A high rate of satisfaction, and approximately 28 of Medicare Beneficiaries have chosen to participate in Medicare Advantage. The Affordable Care act, aca has noted in a july 4, 2012 Congress Shall Budget Office report cut 716 billion from medicare, including 308 billion from Medicare Advantage of load. In april of 2010, the medicare act projected that these payment cuts would result in an enrollment decrease in the program in as much as 50 . The aca also required cms effective january 1, 2012, to provide quality bonus payments to the plans that achieve four, 4. 5 and five stars on a fivestar quality Rating System developed by cms. Rather than implemented a bonus structure lead out in the law which would have led to these cuts going into effect in 2012. Cms announced in november of 2010 that it would conduct a nationwide demonstration. The m. A. Quality demonstration from 2012 through 2014 to test and alternative method for calculating and a wording bonuses. The general accountability
Affordable care act demanded that coverage at policies have minimum coverage requirements, and thats why because the cost of many of those policies have gone up and people have been notified and then they cannot get those policies january 1 of 2014 because the there demandedo include some an additional things. Why would Medicare Advantage not cost more . Because there are more things in it, more provisions, Preventive Care, annual physical examinations, a nurse checking up to make sure that the patient got the medications filled, return for their appointment and timely follow up. So together that program and thats what this is all about, im looking forward to what the witches has to say about it. It made no sense to cut 300 billion out of a program that 29 of Medicare Beneficiaries had chosen, and its gone up over the years, each and every year but i just about. The gentlemans time has expired. The chair recognizes the Ranking Member americas mr. Dingell five minutes for an Opening Sta
Because ronments thank you but that is a whole other topic. But i also think that we dont in america we are more into john wayne than john dewey. John wayne gets the headlines, not john dewey. You take a School District in southern l. A. County, even through austerity, it has done extraordinarily well. Actually, that is how i got to this. Hey solve problems and what they have done is they have done this through the transitions of a retiring superintendent and a retiring union president. So this has really become baked into their culture. Talked about this story to you guys a lot, and nobody wants to write about it except in orange county. The same in terms of cincinnati, new haven. Places, montgomery county, there are actually places where through thick and real when people have respectful relationships with each other and they start thinking about how they solve problems rather than arguments, you see real collaboration and working through a bunch of issues because teaching children i
Ok. And our guidepost for our kids, the next generation, are they doing better than they are. That has changed. And people are really anxious about that. They want to work hard and they want to do ok. So i think there is when i looked at the elections, in 2013, Chris Christie won in new jersey, that is true, but so did minimum wage expansion. Terry mcauliffe won in virginia, walsh in boston, palacios in new york. Blasio in new york. Toledo, the person who was protested education could you speak up . The person who was pro education won. So there is something going on in the country that is about, yes, working hard. Nobody wants a handout. But lets level the Playing Field so we have great Public Education and we have ways for people to enter or reenter or reenvision the middle class. You may call that populism, but frankly when you hear pope francis Start Talking about that, too, i think we have had a lot, a lot of years of trickle down economics and austerity based economics, and it ha