| 00:00:33 |
Dentzer, Susan - Editor-in-Chief
AHEAD AND ENGAGE IN SOME BRISK DISCUSSION, EXCHANGE OF VIEWS. HOPEFULLY GRAVITATION TOWARD SOME ACTIONABLE SOLUTIONS THAT WILL MAKE A DIFFERENCE IN THE...
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| 00:08:07 |
Newhouse, Joseph - Director of Health Policy Research
YOU BEFORE WE GET GOING? >> SURE. I WOULD DISTINGUISH BEGAN BETWEEN THE LEVEL OF COST AND THE GROWTH RATE OF COSTS, A PHRASE THAT WAS FASHIONABLE...
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| 00:09:38 |
Nexon, David - Executive Vice President
QUESTION, UNDERSTANDING THE DIFFERENCES BETWEEN SOCIETIES IS INTERESTING. WE HAVE FAR AND AWAY THE HIGHEST LEVEL OF THE GROWTH RATE, AS FAR AS POLICY...
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| 00:10:19 |
Newhouse, Joseph - Director of Health Policy Research
WE TALKED ABOUT THIS LAST MONTH WHEN WE HELD US IN THIS IS SOMETHING WE TALKED ABOUT IN OUR MEDICAL TECHNICAL PANEL MEETING, THIS LEVEL VERSUS GROWTH...
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| 00:12:04 |
Guterman, Stuart - Assistant Vice President
SOME KINDS OF MECHANISM THAT GENERATES A GROWTH RATE IN HEALTH SPENDING AND I'M NOT SURE THERE IS. I THINK A GROWTH IN HEALTH SPENDING JUST MEANS A...
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| 00:13:07 |
Newhouse, Joseph - Director of Health Policy Research
I THINK THE LEVEL IN GROWTH, ONCE YOU'VE GOTTEN IT OUT INEFFICIENCIES AND WASTE, YOU'VE DONE IT. THEN YOU'RE BACK WITH SOME CITY STATES RATE OF GROWTH....
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| 00:15:13 |
Salisbury, Dallas L. - President and CEO
ON THAT SET OF POINTS IS, IN WORK THAT PAUL HAS BEEN DOING WITH THE DATABASE THAT WE NOW HAVE, THAT HAS SEVEN YEARS OF DATA PRE AND POST DESIGN CHANGE,...
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| 00:22:27 |
Barr, Michael M.D. - Vice President
DIRECTION IF THAT'S OKAY. IT'S BEEN REFRESHINGLY SUNNY THAT WE BEEN ENEMY ABOUT TWO AND HALF HOURS ON THE ROLE OF TECHNOLOGY, CHRONIC CONDITIONS AND...
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| 00:23:20 |
Fasules, James M.D. - Member
HAVE THE DIFFERENT EHR'S SPEAKING TO EACH OTHER AND THE DATA BEING TRANSMITTED FROM THE SPECIAL TO THE PRIMARY CARE WITH TWO DIFFERENT SYSTEMS, YOU...
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| 00:23:46 |
Chernof, Bruce M.D. - President and CEO
THIS. AND AGAIN, AS A PRACTICING PHYSICIAN I GET THE VALUABLE OF THIS WHOLE DATA POINT. BUT WHEN YOU LOOK AT THE POPULATION OF BOTH DIANE AND I SHOW...
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| 00:24:43 |
Stuart, Brad M.D. - Chief Medical Officer
THAT IS THE IMPORTANCE OF FUNCTIONAL IMPAIRMENT. AND IT'S NOT JUST BECAUSE, YOU KNOW, PEOPLE WHEN THEY CAN'T FUNCTION, YOU KNOW, UTILIZE. IT'S THE...
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| 00:28:42 |
Newhouse, Joseph - Director of Health Policy Research
ABOUT DECISION-MAKING, SOME OTHER AND FOUR, LONG TIME. AND I WOULD WRITE DOWN ON A BLACKBOARD UTILITY FUNCTION, AND EVERYTHING FLOWS. I WENT WITH MY...
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| 00:30:43 |
Stuart, Brad M.D. - Chief Medical Officer
VERY LITTLE. I THINK IF THERE'S A SECRET TO THIS, IT'S THAT AS PEOPLE GET MORE AND MORE ILL WITHIN THIS PERIOD, WHERE NONE OF US, IF YOU'RE SITTING...
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| 00:32:24 |
Thorpe, Kenneth E. - Chair
MY TALK, BUT I GUESS JUST WANTED TO REITERATE THAT I THINK WE COULD DO THREE SIMPLE THINGS THAT ARE NOT GOING TO SOLVE THE PROBLEM, BUT THEY ARE GOING...
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| 00:35:22 |
Dentzer, Susan - Editor-in-Chief
THE PROGRAM SHOW THAT NOT WITHIN THE FACT THAT MANY PEOPLE TO LOSE THAT FIVE-7% OF BODY WEIGHT, A VERY LARGE SHARE OF THEM GET BACK. THERE STILL IS...
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| 00:36:12 |
Thorpe, Kenneth E. - Chair
50. AGAIN, WE ARE SORT OF PARALYZED HERE WITH NOT DOING ANYTHING WITHOUT HAVING YEARS OF RANDOMIZED TRIAL. GOSH, IT'S A GOOD THING THE PRIVATE SECTOR...
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| 00:37:31 |
Fasules, James M.D. - Member
IN TEACHING RESIDENTS THAT WE FORGET TO DO IS WERE TEACHING THEM THE TECHNOLOGY SO THEY START USING THE TECHNOLOGY. AND WHAT WE DON'T TEACH THEM IS...
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| 00:39:01 |
Thorpe, Kenneth E. - Chair
WHERE THE SCHOOL OF PUBLIC HEALTH, MEDICAL, NURSING SCHOOL, SCHOOL OF SOCIAL WORK, THEY'LL ALL SEE US IMPATIENT AT SOME POINT DURING THE COURSE OF THAT...
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| 00:39:29 |
Fasules, James M.D. - Member
LIKE PEDIATRICS. MY TRAINING IS PEDIATRIC CARDIOLOGY. AND BELIEVE ME WE HAVE A SOCIAL FORMER, SOCIAL WORKER, OUR COLLEGES, HOW TO DO THE BOTTLES BUT...
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| 00:40:06 |
Chernof, Bruce M.D. - President and CEO
PREVENTION. PRIMARY PREVENTION, AND SOMEHOW MOST OF THE DISCUSSIONS I'M INVOLVED IN SEEM TO FOCUS ON PREVENTION AND A VERY PRIMARY KIND OF WAY WHICH...
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| 00:42:19 |
Stuart, Brad M.D. - Chief Medical Officer
INTEREST OF ACTIONABLE STEPS, THERE'S BEEN A LOT OF TALK ABOUT WHAT'S EFFECTIVE CARE, HOW DO WE CHANGE MEDICAL HEALTH, HOW DO WE TEACH RESIDENTS. OUR...
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| 00:43:45 |
Nexon, David - Executive Vice President
KNOW, I THINK THE COMMON WISDOM THAT IS THIS IS REALLY AN IMPORTANT WAY TO GET AT THIS POPULATION. AT THE SAME TIME IT DOES SEEM TO BE A SIMPLE AS ADDING...
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| 00:44:13 |
Thorpe, Kenneth E. - Chair
CHANGE. I STILL THINK ABOUT THE WAY NORTH CAROLINA AND VERMONT HAVE THOUGHT ABOUT THIS IN TERMS OF BUILDING HEALTH TEAMS THAT WORK WITH PRIMARY CARE...
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| 00:47:34 |
Antos, Joseph - Scholar
MEDICARE? I THINK MEDICARE IS ENTIRE HISTORY PROVES CONCLUSIVELY THAT YOU REALLY CAN'T BUILD COMMON SENSE INTO MEDICARE. WHAT YOU CAN DO IS PROVIDE...
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| 00:48:04 |
Dentzer, Susan - Editor-in-Chief
CATCH YOU UP NEXT BUT I PROMISE YOU BOTH, FORGIVE ME, BUT YOU'RE SO FAR AWAY I CANNOT EVEN READ NAME CARDS DOWN AT THAT IN. >> NOT A PROBLEM. I'M A...
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| 00:48:40 |
BOWERS, PETER, -
PREFERENCE, VERY IMPORTANT. SUPPORTING PHYSICIANS WITH DATA, I.T. HAS GOT HOPE THAT WITH AND ROCKABILLY. THAT ONE OF THE LEVERS, AND OUR MULTIPLE LEVERS...
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| 00:49:40 |
Dentzer, Susan - Editor-in-Chief
THINK YOU. SO WE WILL KEEP MOVING THIS WAY. >> KIRSTEN SLOAN WITH A NATIONAL PARTNERSHIP FOR WOMEN
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| 00:49:50 |
Sloan, Kirsten - Vice President
AND FAMILIES. I JUST WANTED TO TOUCH ON THE CARE COORDINATION THAT BOTH BRUCE AND BRAD REFERENCED, BECAUSE I THINK THIS REALLY IS A CRITICAL ACTIONABLE...
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| 00:51:13 |
Claypool, Henry - Director
WITH THE ADMINISTRATION FOR COMMUNITY LISTINGS. UNDER SECRETARY SEBELIUS, JUST RECENTLY FORMED AT THE DEPARTMENT. AND A COUPLE OF POINTS. THE POINT...
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| 00:54:25 |
Martinez-Vidal, Enrique - Vice President
THE DIRECTOR OF THE FOUNDATION STATE COVERAGE INITIATIVES PROGRAM AND ALSO RAN FOR THE STATE QUALITY IMPROVEMENT INSTITUTE FOR SEVERAL YEARS, COMMONWEALTH...
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| 00:57:33 |
Rowland, Diane - Executive Vice President
A LITTLE BIT TO WHERE BRAD WAS ABOUT PEOPLE ENDING UP IN THE HOSPITAL IN THE LAST YEAR OF LIFE AND IN THE LAST MONTH. AND SOMETIMES WE LEARN FROM RESEARCH...
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| 00:58:44 |
Reinhard, Susan - Senior Vice President
THE INFRASTRUCTURE THAT WAS MENTIONED. THE ARE SOME THINGS THAT ARE HAPPENING, SOME OF THIS CAN BE PUSHED FROM THE PUBLIC SIDE AND SOME OF IT IS BEING...
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| 01:00:09 |
Helms, Robert B. - Resident Scholar
TODAY IS TECHNOLOGY, BUT I WILL REFER TO THE DISCUSSION ABOUT THE PROCESS OF INFORMATION. I THINK WE ALL SORT OF BELIEF, THERE'S POSSIBILITIES FOR...
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| 01:01:15 |
Newhouse, Joseph - Director of Health Policy Research
INCENTIVES ARE IMPORTANT. I THINK THERE'S AN ISSUE ABOUT, FROM THE PUBLIC FINANCING, OR EVEN THE PRIVATE FINANCING POINT OF VIEW ABOUT HOW WHO GETS...
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| 01:02:27 |
Stuart, Brad M.D. - Chief Medical Officer
OF POINTS. AROUND JERICHO NATION, WE KIND OF TALK ABOUT IT, BUT WE SORT OF ASSUME THAT WE'RE TALKING ABOUT COURT MEETING CARE ACROSS SPACE, GEOGRAPHICALLY...
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| 01:05:38 |
Bocchino, Carmella - Vice President
TO THE PROPOSAL KEN, THE PLEA KEN BUT ON THE TABLE ABOUT PREVENTION AND DIABETIC CARE, AND A FORTUNE I HAVE TO AGREE WITH JOE ANTOS. MEDICARE IS JUST...
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| 01:08:01 |
Fasules, James M.D. - Member
I READ WERE ORDERED BY THE PRIMARY CARE DOC. THEY HAD ZERO YIELD. NONE WERE NEEDED. AND I'LL REFER YOU TO THE PILOT PROGRAM WE DID WITH NUCLEAR STUDIES,...
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| 01:09:44 |
Chernof, Bruce M.D. - President and CEO
I WOULD JUST GO BACK TO THIS NOTION THERE SHOULD BE A CARE COORDINATION PLAN THAT IS PERSON-CENTERED, NOT PATIENT-CENTERED PARTICULARLY WHEN YOU'RE...
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| 01:11:12 |
Dentzer, Susan - Editor-in-Chief
GLASS HALF FULL OR A GLASS HALF EMPTY TYPE OF PERSON YOU HEARD A LOT HERE THAT WILL SEND YOU ONE WAY OR THE OTHER. [LAUGHTER] I WILL SAY WHAT I HEARD...
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| 01:13:57 |
Howard, Edward F. - Executive Vice President
SUSAN. WE ARE, WE ARE GOING TO START TALKING ABOUT SOLUTIONS. WE TALKED A BIT ABOUT SOLUTIONS TODAY BUT WE KNEW THAT WE NEEDED TO TAP YOUR BRAINS...
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NOTE: The transcript for this program was compiled from uncorrected Closed Captioning.