Electroning devices are prohibited at this meeting. Public comnlt is limited it 3 minutes per speaker unless otherwise established. Speakers are requested but not required to state their names. Submission of a speaker card [inaudible] please deliver speaker cards to me prior to approaching the lectern. There is a sign in sheet at the front table for those that would like to be assigned to the waiting list. Commissioners stephen adams, here. Commissioner kathleen dooley. Commissioner mark dwight, here. Commissioner william ortiz, here. Commissioner3 4 f1 soft story buildings cannot be built anymore. We found since then about 15 percent of our total pop ulation live in these buildsings subject to the had ordinance so this is a huge safety concern for the city of San Francisco and the update im about to give shows good numbers so excited where that is going. Again, after 1989 the Building Inspection Commission put together the plan for seismic safety. It involved 100 member thofz communit
Briefing, Sarah Sanders answered questions about federal belief efforts in puerto rico. President s conduct and phone calls to the families of soldiers killed in combat you this is 25 minutes. One of trumps promises was to defeat isis. With the fall of muscle and with isis nearly eradicated, it is clear isis is crumbling across iraq and syria. Of theminent Victory Global coalition and brave Service Members comes at a high cost, particularly to the Syrian Democratic forces that suffered many casualties as they thought to limit liberate their country from the oppression of isis. Instead of caring for the humanitarian needs of residents, isis utilized the money it stockpiled to finance across the world including against many muslims. As coalition and Partner Forces closed in around them, isis used civilians as human shields and killed those who attempted to fully to flee. Their acts have left many scars across the region and we remain committed to stabilization efforts and Security Forces
Organizations that accept the risk can save money by directing the price settings and providers. It seems clear that the results improved over time and it also seems the organizations do somewhat better. That is a generalization, s so m sure that there are some tremendous organizations but as a general rule it seems to be the case it helps if you are not a hospital. So, the other thing that is important to understand and i dont know why this is so hard to explain. If you save him by suspending you shared it and that is how sharing works and so if you look after a year you are never going to do as well but im understand the shared savings are the incentives to reduce the savings. If you could share you wouldnt have any savings. We have to worry about a system that is working in 2019 said to be clear i want it to work but im much more interested getting on a path where the Healthcare System will work in 25 and 30 and if we spend all of our time trying to get a big win the risk of abandon
Introducing each panelist in the then go on. So i will start with one of the nations most highly regarded economist. What distinguishes this model the brilliant on the theory and research of more than any other economist he understands how markets work. But he also said sits on the benefits committee where he learns firsthand why were not the least efficient. Is that fair to say . [laughter] he also serves on the panel of Health Advisers with the board of directors and vice chair of mudpack we have the good fortune to have him serve on the foundation and vice three board one of the pioneers of value based insurance design to evaluate medicare and private sector organizations please join me to welcome him to the panel. [applause] i am thrilled to be here they have done an incredible job it is great to see all of you here so i will talk broadly about benefit design because bob is going to talk about the budget i am not sure bob would have this but what did they have in common . If they e
Playing hockey. He is not able to join us. Mike will cover some of the points he was going to make. Why theres a call to action to increase value in our Health Care System. Ill start first by introducing each panelist and sit down, and then go on. So ill start with mike, who is one of the nations most highly regarded economists. Really what distinguishes mike, not only is he broil yant on the theory and research. Probably more than any other economist, he understands how markets work. And he leads much of the Health Care Policy work coming out of harvard medical school, he also sits on harvards benefits committee, where he learns firsthand why markets are not always efficient. Is that fair to say . He also serves on cbos panel of health advisers. A member of the Massachusetts Health connecter board of directors and vice chair of medpac. We have the fortune of having him serve on our advisory board. Hes one of the pioneers of value based insurance design. And the go to researcher for me