These are the goals that the secretary announced. Really focus on the dark circle on the page. The dark circle is the percentage of medicare fee for Service Payments in the alternative payment models. In 2011, they were zero. No medicare payments in the model. In 2014, at the end of 2014, about 20 of the 362 billion of the medicare feeforService Payments, excluding Medicare Advantage. But the numbers are similar. 20 were alternative payment models. The goal is by the end of 2016 30 of the feeforService Payments will be in the new alternative payment models that work and 50 by the end of 2018. So this is the first time in the history of the Medicare Program that we have set Broad National goals, and what is critical to understand is its not just a medicare project. This past wednesday at the white house, you may have seen president obama picked up something called off something called for health care learning Action Network where we have convened a commercial payers medicare organizatio
That we understand . Early onset disease is defined by the age of onset, but we have learned in recent years that it is probably the same underlying disease process. Having said that, a person who was affected with alzheimers disease in his armor 50s versus somebody in the 80s may have different contributions to the clinical picture. They look the same. They are forgetful and they develop problems with thinking and activities with daily living, but in the older person, there is that tangles and some other pathologies and vascular disease. In the younger onset person, it is more likely to be a few are a pure form of the disease i think both of them are comparable. Treatment that are likely to be used for onset early on can be used for later on. There might be a slight predilection toward a genetic as with most diseases. When they occur earlier in life they are more genetically noted that later in life. The biology of the disease is quite comparable with early onset and late onset. Senat
Table. Okay. Well lets you know, i hope youre not diminishing my point, which is i think there must be more women out there who are interested in this subject who would enrich the conversation. In any event, you know i think its apposite in a discussion of the middle east, that we focus on iran, because i think its central to the situation. But before we get into the iranian vat, we ought to jump off of jacobs point a moment ago. There has never been, in our lifetimes, a situation such as that that we see in the middle east right now. Every single country in the region is involved in a military conflict with the exception of oman, i think, every single country. The analogy to the balkans is not over the top. It may not turn into world war. But we already see it fueling unrest in africa, in parts of asia. We already know that it has potential consequences for extremism and terror attacks in europe and in north america. It clearly has global consequences economically. It is clearly you k
The federal governments job to determine what your mission may be. And certain if youre a private forprofit, were not here to dictate your organizations mission. But a forprofit institution has no special right to federal funding. And if youre going to receive billions of dollars in federal subsidies, we think its reasonable as we endeavor to reauthorize the Higher Education act that we tie some reasonable Public Policy strings to those dollars. And all we are saying is that we want institutions of Higher Learning, and especially their leadership, to wake up every morning and think not first about profits, not think first about how theyre going to market to find more customers, but think about access and affordability. And what were saying is that different institutions may have Different Missions. A Community College has a different mission from a Training Institute and a fouryear institution has a different mission than a graduate institution. And thats all fine. And thats why weve e
Folks who have an oepiate disorder, they will often tell you and you will see they started with early tobacco, early alcohol and early marijuana use. But mr. Botticelli, thats a logical fallacy, thats true but that begs the question that millions of americans, 4 50 million, have used marijuana and didnt go on to other drugs. We have to desegregate the addictive personality from the recreational occasional user. I mean nothing norm tif by this. I said in my opening statement, im a child of the 60s and leery of legalizing any drugs. Ive seen the damage. But i want us to be basing fact on the matter is the war of drugs doesnt look like it work very well in Public Opinion and demand. Whereas other campaigns that are voluntary. Actually have worked. So maybe we could learn something from that as opposed to incarcerating, especially minority populations in this country and that doesnt seem to work either and doesnt seem to reduce demand. Representative connolly, i think just focusing on mari