impact on your health, in general, the greatest impact on the health of a population is primary care doctors. we need primary care doctors. thyroid is a little bit big. what s happened today is we ve found ourselves in a position where we don t have enough primary care clinicians to provide that important fundamental level of care. when was your last mammogram and pap smear? 2008. why? we have underpaid on a chronic basis. under rewarded primary care. some would say over rewarded specialty and subspecialties. okay, so first topic, medicaid reimbursement. about three weeks ago, because of the state budget crisis, we got told with very little notice that medicaid and medicare reimbursement was going to be cut by about 25%. so, to make up that difference in the reimbursement rate, next week we re on track for that on tuesday. right now, the only way we
florida is moving towards managed care. it will be privatized and hmr pistorius and insureds controlling the medicaid program in florida. florida is opting out of the exchange. florida, the same thing, medicare managed care, they re still play paying at the below the combursment rates so the access to physicians and quality care will be better. let me point out a few factual things lighter. medicaid reimbursement rates set for the state. medicaid has tremendous latitude for the states. they determine eligibility. there s a basic package required. the eligibility, optional benefits package and the reimbursement rate all determine ted state level. it squeezed providers so you have reimbursement rates lower than private insurance. unlike medicate where reimbursement rates get fixed in the federal government. by the way, in florida,
the convention. i got a note from a colleague, $8.5 billion during the course of the republican convention is a lot of money. a lot of money. greta: you can do a lot with that money. i m curious. you traveled this state, this is older population. the whole issue about medicare. are they, are the citizens asking you about medicare and worried?. this is important thing. we ve had a constant conversation with our constituents over in the east coast, gold coast, so they understand that the report has medicare going bankrupt in 12 years, nine years after that, social security. they understand with the $716 billion in cuts. and $247 billion to part b. they understand doctors are dropping them off medicare coverage. they don t want to see them because of the lowering of the reimbursement rate and understand we need to have a permanent or after the least a
the convention. i got a note from a colleague, $8.5 billion during the course of the republican convention is a lot of money. a lot of money. greta: you can do a lot with that money. i m curious. you traveled this state, this is older population. the whole issue about medicare. are they, are the citizens asking you about medicare and worried?. this is important thing. we ve had a constant conversation with our constituents over in the east coast, gold coast, so they understand that the report has medicare going bankrupt in 12 years, nine years after that, social security. they understand with the $716 billion in cuts. and $247 billion to part b. they understand doctors are dropping them off medicare coverage. they don t want to see them because of the lowering of the reimbursement rate and understand we need to have a permanent or after the least a
the convention. i got a note from a colleague, $8.5 billion during the course of the republican convention is a lot of money. a lot of money. greta: you can do a lot with that money. i m curious. you traveled this state, this is older population. the whole issue about medicare. are they, are the citizens asking you about medicare and worried?. this is important thing. we ve had a constant conversation with our constituents over in the east coast, gold coast, so they understand that the report has medicare going bankrupt in 12 years, nine years after that, social security. they understand with the $716 billion in cuts. and $247 billion to part b. they understand doctors are dropping them off medicare coverage. they don t want to see them because of the lowering of the reimbursement rate and understand we need to have a permanent or after the least a