
|
| 00:11:02 |
Unidentified Speaker, -
IN THE PAST TWO
|
| 00:11:04 |
Unidentified Speaker, -
YEARS, EVEN IN MARYLAND WITH A MANDATED SMALL GROUP FOR INSURERS, ARE COST AT INCREASED 28% -- 15% FROM 2006 TO 2007, AND THEN ANOTHER 13% FROM 2007 TO...
|
| 00:11:44 |
Unidentified Speaker, -
NOW, IT THERE IS A FAMILY, THEIR
|
| 00:11:47 |
Unidentified Speaker, -
DEDUCTIBLE IS $2,400. I THINK THAT AS AN A LOT TASK OF SOMEBODY WHO MAY BE ONLY MAKING $45,000 A YEAR -- THAT IS AN AWFUL LOT TO ASK SOMEBODY WHO MAY...
|
| 00:12:59 |
Unidentified Speaker, -
WITH ANTIBIOTICS -- THEY HAVE NOW CONTRACTED A CONDITION THAT CAN BE CURED WITH ANTIBIOTICS. BUT BECAUSE OF THE MEDICATION FOR THE CHRONIC CONDITION,...
|
| 00:13:11 |
Unidentified Speaker, -
ANTIBIOTICS ARE VERY EXPENSIVE, ABOUT $5,000. HE IS PAYING OUT HIS DEDUCTIBLE ALL AT ONCE. INSTEAD OF SOLVING THE PROBLEM IN THE SHORT TERM, WHAT IS...
|
| 00:14:13 |
Unidentified Speaker, -
MIKE AND CUT LEVELS OF RED PEPPER TO
|
| 00:14:15 |
Unidentified Speaker, -
VARY FROM $15,000 TO $69,000. $18,000, IF YOU WOULD COVER YOURSELF, I CAN AFFORD TO
|
| 00:14:27 |
Unidentified Speaker, -
PAY 70% OF THE PREMIUM FOR MY EMPLOYEES. I
|
| 00:14:31 |
Unidentified Speaker, -
PLAY -- GOT A 50% FOR DEPENDENTS. WITH A STANDARD PLAN, AT A SEVEN AT $33 PER YEAR THAT THAT INDIVIDUAL HAS TO PAY, 10% OF THEIR SALARY. THAT IS TOO...
|
| 00:17:51 |
Unidentified Speaker, -
WE GOT A LOT OF SMART PEOPLE AROUND THIS TABLE. LET'S TALK ABOUT WHAT WE CAN DO TO CONTROL
|
| 00:17:55 |
Unidentified Speaker, -
COSTS. DAVE, TALK ABOUT WHAT YOU THINK WE SHOULD BE DOING TO CONTROL COST. >> OBVIOUSLY THERE IS A COST PROBLEM. THERE ARE LOTS OF OPPORTUNITIES
|
| 00:18:12 |
Unidentified Speaker, -
AND WHAT I HAVE BEEN TALKING ABOUT -- [INAUDIBLE] IT IS MY STRONG
|
| 00:18:26 |
Unidentified Speaker, -
VIEW -- 3 ANDER $50 BILLION EACH YEAR WAS WASTED AT THE PATIENT LEVEL. -- $350 BILLION A YEAR THAT WAS WASTED AT THE PATIENT LEVEL. THERE'S AN ENORMOUS...
|
| 00:20:12 |
Unidentified Speaker, -
WHEN HE HEARS ELECTRONIC MEDICAL RECORDS, HE SENDS ME ANY NOW SAY, HOW CAN YOU SAY THAT AS A GOOD IDEA? IT WILL NOT SAVE THE COUNTRY A DIME. I SAID,...
|
| 00:20:26 |
Unidentified Speaker, -
MEANS TAKING A PAPER RECORD AND PUTTING IT INTO A COMPUTER. IF THAT IS WHAT YOU BELIEVE IN MEANS, IT WILL NOT SAVE AS A DIME. A LOT OF AMERICA DOES NOT...
|
| 00:22:13 |
Unidentified Speaker, -
THEY HAVE THIS RESPONSIBILITY TO SOCIETY AS
|
| 00:22:15 |
Unidentified Speaker, -
A PROFESSION. WE GET CERTAIN PRIVILEGES AND PREROGATIVES BUT WE HAVE CERTAIN RESPONSIBILITIES, TOO. THERE ARE AN INCREASING NUMBER OF US TO UNDERSTAND...
|
| 00:24:42 |
Unidentified Speaker, -
LOT OF STUFF IN SILOS. EVEN THOUGH WE HAVE THIS HUGE DATA BASE, WE ONLY GET THAT EVERY 30 DAYS. WE CANNOT LINK TO THE MEDICARE -- THEIR COST DATA BASE,...
|
| 00:25:02 |
Unidentified Speaker, -
THOSE HURDLES ABOLISHED SO THAT -- AND I RECOGNIZE THAT OUR PRIVACY CONCERNS AND THINGS LIKE THAT, BUT THERE ARE WAYS OF DEALING WITH THAT ELECTRONICALLY,...
|
| 00:25:59 |
Unidentified Speaker, -
NOT TO SINGLE THEM OUT, BECAUSE WE ALL BEAR SOME RESPONSIBILITY IN WHERE WE ARE RIGHT NOW AND HEALTH CARE SYSTEM. BUT I THINK THAT IS THE MAJOR THING....
|
| 00:26:10 |
Unidentified Speaker, -
THIS IDEA AT A CONVOCATION OF SURGICAL ROOMS -- FLOATED THIS IDEA AT CONVOCATION OF SURGICAL BOARDS, THE NEUROSURGEONS WERE RUNNING FOR THE HILLS....
|
| 00:27:23 |
Unidentified Speaker, -
WE CERTAINLY SUPPORT THE STIMULUS EFFORT TO WIRE WRAPPED IT UP. WE WORK WITH A LOT OF A KEEP STAFF ON CARE UNITS. .
|
| 00:27:44 |
Unidentified Speaker, -
ACUTE STAFF ON CARE UNITS. WHENEVER TALKING ABOUT HOSPITALS ARE IN A GRID SYSTEMS OUR COMMUNITY SYSTEMS -- OR COMMUNITY SYSTEMS, DENISE TO BEAT TEAMS...
|
| 00:29:31 |
Unidentified Speaker, -
YOUR MEMBERS PRODUCE SOME INCREDIBLE LIFE-SAVING DEVICES AND YET WE HAVE BEEN HEARING THE DISCUSSION ABOUT COSTS AND WE KNOW THAT THEY ARE EXPENSIVE....
|
| 00:30:07 |
Unidentified Speaker, -
TO BETTER CONTROL COSTS AND IMPROVE QUALITY. BUT WE ARE VERY CONCERNED AND WE WON A MAJOR THAT WE PRESERVE AN INNOVATION AND WHATEVER -- WE WANT TO...
|
| 00:31:36 |
Unidentified Speaker, -
TO INCREASE COMPANIES AND DEDUCTIBLES ON EXACTLY THE WRONG TIME OF PEOPLE THAT WE SHOULD BE INCREASING
|
| 00:31:41 |
Unidentified Speaker, -
THEM ON. WE'RE NOT GOING TO SOLVE THIS PROBLEM OF HEALTH CARE COSTS THROUGH BENEFIT REDESIGN AND HIKING UP COPAYS AND DEDUCTIBLES. THAT IS NOT THE SOLUTION....
|
| 00:35:22 |
Unidentified Speaker, -
THEY ALREADY HAVE THESE CHRONIC CONDITIONS.
|
| 00:35:24 |
Unidentified Speaker, -
BUT THESE ARE VERY PREVENTABLE CONVENTIONS -- CONDITIONS. WE HAD EVIDENCE THAT CAN ADDRESS PHYSICAL ACTIVITY AND NUTRITION AND SMOKING, THE BIGGEST DRIVERS...
|
| 00:38:12 |
Unidentified Speaker, -
TO HIGHLIGHT 1.6 MILLION PEOPLE IN OUR HOSPITAL. OUTPUT
|
| 00:38:20 |
Unidentified Speaker, -
IS WORSE THAN MOST THIRD WORLD COUNTRIES. WE'RE BETWEEN BANGLADESH AND SOUTH AFRICA FOR THE NUMBER OF HEALTH TO THE AVERAGE BLACK MAN DIES AT 55. WE'RE...
|
| 00:44:35 |
Unidentified Speaker, -
BEHIND US. A SIGNIFICANT AMOUNT OF COMMON GROUND THAT IS SHARED IN TERMS OF THE ISSUES. CLEARLY COVERAGE AND COSTS ARE LATE, THERE IS NO QUESTION THAT...
|
| 00:44:47 |
Unidentified Speaker, -
THE TWO. I THINK AFFECT KENDEIGH POINTED OUT WE SEE EVERY DAY, IN TERMS OF YOUR QUESTION, THE EFFECTS OF NOT INTERVENING EARLY. ONE OF THE THINGS THAT...
|
| 00:47:43 |
Unidentified Speaker, -
WHAT THAT GENERAL NUMBER DOES NOT SAY IS THAT IN SOME OF OUR MARKETS, WE REPRESENT 25%, IN SOME CASES 50% OF HEALTH-CARE SERVICES IN SOME OF AMERICA'S...
|
| 00:48:30 |
Unidentified Speaker, -
AGENDA
|
| 00:48:35 |
Unidentified Speaker, -
FIRST, HOW TO PROVIDE HEALTH CARE COVERAGE FOR ALL AMERICANS. BUT THE INDIVIDUAL -- FOR THE INDIVIDUAL THEY HIT THE HEALTH CARE SYSTEM AT THE RIGHT TIME...
|
| 00:51:42 |
Unidentified Speaker, -
IT IS THE HARD DECISION MAKING THE WE HAVE TO COME TO GRIPS WITH. WE HAVE BEEN THE TREND ON HEALTH CARE COST ESCALATION. IT IS UNACCEPTABLE TO HAVE...
|
| 00:51:53 |
Unidentified Speaker, -
OUTPACES GDP. IT IS SOMETHING THAT IS NOT MAKING US COMPETITIVE, AND IT IS SOMETHING THAT IN THE LONG FORM WILL PUT US REALLY IN THE HALL. I APPLAUD THE...
|
| 00:54:51 |
Unidentified Speaker, -
ATTEMPT TO TRY TO WRESTLE THIS BIG GORILLA TO THE GROUND THERE IN IT IS A VERY COMPLICATED TIME IN A PATIENT'S LIFE AND A FAMILY'S LIFE, AND
|
| 00:55:01 |
Unidentified Speaker, -
THE DEMAND FOR ATTENTION AND EDUCATION AND TRAINING GROWS BY LEAPS AND BOUNDS EVERY DAY. RIGHT NOW THERE IS 1.4 MILLION PEOPLE RECEIVING HOSPICE CARE...
|
| 00:57:54 |
Unidentified Speaker, -
GRADUATES GO INTO FAMILY PRACTICE. THAT AND DECREASING. PART OF THE WORK FORCE IS THE DEBT LOAD THAT THE STUDENTS COME OUT WITH. SOMEWHAT TO UNDER $50,000...
|
| 00:59:51 |
Unidentified Speaker, -
TWO THINGS. FROM A COST PERSPECTIVE, AND ONE OF THEM COMES FROM EXPERIENCE WITH THE MEDICARE PROGRAM, ONE IS FROM THE PHARMACEUTICAL AND MEDICAL DEVICE...
|
| 01:00:03 |
Unidentified Speaker, -
PROSPECTIVE, OBSERVING THE WAY THE PROGRAM GREW DURING THE TIME I WAS INVOLVED WITH THAT, THERE REALLY WERE SEVERAL DRIVERS. CONDIT DISEASE CLEARLY --...
|
| 01:03:23 |
Unidentified Speaker, -
1 A: CHAIN WHO HAS ALSO WORKED ON THESE ISSUES. -- I WANT TO CALL ON JANE WHO IS ALSO WORKED ON THESE ISSUES. THE PRESIDENT TICKED OFF THIS WHITE HOUSE...
|
| 01:03:39 |
Unidentified Speaker, -
OFF THIS WHITE HOUSE FORUM IN MARCH, KNOWING THAT THERE
|
| 01:03:44 |
Unidentified Speaker, -
WAS A PORTRAIT OF TEDDY ROOSEVELT. HE TRIED TO DO THIS UNSUCCESSFULLY. FOR GOING TO TRY TO GET THIS DONE TODAY. -- THIS TIME. >> THERE ARE SO MANY GREAT...
|
| 01:04:15 |
Unidentified Speaker, -
COSTS, WE AGREE THAT COVERAGE IS CRITICAL TO THIS BUT ULTIMATELY YOU HAVE TO DO BOTH AT THE SAME TIME, AND
|
| 01:04:23 |
Unidentified Speaker, -
POSSIBLY STAGE THINGS TO CREATE ROOM FOR
|
| 01:04:27 |
Unidentified Speaker, -
COVERAGE, INCREASING ACCESS. ONE THING THAT HAS NOT BEEN MENTIONED HERE -- OVERALL MERCK USE THIS AS UNIQUE ASPECTS OF THE AMERICAN HEALTH-CARE SYSTEM....
|
| 01:05:10 |
Unidentified Speaker, -
THE
|
| 01:05:12 |
Unidentified Speaker, -
ACXIS OF VALUE. THAT WILL PRICE AND QUALITY HOWEVER YOU CALCULATE THAT OUT. THOSE ARE THE FUNDAMENTALS. ONE OF THE LEVERS TO DO THAT BY? ONE OF THE BIG...
|
| 01:06:47 |
Unidentified Speaker, -
ON LESS EXPENSIVE
|
| 01:06:49 |
Unidentified Speaker, -
ANALYSIS GOING FORWARD. THE COMPARATIVE EFFECTIVENESS WORK THAT WAS STARTED IS FAR FROM COMPLETE. THAT IS NONE NONE. >> AND I WOULD NOTE, I WAS TALKING...
|
| 01:07:21 |
Unidentified Speaker, -
MORE EXPERIENCE WITH UNDERSTANDING WHAT YOU JUST SAID, WE ALL HAVE TO SHOW THAT WE'RE ADDING VALUE HERE. FOR ME, IT IS NOT A QUESTION OF WHAT WE'RE SPENDING...
|
| 01:08:27 |
Unidentified Speaker, -
AT WALSCRIPTS, EVERYTHING DEPENDS ON INFORMATION, AND WE DO NOT HAVE RELIABLE INFORMATION TODAY TO MAKE THESE DECISIONS. WE HAVE THE BEST DECISIONS...
|
| 01:11:43 |
Unidentified Speaker, -
FOR MOST OF THEM, THE BIGGEST CHALLENGES LONG-TERM CARE. IT IS EXTREMELY EXPENSIVE. THIS IS ANOTHER PLACE WHERE HUGE REFORM IS NECESSARY TO MAKE THE...
|
| 01:12:53 |
Unidentified Speaker, -
THERE ARE WAYS TO REFORM THAT. THERE IS PENDING LEGISLATION, THE CLASS ACT THAT SENATOR KENNEDY
|
| 01:13:01 |
Unidentified Speaker, -
HAS INTRODUCED THAT WILL SHIFT US FROM INSTITUTIONS, INCLUDING VERY INAPPROPRIATE HEALTH CARE BACK INTO THEIR HOMES. BACK INTO COMMUNITY-BASED SERVICES...
|
| 01:14:23 |
Unidentified Speaker, -
HAVE HAD THE OPPORTUNITY TO WORK IN THE HEALTH-CARE FIELD FOR 30 YEARS. FOR EXAMPLE, CHRISTOPHER REEVE WAS IN THE VERY COMPLEX WHEELCHAIR WE INVENTED.
|
| 01:14:38 |
Unidentified Speaker, -
WHAT WHAT TO SAY IS, THE GREATEST WORDS A PATIENT WANTS TO HEAR IS THAT THEY'RE GOING HOME. THERE REALLY WANT TO BE HOME. SOMETIMES, THERE IS NOT A FAMILY...
|
| 01:17:51 |
Unidentified Speaker, -
WHAT IS INTERESTING ABOUT THIS ORGANIZATION, GROUP HEALTH COOPERATIVE, IT CREATES A LABORATORY FOR EXPERIMENTATION WITH A LOT OF THE INNOVATIONS THAT...
|
| 01:21:40 |
Unidentified Speaker, -
WE JUST WENT THROUGH A MAJOR POLICY EFFORT IN THE LAST COUPLE OF YEARS.
|
| 01:21:48 |
Unidentified Speaker, -
WE WORKED OUT A LOT OF THE ISSUES INVOLVING MARKET REFORMS OF A SHARED RESPONSIBILITY MODEL. THAT IS SOMETHING THAT DID NOT WANT TO GET INTO TODAY, BUT...
|
| 01:23:51 |
Unidentified Speaker, -
ABOUT ONE-AND-A-HALF MILLION MEMBERS -- THE 1.5 MILLION MEMBERS.
|
| 01:23:57 |
Unidentified Speaker, -
WHETHER IT IS THE COST OF PHARMACEUTICALS, THE COST SHIFTING RELATING TO THE UNINSURED OR THE POOR MANAGEMENT OF THE CHRONICALLY ILL, IS CLEAR TO US...
|
| 01:25:35 |
Unidentified Speaker, -
THAT IS VERY SIMILAR TO WHAT IS BEING KICKED AROUND TODAY IN WASHINGTON. WE HAVE LONG BELIEVED THAT INDIVIDUALS, EMPLOYERS, AND THE PUBLIC SECTOR OUGHT...
|
| 01:25:49 |
Unidentified Speaker, -
WHAT WE DID IN CALIFORNIA, WHICH UNDER THE SCHWARZENEGGER- NUNEZ BILL, YOU CAN TRANSFER A VOLUNTARY INSURANCE MARKET INTO A MANDATORY ONE. WE DEVELOPED...
|
| 01:27:10 |
Unidentified Speaker, -
FINDING THAT CHILDREN ARE NOT AS MUCH A PART OF THE CONVERSATION AS WE WOULD LIKE.
|
| 01:27:15 |
Unidentified Speaker, -
WE'RE VERY HAPPY TO BE HERE TODAY. >> HAVE YOU FORGOTTEN THAT WAS STARTED WITH THE CHIP BILL. >> KNOW, THAT WAS BIG. THAT WAS A HUGE WIN. WE'RE VERY PLEASED...
|
| 01:27:39 |
Unidentified Speaker, -
NO PLACE TO TAKE IT, IT IS OF NO VALUE.
|
| 01:27:42 |
Unidentified Speaker, -
ONE OF THE THINGS ARE WORKING ON IS A SYSTEM OF DESIGN. RIGHT NOW, THERE IS NO HEALTH- CARE SAFETY NET FOR CHILDREN. WITH SPECIFIC HEALTH CARE SYSTEMS...
|
| 01:29:13 |
Unidentified Speaker, -
SIGNIFICANT. THE
|
| 01:29:17 |
Unidentified Speaker, -
SYSTEMS DESIGNED FOR INSURANCE, IT WAS HUGE. IT WAS A PHENOMENAL GAIN FOR CHILDREN. THERE ARE CHILDREN THAT ARE STILL NOT COVERED WHOSE PARENTS ARE LOSING...
|
| 01:31:07 |
Unidentified Speaker, -
AVAILABLE. HOPPER -- RIGHT NOW, THE MENTAL --
|
| 01:31:15 |
Unidentified Speaker, -
THE HEALTH OF OUR CHILDREN IS DETERIORATED. WE SEE AN INCREASE IN OBESITY AND DIABETES AND I NEVER WOULD HAVE BELIEVED 30 YEARS AGO. SEVERAL THINGS YOU...
|
| 01:33:00 |
Unidentified Speaker, -
OLD AS TEDDY ROOSEVELT, BUT WE HAVE BEEN AWARE OF THIS AS A MAJOR ISSUE FOR CONSUMERS. WE HAVE ACTUALLY SPENT
|
| 01:33:08 |
Unidentified Speaker, -
TIME TRAVELING AROUND AND GOING TO THE 48 CONTIGUOUS STATES LAST SUMMER TALKING TO CONSUMERS ABOUT THEIR CONCERN WITH HEALTH CARE. NOT TO SAY THAT...
|
| 01:37:42 |
Unidentified Speaker, -
WITH ACQUIRED DISABILITIES, AND PARIS TO LEAD TO CHRONIC CONDITIONS, AND I THINK -- AND A PAIR MISLEADING TO CHRONIC CONDITIONS.
|
| 01:37:55 |
Unidentified Speaker, -
WE PROVIDE THERAPY SERVICES FOR THOSE SERVICES. MOST OF THE CHILDREN ENTERING KINDERGARTEN WITHOUT A NEED FOR ADDITIONAL SERVICES, THEY CAN JUST GO RIGHT...
|
| 01:40:37 |
Unidentified Speaker, -
THERE IS A SECOND REASON FOR DOING IT. IT HAS TO DO WITH ISSUES OF INCENTIVES THAT WE HAVE DISCUSSED SO MUCH THIS MORNING. STRUCTURING CHOICE IN THAT...
|
| 01:41:27 |
Unidentified Speaker, -
SOME VAGUE ACTUARY STANDARD THAT DOES NOT MEET THE QUITE -- THAT DOES NOT MEET THE CRITERIA.
|
| 01:41:34 |
Unidentified Speaker, -
WE'RE NOT SURE THAT THE INDUSTRY HAS MOVED QUITE THAT FAR. I HOPE THEY HAVE. THE SECOND POINT THAT WE'RE CONCERNED ABOUT IS THE FINANCING OF HEALTH REFORM....
|
| 01:42:06 |
Unidentified Speaker, -
WE HAVE BEEN TALKING ABOUT EQUALITY SIDE, WAYS OF IMPROVING ACCOUNTABILITY AND EFFICIENCY.
|
| 01:42:14 |
Unidentified Speaker, -
AND, OF COURSE, RAISING ADDITIONAL REVENUES.
|
| 01:42:20 |
Unidentified Speaker, -
WE'VE BEEN TALKING ABOUT THE NEED IN RECENT WEEKS TO REDUCE BUDGET DEFICITS AND KEEP
|
| 01:42:25 |
Unidentified Speaker, -
THEM FROM RISING. THERE HAS NOT BEEN AS MUCH ENTHUSIASM ON ENDORSING MANY OF THE WONDERFUL PROPOSALS IN THE ADMINISTRATION BUDGET. IN FACT, WE HEAR...
|
| 01:43:39 |
Unidentified Speaker, -
FASCINATED -- I HAVE BEEN FASCINATED TO LISTEN TO ALL THESE AREAS FROM THE VERSE CONSTITUENTS AND PERSPECTIVES. I THINK YOU AND YOUR COLLEAGUES HAVE A...
|
| 01:43:55 |
Unidentified Speaker, -
I THINK TONY PUT A VERY ELOQUENTLY. ARE WE GOING TO MOVE FORWARD THIS TIME? >> FROM OUR PERSPECTIVE, I WANT TO ADD ONE VERY PRACTICAL SOLUTION. AS A...
|
| 01:44:14 |
Unidentified Speaker, -
THE -- WITHIN PROVIDING SERVICES TO MEDICARE BENEFICIARIES. TWO THINGS REALLY STAND OUT.
|
| 01:44:23 |
Unidentified Speaker, -
AS RICHARD SAID, OUR COSTS ARE SUPPLIES AND LABOR. THE TWO THINGS THAT STAND OUT AS BEING DIFFICULT BARRIERS TO OVERCOME OUR LENGTH OF STAY IN THE UTILIZATION...
|
| 01:47:24 |
Unidentified Speaker, -
WE REALLY DO NOT HAVE GOOD INFORMATION ON RACIAL AND ETHNIC COMMUNITIES, AND WE DO NOT HAVE
|
| 01:47:30 |
Unidentified Speaker, -
THAT INFORMATION ON GENDER. WE DO HAVE AN OPPORTUNITY. THE PRESIDENT DID AN IMPORTANT THING IN INVESTING IN RESEARCH. IT IS A PROCESS OF PUTTING UP THOSE...
|
| 01:50:36 |
Unidentified Speaker, -
DEMANDS FOR FUNDING. WE HEAR AROUND THE TABLE. THESE ARE GREAT IDEAS, A LOT OF GOOD THINGS TO DO. A LOT OF THE STUFF WE'RE DOING TODAY WORKS. I WOULD...
|
| 01:50:50 |
Unidentified Speaker, -
STATES ARE FILLED GENERICALLY. ONLY 60% OF THE PHARMACEUTICAL COSTS ARE BEING PAID BY -- ONLY 16 PERCENT OF THE PHARMACEUTICAL COSTS ARE BEING PAID....
|
| 01:52:02 |
Unidentified Speaker, -
WE COVER A LOT OF VARIOUS
|
| 01:52:07 |
Unidentified Speaker, -
ISSUES, AND A LOT OF THEM HAVE BEEN COVERED LIKE MEDICAID REIMBURSEMENTS. IMPROVING ACCESS IN URBAN AREAS. I ALSO WANTED TO MENTION GLOBAL COMPETENCY...
|
| 01:54:04 |
Unidentified Speaker, -
NATIONAL HEALTH CARE OF -- IN NATIONAL
|
| 01:54:09 |
Unidentified Speaker, -
HEALTH-CARE PROGRAM, THERE IS SOMETHING THAT REFORM CAN TAKE FROM MEDICAID THAT IS IMPORTANT. ONE OF THEM IS EPSDT. IT MEANS YOU GIVE THE KIDS THE CARE...
|
| 01:58:04 |
Unidentified Speaker, -
NEED IT AND THAT WE'RE TALKING ABOUT HOW TO DO IT. IS A WONDERFUL TO HAVE THAT. --
|
| 01:58:10 |
Unidentified Speaker, -
IT IS REALLY WONDERFUL TO HAVE THAT. I THINK THE DEVIL IS GOING TO BE IN THE DETAILS OF HOW WE DO THIS. IMPLICATION IS GOING TO BE KEY. THE STIMULUS...
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| 02:00:25 |
Unidentified Speaker, -
WITH SOMETHING. HE GOT US STEERED TO DESTINY OF WHICH GOT STARTED IN SOUTH AFRICA. -- TO DESTINY HEALTH WHICH GOT STARTED IN SOUTH AFRICA. THE INCENTIVES...
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| 02:02:24 |
Unidentified Speaker, -
VERY COMFORTABLE CHAIRS. CONGRESS IS WORKING, AND YOU ARE ALL AT THE TABLE HELPING. I ENCOURAGE YOU TO STAY IN HERE WITH US. I INTRODUCE THE DOCTOR --...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.