So to give you a sense of why that really diminishes the incentives, if you think about an aco increasing spending during a Contract Period, medicare shared savings program, aco for example that isnt facing any Downside Risk, they are penalized for doing that. And it increases their benchmark for the following Contract Period and then they can receive a shared savings bonus for doing nothing. Under the pioneer program, they are penalized for doing more, but again theres that offsetting effect by the benchmark going up and the subsequent Contract Period, so for pioneer acos the incentives are more akin to fee for service with a lag. Then, thinking about the fixed costs of investing in systems to actually control spending, the rebasing is that much more of a problem because it may be hard for acos to recoup their investments of investing in the right systems. So that is one challenge. And i know sean and his team is working hard on a revamped proposed rule for the shared savings program.
In telaviv raising fears a plane could be shot down. Good wednesday morning to you, it is july 23rd, 2014. Just about 4 01, time for weather on the ones. Good morning, getting through wednesday today, dry, i guess, right . Is that the point, caitlin here . We might, but probably in the until later tonight for the evening commute, maybe more compromised than the morning commute, actually dry, it will be including through the rest of the day, hot and sticky one of the week, luckily one day special, as well see some relief as earl ace tomorrowment ultimate doppler tomorrow quiet. We dont even have any clouds overhead, watching the cold front, which is still well off toward our northwest, pressing through lake erie, northwest ohio, so ways to go, probably in the going to arrive like i said until very late this evening. 73 degrees outside philadelphia right now, so yes, it is mild. Not too oppressive yetment some of russ still starting the day in the 60s, well fall couple of degrees before
Can you tell us about the victim . It was a female employee, that is all i can release at this time, i dont believe her next of kin has been notified im not going to comment. Was she im not going to comment, except to say this occurred in the psychiatric unit of the hospital. The doctor that suffered the graze wound we are told treated the suspect is that true. Im not going to comment on that. Is there a motive at this point, or a random shooting . We are not sure what occurred to precipitate this particular incident. We have the psychiatric concern but if there was a dispute that happened inside of that room that led to shots fired. What about the suspect . The suspect has a gunshot wound. Can you tell us how he got that . I cant comment on that at this time . Someone shot at the employee and someone else shot at the shooter . Ill give you more information as soon as i can. What is happening with moving people out of here the suspect has psychiatric issues. Again, we have a shooting i
Force to give joe a warm welcome. Yesterday in a truly unhinged speech, biden predicted that manmade Climate Change on fossil fuels that he will eliminate will soon destroy the world. Today he boarded a massive private jet, of course. Lots of carbon emissions, and in the rules only apply to we the people, you, not. But hey, maybe we should give joe the benefit of the doubt and maybe, maybe he forgot all about yesterdays insane Climate Change speech. Obviously having cognitive issues, and thats being polite. After all hes having more and more trouble recalling basic facts, but they have the week it is, what office hes running for and whether he is calling for election or reelection. His running mate by the way, Kamala Harris, i think it is the harrisbiden ticket now. He sends it daily troop updates. U. S. Troops died in iran and afghanistan. The harrisbiden administration will relaunch that effort. If you were a quartermaster, you could surely take care of running a department store, yo
Students on topics such as who killed homer the origins of the west and what happened to history. He is the martin and Ellie Anderson senior fellow at the Hoover Institution focusing on classics and military history. He is also the wayne and marcia buskey distinguished visiting fellow in history at Hillsdale College and he combines the very rare ability to be one of the foremost scholars in his field of classics, but also to be a popular pundant who regularly appears on fox news and rights of weekly column with National Review as well as american greatness. He has received a ba in classics from university of california santa cruz. He was a fellow at the American School of classical studies in athens and received his phd from the university of stanford and his book the dying citizen how progressive elites tribalism and globalization are destroying the idea of america is this years conservative book of the year. Please join me in welcoming, dr. Victor david hansen. Can you hear me . Okay