That risk adjusting and validated a piece of it. I would present several pieces that go into that calculation and im sure that is one, but im not sure its the main driver. I would be interested in seeing that level of detail. Sure. The higher the risk or the more medicare reimburses you, right . They were doing with the upcoding. Yeah, two components. So the higher risk score and again not an area of officexper but its the relative risk across the program. So medicare for us is not dependent on your utilization. Its Community Rated and then risk adjusted. On the commercial side its entirely utilization based. So if youre a higher utilizer, youre rate is higher. If youre lower risk, your rate is lower. On the medicare side, its a Community Rate approach and then adjusted for risk. So its an adjusted community rating. So the higher our total program is in risk, the more reimbursement we would receive, also dependent on geography and other factors. The risk adjustment that is changing whe
Neighborhoods 15 days ago is causing problems for people. Cydney long is live in Gloucester County with more. She has this report right now. It has been and still is a monster job. Were waiting for the cleanup now, you know. Getting to all of the fallen broken branches stumps leaves and debris left over from the storm two weeks ago. This is bells lake drive in Washington Township, and piles of debris still line the curbs on wedge wood. Were finally moving more aggressively than we have. Until today Washington Township had just three municipal crews on debris removal, now there are eight. Now with the pressure of more nasty weather. Trying to get as much done today before the rains come. You know we can only do what we can do. This is Mother Natures call. One silver lining. Its a silver maple. They carve pretty good. Brian was hired to preserve this tree. The homeowner planted the tree with his father decades ago. This is how we gave the tree its second life. I live in town. I had to cu
At the v. A. Have any accountability or any responsibility at all for this happening . If so, how much . Of course we do. As was laid out in the last hearing on the same subject just a few weeks ago, there are many reasons that we are where we are. I think we all share some of the response ability. We have a new program called the Choice Program. We have seven different ways of providing in the community. Im sorry. Did you want to interrupt . My time is limited. You have described with the layout of the land is. Is going to show you what accountability we half. Ok. Do you have any role in this . One of the things you learn is to have no excuses. One of the things that baffles me this case is we are dealing with a Computer System that is over 30 years old call the fms system. It is written in a language i wrote in 1973. We have got to change the Management System of the financial of this enterprise. Our i. T. Budget is about 50 of what a Health Care System i. T. Budget is. We have got t
Did you have a sense at all of whether the cabinet secretaries were speaking to the whole house in their briefing, or maybe just to the concerns of a crosssection of democrats who would be the ones to protect the white house . It was a classified discussion of a very important treaty. I dont see any other motives except to exploited in the way that would encourage us to vote for. Was there any part of the briefing that was contentious or disrespectful . One of your colleagues says john kerry was in respectful. I did not see that at all. All i can tell you is that if we pass this treaty, you can count on the fact that the United States will not be supporting the democratic elements in iran, who are the real solution to the threat to world peace. This goes on boy back to the time when the president first was president and he had all these demonstrators in the street in iran, asking, what side are you one . And our president didnt speak up. If we pass this treaty, that will be held over o
I gave them my Insurance Information and they came back and they said, we dont know. I would like to know how common that is and what is being done to try to let folks actually know what something costs. I might add, i had at the time a high deductible, so it was an important question about my outofpocket costs. The second question is Medicare Part d, when i noted it in the biography, mr. White was involved with in 2003, has a provision prohibiting the government from negotiating prices with the drug companies. And my question is, why is that still in the law . You want to take that one, ed . Why dont you start and ill do the first one. The second one real quick. The first one was, why cant they tell me what the price is . Like i said, forget about the email. Ask them what a price is and its like getting trade secrets out of cuba, right . Its next to impossible. What were seeing is that what the price is and what i owe are two different questions, right . So if i have coverage, i think