What you just did so thank you very much. A few moments we have a very special guest is coming out the former Vice President of United States joe biden. [applause] along with Vice President we have a proud president jason romain. Yes, louder. And along with jason romain senator bob dole republican from kansas. They will also have tom daschle democrat from south dakota. And George Mitchell also democrat from maine. Nevertheless this is a very very special moment for us so i would please ask that all of you please silence your cell phones and if you wouldnt mind when the gentlemen come up to the stage if you wouldnt mind doing this. Thank you very much. And of course i just forgot to introduce my boss. So nevertheless im very proud to chase the founding president of the Bipartisan Policy Committee and that is jason romain. Im very nervous tonight, i dont know why. [applause] we will let our gang a symbol for just a moment. [inaudible conversations] [applause] [inaudible conversations] [i
End of the month. Conversation with a secretaries. A few weeks ago the was a tounge but with the secretary there are of hearing on capitol hill. Regulations that have within the last two weeks. The state departments head of Diplomatic Security was among the witnesses taking questions about measures congress and the state department could take in with medical groups and insuring safety of Insurance Companies we are its less than an hour and a half. Figuring out the details and interpretations of the regulations. Because these regulations could [inaudible conversations] make or break our budget. Just in the past week and a half come in the new regulations come on board, which allows hospitals to do a screening process of any patient that comes into the hospital we cannot afford the care and we have asked the hospital to do the screening and that the screening shows that they can or cannot get on medicaid. We put it on and there is a two month period. We are trying to figure out if they d
Utilization. At the medicaid you leave a message no one calls you back. There are no appointment available. Thats before the expansion. Its going get even worse as time goes forward. Its mapping out the claims on a map five years of data mapping out the home address of every resident and this is only nine square miles a small community. 6 of the city blocks are 10 of the line mass, 18 of the patients, 27 of the visits and 37 of the cost. Its just theroom room and hospital care. All over america they are living collected in buildings. Many of which you are funding through state funds and federal funds. These are the two most expensive in the city. These are beautiful buildings with great management. 600 parents who are mostly dual eligible. These are disabled seniorsed at 12 million in payment for the care to go bark over and over to the hospital. The building at the bottom. 300 patients a nursing home 300 patients had 15 million in payment to got hospital. We have mapped out data all o