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CSPAN Key Capitol Hill Hearings November 5, 2013

Transplants and big surgeries and things like that. One of the things i am concerned about is when you use volume, it is a metric for reimbursement, to have a level Playing Field to define what the quality parameters you are going to use. One of the things, especially with toby and bill and i, with cardiac surgery, and we saw this when the recording data ,eally reporting data came out the cases is west of the cleveland clinic. By design or by circumstance, maybe there will he be a de because of the tough cases and not offering services. So we know we need to get from one side to the other. I think everybody is clear we we are noto just paying for volume, we are paying for value. We need tohe where go that is the problem, it is how do i make the economic model work from here to there. I am going to be taking on risk for quality and cost and so with fee i am still forservice. How do you think about managing that transition economical ....

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CSPAN Key Capitol Hill Hearings November 5, 2013

It done. What didator tavenner, the administration anticipates would be the pattern, of enrollment, prior, what were you thinking prior to the launch of thinkcare. Gov, and do you the early problems you had are moing to affect the longter pattern in enrollment . We assumed we would be able to enroll folks throughout the six months, but that that greatest surge would come in december, because we got there were people who wanted coverage on january 1 and the second search would come late february, early march, by the individuals who were not as motivated to get insurance. Figures, butment they were lower for october him and i think they will be low, and it follows the massachusetts experience, and that was part of the reason for such a long and rome at period such a long Enrollment Period in the first year. And you have time to get these problems fixed . I think we have time. We agreed that the problems of the website are unaccep ....

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