Gerri first our top story. Failurtonch. The Pilot Program created for obamacare to reduce costs by moving away from the traditional feeforservice model. One of the major goals of the entire program is lower costs. With me now is a senior fellow from the manhattan institute. Would he make of this . It is a mixed result. There is some kind of hospital that saves money and some that cost more money. At the end of the day i think that the longterm result is higher cost. Gerri Accountable Care organizations. Yes. Gerri im not sure if this is a winwin for the obama administration. The goal was to save some 940 million and heres what we found. They lost three tenthsof a percent and the price is actually wt up. They rose overawethe institutions in this you would think, treating people early for conditions that could spiral into expensive conditions later would be a good thing. More market power. That is what many are talking about. They have jacked up prics at massachusetts general hospital, now they can save 0. 5 relative to what hey want to do. And they have raised prices over and over. So it is sort of the fox arding the henhouse. Its like, well, everythings is great, they havent released the full data. Gerri you were telling me that these press releases i look at this data and i think, what does this mean for obamacare . Once every bit of it in place. We have already seen premiums rise and outofpocket costs increase. What we looking at . Is holding the we are talking about today, that has been trumpeted by a lot of the proobamacare people. This is cost control, the thing thats going to bring costs down. 0. 8 versus 0. 3 growth. Insurance premiums are doubling for people in many cases if they are shopping for insurance. On the one hand increases are 100 , savings or 0. 5 in other cases. Gerri theres another reporter wanted to comment on. They debate the debate over obamacare and the money they give people who are very little to get health care. It will cause people to drop out of the job market. Some 900,000 pople will leave the workforce or reduce their hours. It is a threat . At the problem always when you do more to subsidize lowincome people. But some people are going to say, if my hours are going to get cut or my wages are going to get cut, i can get Health Insurance benefits and nt is a better deal for me. We have seen a singer of all the time. The thing we have to remember is that we already waste a lot of money subsidizing health care for the wealthy. So should we try to do more . Probably. But we do too much already. There are my that dothat. Thank you for coming on, its always great to have you. Youre welcome. Gerri coming up in 25 minutes, we continue to bring our users guide to health care. Find out when you should change doctors and how do you go about that. Also another big story today, this one caught my eye. Inflation, despite what the fed wants you to think, inflation is on the rise and its hitting your bottom line hard. Consumer prices posting a sharp increase in five months. In june not is up to have beating expectations. Ining me now is an economics professor at the university of maryland. Peter, its always good to have you. So you dont think that this report is that big of a deal . Well, core inflation remains rather docile. If hey dont worry about o prices. It doesnt do any good to worry abouit. Theres not much we can do about it. Gerri that is the dirty little game that the government planes. Meanwhi if you put in the cossack everyday, you have to pay it every day, gas, food, those prices are on fire. Letets put some numbers in frot of you. Because i know that its just common on wall street that prices dont matter, the prices that we are seeing rise, new vehicles are a pretense of a percent, closer of nine tenths of a percent, medical care is up four tenths of a perce, gas up 6. 3 , even food is going higher. Electricity, across the board, a lot of pressure on prices. You say dont worry i . There are things that we can worry about. Thin like clothg prices and medical prices and we should be doing something about it. The ethanol program, raising food prices they cant do much about oil markets international, they cant do much about mr. Obamas Energy Policy domestically. They cant do much about the ethanol program. So if you look at what Monetary Policy can do, it has to accept a lower price increases. Gerri yet i have to live with them. So unless we talk bout what the fed makes of it, i am more worried about how my paycheck goes. Okay, lumbers u 30 , and drywall up 18 , tiled roofing of 9 , concrete, these are the kinds of things that matter to people who are building house out there. That is the engine of economic growth. What exactly do you mean to our economy . One of the things we are seeing is that Consumer Spending is only increasing to the extent that it has to in order to accommodate higher prices. People have to get to work so they buy gasoline. They have to replace their older cars. The prices are up a lot. So what do they do . Expanding content unless money on other stuff. The economy we are seeing, slowing to about 1 . Half of what it was. People simy dont have any money to spend on other stuff. Gerri that is just so disappointing. Because that is not a real recovery. I have seen far better recovery than not. I remain concerned about inflation. I know what you need your bottom line. What are the indicators . Were the things that you would be watching to say, oh, to round around the corner, you need to be prepared. I think of the fed doesnt faze down quantitative easing, i think we are isome content for some very heavy inflation. Most of it has been in housing that has gone up much more than incomes can support, largely on the backs of very low interest rates. If the Federal Reserve keeps pumping money out, and it might do that because if the economy is slowing to 1 , it has to flop over into the goods and services. We wont see this. 2 , we will see it at much higher. At that point we are starting to get into the world that we fear the most, hh unemployment because of slow growth rates, its going to have to rise and high inflation. This economy is not being handled very well so im quite concerned that napster could be a battier in the ways that you fear. Gerri is handling even the word for it. So i want to get your commts from the kansas city fed. Esther george says that she favors tiberi and quantitative easing. She said that john fox business. Starting in september she wants it done by the first half of 2014. What you say that . Well, that is a big issue, but not a big deal in my mind. But if we face down quantitative easing, we are risking another sectton. To some extent the economy has become addicted to easy money policies. But we do need to get ou of this. Gerri peter, thank you for coming on the show. We appreciate it. Take your. Gerri now we want to know what you think. Heres your question tonight. Inflation a reality in your life . Blog on gerriwillis. Com and vote on the righthand side of the screen i will share the results at the end of the show. We have more this hour, including tips on keeping your pet from being tolen. And fitness wristbands see to be the rage. But when you p all of your medical data in your evice, where does it go . We will tell you coming up next there is a pursuit we all share. A better life for your family, a better opportunity for your business, a better legacy to leave the world. We have always believe in this pursuit, striving to brininsight to every investment, and integrity to every plan. We are Morgan Stanley. And were ready to work for you. Honey, we need to talk. We do . I took the trash out. I know. And thank you so much for that. I think we should get a Medicare Supplement insurance plan. Right now . [ male announcer ] whether youre new to medicare or not, you may know it only covers about 80 of your part b medical expenses. Its up to you to pay the difference. So think about an aarp Medicare Supplement insurance plan, insured by unitedhealthcare Insurance Company. Like all standardized Medicare Supplement insurance plans, they help cover some of what medicare doesnt pay. I did a little research. With a Medicare Supplement plan, youll be able to stay with your doctor. Oh, you know, i love that guy. Mmhmm. [ male announcer ] these types of plans let you visit any doctor or spital that accepts medicare patients. And there are no networks. Is this a onesizefitsall kind of thing . No. There are lots of plan options. It all depends on what we need and how much we want to spend. [ male announcer ] call now to request your free decision guide. It could help you find an aarp Medicare Supplement plan thats right for you. What happens when we travel . The plans go with us. Anywhere in the country. I like that. You know what else . Unitedhealthcare Insurance Company has years and years of experience. What do you say . Im in. [ male announcer ] join the millions already enrolled in the only Medicare Supplement insurance plans endorsed by aarp. Remember, all Medicare Supplement plans help cover some of what medicare doesnt pay and could really save you in outofpocket medical costs. Youll be able to choose your own doctor or hospital as long as they accept medicare patients. And with these plans, there could be low or no copays. You do your pushups today . Prepare to be amazed. [ male announcer ] dont wait. Call today to request your free decision guide and find the aarp Medicare Supplement plan to go the distance with you. Go long. Gerri a warning tonight for those of you that use medical applications and gadgets. You are signing away the rights to your private information. In just a moment, founder and chairman of this program jointly. But i want to show you why i have oneof these exercise bands that actually tracked how you exercise. So this is my band on my hand right here. This is the information get from it every single day. It tracks and monitors my every step. Yesterday on july 15, i walked over 12,000 steps were 6. 2 miles. It is over 100 of what my goal was in all of this information track things everyday. You can actually tracked what time you get all this exercise as well. I think its a great thing. But as a warning, tell us what is the problem with this information . Why do we lose control over . Well, when we sign up for that gadget or nike fuel bands or any of these fitness devices, there is the fine print that tells you that these vendors have complete control over your data. They can sell the data or use the data any which way that they please. Gerri so my mydata an be sold with my name on a . They may not have your name on it. But the data can be sold to a marketer and advertiser. Ttere are plenty of employers and Insurance Companies today that are paying for their employees to have these devices. You can bet on the fact that they know exactly do you have walked 6. 2 miles or that you had a pizza and a cocacola yesterday, but they have all of this data and a lot ofconsumers are not reading the fine print. Gerri sorry to interrupt you, but yahoo just said that presumably if they want to track their every move, if they want to promote and move along, they could easily do that. Heres what the company says. We may share your information with third parties. On and on, it sounds to me what you have lost total control of all this data. Nike and others want to be data companies. So the devices, this is the emphasis with explosive market around digital devices, that they want to get access to consumer data. Heres the catch, you and i talk about this and i know that you are very amazing. Suppose next month either side, you know what . I am tired of this and im going to try to nike fuel bands. Well, you are going to start with a clean slate all over again. Now you are going to get Something Else and it is going to have all of that data and its impossible. I know from a technology standpoint it is not lik open access here. We just ran a graphic beside you while you were talking. Showing what actually gets sold. Actually you lose control of it and it is shocking. My name, age, my serial number, obviously. This is a long list. Tell me what the company is that you are involved with. In order to solve this problem, i work for ge. They give me insurance through united. So i use a band to track my fitness and i shop at walgreens or whole foods. This could be anyone of us. But the things that we track on a daily basis, it isso complex that it is impossible to bring that together. What we have done is to bring together a platform that integrates all of these devices and applications. All ofthese vendors so that you are not throwing the baby out with the bathwater in order to really help consumers get engaged. Because the market is not helping consumers get engaged. Gerri wait, who is going to buy that information . Well, we are not selling that information. The consumer has complete control over that information. If they dont want anything to be done with that information, it is up to the consumer because the consumer owns that information on i love that. That is the right answer. Thank you for coming on tonight. And thank you for helping us learn. I had no idea. Thank you. Thank you. Gerri later in the show, our guide to health care continues with Important Information on how patients should change doctors. And then we answer the question, how do you do that. Tips to keeping your pet safe. We have a very special guests cong up next at a dry cleaner, we replaced people with a machine. What . Customers didnt like it. So why do banks do it . Hello . Hello . if your bank doesnt let you talk to a real person 24 7, you need an ally. Hello . Ally bank. Your money needs an ally. [ whirring ] [ dog barks ] i want to treat mo dogs. Our Business Needs more cases. [ male announcer ] where do you want to take your business . I need help selling art. [ male announcer ] from broadband to web hosting to mobile apps, Small Business solutions from at t have the security you need to get you there. Call us. We can show you how at t solutions can help you do what you do. Even better. [ villain ] well mr. Baldwin. It appears our journey has come to a delightful end. Then i better use the capital one purchase eraser to redeem my venture miles for this trip. Purcse eraser . Its the easy way to erase any recent travel expense. I just pick a charge, like my flight with a few taps, its taken care of. Impressive baldwin. Does it work for hotels . Absolutely thank goodness. Mrs. Villain and i are planning our. You scare me. And i like it. Lets go whats in your wallet . Gerri welcome back. We are continuing our weeklong users guide to your health care. Tonight as you change an agent and Health Insurance agents consolidate, you will have to change your doctor and the likelihood of it is growing. My next guest says have a little Due Diligence picking out your doctor. Who explain is the ceo of the American Institute for Preventive Medicine and the author of help here at home, your guide to health care. Glad to have you here. Tell us why do people pay so little attention to the doctors that they choose . Well, i think as you say, as consumers we tend to spend more on consumable items. An hour and half on shopping for shoes and only 45 minutes on average when it comes to selecting a provider and unfortunately, that is not enough time particularly when we are talking about someone that determines your health and wellbeing and how long you may live. Gerri what are the critical things we can do to pick a doctor to do a great job . Well, you want to make sure that the doctor accepts your insurance and is part of your inrance not work because i can be very expensive if they are not. You want to find ut about their office hours and the convenience in terms of their location and who will be able to see you on the doctor is not there. Have there been many lawsuits that have been brought against the provider and if so, how many, what will be the outcome of those and that is a matter of Public Record for many people to access. And how train ride a commodity boardcertified or simply board eligible. Boardcertified means they have passed the exam after the residency. Even deciding whether you want an m. D. Or the dl. Gerri what is a dl . Doctor abbas hoppe ought to be. Gerri of never heard of that the doctor has to be a network. Otherwise you can see doctors that will charge as much a 6219 coming up at . Yes, theres a lot of variation based upon what physicians charge and we recommend that consumers before they select a doctor find out what the various these are for various types of procedures. That gives you more ammunition to negotiate with our doctor regarding the fees. We teach patients to become wiser consumers so that they dont simply accept everything whether its that these are what the doctor tells them to do and Research Shows that an empowered conssmer ends up Getting Better care and is more satisfied with their care and has better outcomes. So by being forewarned and forearmed as a consumer, we can go a long way in terms of improving mass. Gerri i feel that the industry does not make it easy o find out about doctors. Theres no annual grade of doctors, you really have to do your homework if you want to find something other than just the bassics. Where did they go to school and stuff like that. You can read the wall in the office. Otherwise finding some of this data is not easy. I would like to know what sort of grades my doctor got a medical school. I would want them to have high honors when they took their surgery classes as opposed to merely pass to get. So yes, there are websites that you can go to but they are biased in nature. One is that they may not have a lot of reviews about that doctor so its a very small sampling and the doctor may have family or friends writing the reviews emselves so they are biased in nature andhen you also have patients that may be completed and then complain about a doctor not because of thcompetency but they didnt like the bill that they received or they didnt like waiting in the Office Printer those are criteria that they want to consider. Gerri it matters how long you have to wai. You know, i think that friends and family are a good place to go for suggestions and certainly not the only place. One of the questions that people ask me if i could pick very young doctor and have access to the very latest medical training or i could pick an older doctor and have access to years and years of expience. Which is the better . Well,it depends upon the individual and i actually switched from an established doctor who had a poor bedside manner to a younger doctor. Although i did query that talked a lot about his experience, particularly if i might have to have surgery, how often he had done the surgery but his outcomes have been related to the surgery. Hespent time selecting a doctor that may not only be working on mine about what the criteria is where the experience or credentials, but also meeting with the doctor and interviewing the doctor the same way you might have to agree contactors come out to your house before doong in addition, you want to go down and visit several doctors and feel how it is with them, are you comforble, do you feel like you could discuss anything with the doctor, even sexual concerns and do they listen to you. The average ptient has four questions and only get one and a half of them answered during their visit. Ninety seconds after the patient starts talking, that is not the kind of doctor that you want. You want somebody who is not going to tell you what to do, but rather takes your opinion into account. They are not afraid for you to question them as o if they recommend a medication or a procedural recomnd the service. What are the alternatives to that. See on the pardon me, but i try to come im going to want them to talk on the telephone and im going to want them to respond to emails. How likely is it that i can find somebody wholl be able to communicate at that level more likely they will call you back maybe 24 hours later, only about 17 of doctors are now communicating with their patients through email. That will certainly change as more doctors move towards Electronic Health records. But still the doctors tend to be somewhat traditional in nature as to how they communicate with patients. Gerri all that will change in the weeks and years ahead. Great information, we appreciate your time. Thank you. Gerri if you need some help picking out a doctor, we will look at what consumers are looking for to make sure the bills are right and correct and what to define an error. We will till you about that. Still to come, a do not track registry, will it work better than the do not call list. And a new report warns that the influx of interns and hospitals can have an impact on what we do. [ male announcer ] if you suffer from a dry mouth then youll know how uncoortable it can be. [ crickets chirping ] but did you know that the lack of saliva can also lead to tooth decay and bad breath . [ exhales deeply ] [ male announcer ] well there is biotene. Specially formulated with moisturizers and lubricants, biotene can provide soothing relief and it helps keep your mouth healthy, too. [ applause ] biotene for people who suffer from dry mouth. Gerri here again is gerri willis. Gerri should you steer clear of the hospital in july . That is when newly graduated medical students begin their internships and that causes people to think twice about going in for treatment. Here is the vice chair of medicine at northwestern university. She knows a thing or two because she runs the program. Should patients be concerned . Thank you for having me here. I dont think that patients should be concerned about Teaching Hospitals in jul they provide outstanding care to the patients. Usually with the most complex conditions. I think a lot of people believe that for sure but there is evidence from a study at the iversity of california at saw a spike, a fatal medication error. Summertime, they rise unexpectedly. Well cause i . I think that it is somewhat controversial in the literature about whether we all agree that there is a phenomenon called the july effect. At northwestern, where i work, we have developed a very rigorousraining program to try to combat the possibility. What you talk about is that in july, new graduates of medical schools come from all over the country start their trainin medication prescribing may be different in one place versus another. The one big difference in prescribing routine wouldnt cause fatal errors, what a . If youre not sure how to order the medications or if youre not familiar with wavy order them on how to get the patients their prescriptions at home or if you are using medications youre not familiar with. Gerri what do you guys do to reduce the number of errors . We have taken a proactive approach at northwestern. We are not really convinced that we have these issues in july. But we havea twopronged approach. First is enhanced supervision because we are aware that they have new interns coming from medical schools. We dont allow them to do much by themselves. We have a lot of senior physicians supervising them. The second is that we have in Innovative Training Program that we call buchanan. So we bring these graduates in early before they officially start and we take them through a lot of different training protocols regarding procedures and communicatis and skills and how to hand off their patients at the end of the day. To make sure that we dont have these types of issu. Gerri one more quick question. It is interesting that we find a lot of these interns fineness with interns. Is that a new trend in health care . How do you explain that . Up an interesting question. I think its a combination of factors. The first is the prevalence of Electronic Medical records and the need for physicians in the hospital to update it regularly because that is how information is transmitted between care providers the second is a confession of the work hours of doctors in training so that while they are in the hospital these patient care tasks must get done. I think what we see is that there is less time for actual bedside time. Which i feel is unfortunate. T one i agree with you there that is unfortunate. Thank you for being with us today in helping us understand this issue. We appreciate your time. Thank you. Gerri when we come back, regulators have been trying for years to create a do not track registry for the web. Are they getting any closer to making it a reality . We will have that coming up. Gerri coming up, do not track. The gerri a growg push stopping online advertisers. Lets face it, willie do not track with do better. Chairman of the traction protection working group. Breaking heavy here, peter. How close is the same . Well, i think we are moving forward. Just last night the working groups issued an opinion about a fork in the road that passed and now we decided what we ar going to use in going forward. We will try to go from here. Gerri what can derail this or put it off or stop in its tracks . There is the idea that is a consensus that can be hard in life. But i think the main thing is we are moving forward and we are having issues that we will try to address. We will try to know the sender to get builtin globally as to how the websites are when you go on the web. Gerri a recent survey found that some 18 of users turn on the do not track setting because more peopl would do this if they know whats available . You think they would even Pay Attention to it to begin wh . This is getting built into the browsers, all the major browsers have put this in the last couple of years. The websites are responding in a consistent way. That is what they have tried to do. Gerri i feel like i have no idea what will happen. I feel hat it is worrisome not knowing whats going to hpe would you say to people like me who might be worried and i do not believe that the do not call list doesnt work. We get calls all the time. The commercial calls to stop, that is what they went through. So where you have the rules, there ha been a lot of compliance. We are trying to build consistency on the web where you have something that works and you have control over where necessary things keep happening as well. A lot of people find loopholes, trying to sell us stuff. We are trying to build something that we have a sense of control over. We are trying to bring that together and the challenge. Have a great day. Thank you so much. Gerri we will be right back with my two cents more an answer answer to question of the day. If inflation a reality in your for our children is something we all sha. But who can help prepare them for the opportunities ahead . Who can show them how to build on your success, but not rely on it. Who can focus on making your legacy last for generations to come . That someone is a Morgan Stanley financial advisor. And were ready to work for you. [ whirring ] [ dog barks ] i want to treat mo dogs. Our Business Needs more cases. [ male announcer ] where do you want to take your business . I need help selling art. [ male announcer ] from broadband to web hosting to mobile apps, Small Business solutions from at t have the security you need to get you there. Call us. We can show you how at solutions can help you do what you do. Even better. Chantix. Its a nonnicotine pill. I didnt want nicotine to give up nicotine. [ male announcer ] along with support, Chantix Varenicline is proven to help people quit smoking. [ mike ] when i was taking the chantix, it reduced the urge to smoke. [ malennouncer ] some people had changes in behavior, thinking or mood, hostility, agitation, depressed mood and suicidal thoughts or actions while taking or after stopping chantix. If you notice any of these, stop taking chantix and call your doctor right away. Ll your doctor about any history of depression or other Mental Health problems, which could get worse while taking chantix. Dont take chantix if youve had a serious allergic or skin reaction to it. If you develop these, stop taking chantix and see your doctor right away as some can be lifethreatening. Tell your doctor if you have a history of heart or blood vessel problems, or if you develop new or worse symptoms. Get medical help right away if y have symptoms of a heart attack or stroke. Use caution when driving or operating machinery. Common side effects include nausea, trouble sleeping and unusual dreams. It feels wonderful. I dont smoke. I dont smoke. [ male announcer ] ask your doctor if chantix is right for you. [ villain ] wellr. Baldwin. It appears our journey has come to a delightful end. Then i better use the capital one purchase eraser to redeem my venture miles for this trip. Purchase eraser . Its the easy way to erase any recent travel expense. I just pick a charge, like my flight with a few taps, its taken care of. Impressive baldwin. Does it work for hotels . Absolutely thank goodness. Mrs. Villain and i are planning our. You scare me. And i like it. Lets go whats in your wallet . The trial of Goldman Sachs trader begin today the 34 yearold frenchman who calls himself fabulous is accused of manipulating investors over Mortgage Investments that are now with java costing billion dollars. Liz macdonald is outside the federal court with a report. The sec says this is a case about greed and deception former Goldman SacksVice President is on trial right behind me at the of federal courthouse in Goldman Sachs or repaid the 550 million fine which was a record at that time. His lawyer is telling the jury of 958th women and four men and episcopalian priest and a special ed teacher he says he is innocent and will testify later and that he is a scapegoat of wind was only 28 years old at the time. Were also hearing from Hedge Fund Executives john paulson a Billionaire Hedge Fund executive and will testify in the trial. The executives are saying they sold t idea to Goldman Sachs to build a derivatives deal builds on some private mortgages from places like arizona and california and nevada. 99 of the assets after it was sold were downgraded. That happened within one years time. At the time Goldman Sachs started to reverse the position and mortgagebacked securities but they started to short the deal and then with cherry pick the assets that would shorted so that informatn was not given to investors. But he faces a lifetime day and as well as sec finds the judges already saying he said chile to keep it tight and short the sec will also introduce a lot of emails and gogols. One of the emails the century says if he is joking he does not feel glty about said deal the lucky to capitalize it also choking and joking selling it to widows but there is one with no sitting on the jury. Just put the 550 million fi into perspective they paid to go to the case go away that is less than one months ofit. Both the medical industry doesnt make it easy for you to get a new doctor know jama in annual card for your primary care physician. They dont get as a users manual. Sure family and friends can help with the doctors that they like that can get you in and out under five hours did have a friendly staff and the ones that will get on line or on the phone with you if you have questions. But they cannot tell you if the doctor is credentialed or has kept up with post graduation training requirements. You need to check out a handful of websites on linebacking give you street talk. Just like visa gives education and professional background of doctors across the country. And also page to reduce. Face it if you are smart he will take the time to get the best medical device that you can. The tools are out ere. Check them out. That is my 0. 2. Thank you for joining us. Have a gat night. We will be back tomorrow night. Lou good eveng. Attorneygeneral eric holder has had a 24 hour changing public focus that led to the acquittal of George Zimmerman that has led the attorney general away from the original accusation of racism aimed at the jury in the entire year judicial system and the nations top lawenforcement official this afternoon decided instead t target the stand your ground laws and those exercise their rights under the law. Here is the attorney general moments ago