Clara county specifically when we did one of our peers and we had people at hss look at it again could correct me if im wrong but they want to the new period of collective bargaining adjustably increased with a offered. It stayed fairly stable for a while. Our understanding is gone up in the hope it will continue to go up. So theyre just being more right now. It was more of we need to is that correct . That is correct. But they also formalize the county plan could Santa Clara County employees could elect to be part of the Santa Clara County health plan. I think its called valley health. Yes. The county was subsidizing it. The county stop subsidizing it. Yes sir i will make sure im clear. Some counties like la offers an account like 50 different plans and some are like five. These are not weighted. These are not weighted averages based on how many people actually elect what looks like a cadillac plan or something week its just an average of 15 that is the algorithm until we go through t
I do catch instances where i wish we were more transparent and better about customer service. The other thing id like to mention. We had a group get together in little rock to discuss reimbursement to providers that have provided outside care. Youll have situations that arise, now with this 40mile rule that the v. A. Owes this money, it appears the v. A. Owes a lot of people in arkansas a lot of money. And has not been very forthcoming in paying those bills. Its another thing that makes it such that the trust issue that we talk about. The other problem is, if you dont pay your bills theyre going to quit dealing with you. And then, thats the greatest thing. And that really is going to affect quality of care. Can you quickly mention that . I will, and maybe ill ask carolyn to comment. I talked about the five strategies from my v. A. One of them i talked about was improving our internal support services. And going to assured Services Model where we centralize the bill paying. So thats all
With the cuban people. One thing they need is our technology. They have fallen behind us. They need access to more of our products such as Farm Equipment. We have some limitations as what we can ship to cuba. One thing we found, for example we took gifts of fencing tools and a set of wrenches down to them. If some of the professionals that were on our trade delegation werent sure if that was a very good gift to take when we took it to the farmers, they had had tears in their eyes that they went and the subsequent trade mission, they showed us all the fences that were built with our tools that we took down because we understood what their needs are. So as we get some efficiencies in our shipping, and bring our farmer to farmer interaction, we will improve their productivity which will increase the demand for our u. S. Goods. Do you have anything to add . Ill echo on to that. I think sometimes our biggest restriction on trade with cuba may be us and not them. And you have the power to wo
Veterans Affairs Secretary testified on capitol hill tuesday on the 2016 Veterans Affairs budget request. The proposed budget is 168. 8 billion, including funding to expand v. A. Care to veterans and transform the v. A. Into a customer centric department. This is about one hour and 15 minutes. Tom fuller was a vietnam veteran and the marines and presented himself to the heinz the a with chest pains and went to see the head of cardiology. He did not want to be at a whim loss record, referred him to the floor and there, tom expired of a heart attack. We want to make sure that kind of thing never happens to our veterans, that we have a confident and Strong Administration of people. Mr. Secretary, i have raised this issue a number of times. Behind that is the story of a cardiologist who witnessed this whole thing and felt there was an outright malpractice happening in this case. I know you have a 10 minute opening. Secretary mcdonald thank you mr. Chairman. I have a brief opening statement
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