[inaudible conversations] good morning. will commute to the 20 daniel chicago tribune chris royal lift us sponsored by bank of america. i d like to give a special thank your sponsors today to help make the the let s test a success. today s program will be broadcast live on c-span2 s booktv. if there s time at the end for q&a with the author, if you could pleased use the microphone look at the center of the room, the home viewing audience can your questions, that would be great. if you like to watch coverage of today s program, it will be we aired tonight at midnight central time on c-span2 s booktv. if you re interested, books can be purchased in our rent and you can have your book signed by the author if you would so like. at this time please drop all other electronic devices and cell phones. thank you very much. it is a great pleasure to introduce a moderator for this conversation, the president of the chicago history museum, terry johnson. [applause] thank you ve
that are outside of traditional medical care here and only by having payments that focus on medical and support better health outc/ at@@@ rrági @ ráb,r providers that have taken the steps to actually get better outcomes and bringing costs down at the same time. so this slide provides a bit more detail on how accountable care can be implemented, via providers and iders payors of green to change the way that they are paying for care away from typically a fee for service approach. the accountable care providers that are working together, identify who they are. and then the payor can identify who is actually getting care from those providers. who they re accountable for, the patients that they re accountable for based on actual patterns of care. it doesn t require any active enrollment steps. you re not taking anything away from private plan beneficiaries and those providers are then responsible for held accountable for the overall cost of those patients, both services they d
i hope the chinese will be will inclined to ask or we will behave very nicely so that they continue to do that. . . and what it does is something i like. they take the premium an employer pays for a family plus the and we e. s contribution to that premium and at the out-of-pocket spending of the family to get a sort of total average bill of health spending for typical american family of four, averaged over i believe a data database at least 10 million families, this is an interesting number. and that grew from i think, i can t read it but i remember something like 8114 to something like 16,700 now and it will be 18,000 next year at 8% and the average compound growth rate was 8.7%. now, rule of thumb is it doubled. health spending for an average american family tends to double every decade. so double 18,000, and you get 36,000, right? that s what we are talking about, ten years now is for an average american family of fort it will cost $36,000, and this excludes the elderly. t