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The Medicaid redeterminations process is a business opportunity for health insurance agents and brokers trying to capture millions of potential customers. ....
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and it s not going to get at any of these fundamental cost-drivers we ve been talking about. susan, could i just take a quick comment, about building anything into medicare. i think the medicare, the entire history proves conclusively that you really can t build common sense into medicare. what you can do is provide incentives for health plans to use common sense, but right. it s only been 45 years so far. we ll see. going to keep working our way this way, and i ll come back around. carmella, we ll catch you up next, but i promised people forgive me, but you re so far away. i cannot even read name cards down at that end. not a problem. peter bowers with well point. i appreciate this opportunity to speak briefly and you know, my day job is payment redesign across our 14 blue plans. we cover one in nine americans across total blue, almost 100 million lives. and there are a number of different levels that we re using to change sort of this fee for service r ....
somewhat different people though both dual eligibles and only 100,000 people fall into the category of being a high spender in both medicare and medicaid. and that s largely because, as we need to look forward at different ways to look at these populations, the subgroup analysis which melanie alluded to is so critical. you see that the top spenders in medicare are really top spenders because of their acute care utilization and those are services that medicare can and should be able to better control whereas the top spenders that end up on medicaid are often in nursing facilities and are also people who are using long-term care services in the community. and they actually spent a little less on acute care because their big spending is on long-term care. in conclusion, i think as we look at and try to figure out how to better manage both technology, where there s not a lot of it unfortunately on the long-term care side, so most of the technology care would come in loo a n ....