You found through your friend if you wish but the reimbursement is not as much or you can do this and we have proves of boo outcome and quality that match the very same thing that the high permitted provider is providing at least in the initial round they loud people to make a choice and tried to encourage folks through their Physician Network to go to the network theyve identified for those procedures but if a person said im absolutely not comfortable with that they fixed the Reference Price as the reimbursement and youll have to bear the resting for oourts if you disdecide to do it go ahead this is the Reference Price. So a list of doctors that were checked outer as a group. Yeah. Were really talking about the concept and the concept i understand the concept. And how it actually molesters. Quite frankly our colleagues with blue shield might have a better way to articulate it by the concept of a facility of john meyer or whatever in terms of you go there or the list of those ten facil
With an audit that occurs are there questions from the board. So we spent the whole Early Program do we have to do some reporting or subject to anti audit. Subject to audit. The office the entity that animal this closed its doors. Oh, and turned off its lights so this is in the event that we are all right. Thank you other questions from the board about this item im ready to entertain a motion. Thats the difference of the churns or insurance program. Its been properly seconded to adapt this as discussions hearing none were ready to vote in favor of the motion please signify by i. I. All opposed nay its so adapted thank you, commissioner for staying and giving me 5 minutes. Thank you very much well see you next time. All right. So were now ready to undertake any remaining items under the agenda we were at decision item 8. 8. Were going guilty of negligence gun on this item since it has my name attached to it we heard the controller and director of finance pamela talk about sing nicaragua
Absolutely thats why they accept 2 were not proposing 9. 99 percent were paying the few rates thats why 99 percent of the time the providers accept the plan and agree to a. What happens if they dont accept it. Well get the bill and pay it directly. I dont know what the out of benefits from the network our worse Case Scenario you have a contracted situation they dont have willing provider for the medicare providers on the other hand, we found this is a dramatic you are the primary with the benefit plan being wrapped up around the determination of when a with whether the preparation of the claim is a contractual one so in a Medicare Advantage plan in our national p pox o plan their dramatically kind of differences of before mentioned from a local hmo or p po because we include a medicare provider lets just slide back a little bit lets see to slide 5 nicole if you dont mind this slide highlights some of the further vandals of the national Medicare Advantage p po as i mentioned anywhere th
Accept 2 were not proposing 9. 99 percent were paying the few rates thats why 99 percent of the time the providers accept the plan and agree to a. What happens if they dont accept it. Well get the bill and pay it directly. I dont know what the out of benefits from the network our worse Case Scenario you have a contracted situation they dont have willing provider for the medicare providers on the other hand, we found this is a dramatic you are the primary with the benefit plan being wrapped up around the determination of when a with whether the preparation of the claim is a contractual one so in a Medicare Advantage plan in our national p pox o plan their dramatically kind of differences of before mentioned from a local hmo or p po because we include a medicare provider lets just slide back a little bit lets see to slide 5 nicole if you dont mind this slide highlights some of the further vandals of the national Medicare Advantage p po as i mentioned anywhere the folks live in their cove
Whole thing is jerry disabled. Just trying to put this into perspective, i travel a lot and was in new york meeting said dave the news the little tabloid a story in the quarter the corner sat in queens new york the judge the critics thought he was too liberal and he was mugged on his way to his car then he said today it is unusual but i have an opening statement. I know there is an old joke a liberal is a conservative that has not been of but i have been mugged and i will not change my views a little lady steps up and said beat him up again he did not get the message. [laughter] that is what we do with the polls. Retry and i will tell you is it works like that little old he they keep beating them up until they get the message that is why at the end of the day i become less cynical because American Public opinion really does referee the worst instincts of behavior. So with that we are happy to take any questions and i forgot to ask is there any press in the room . I see one. Good to kno