Medicare, part a, would not pay for her stay because she had not been an inpatient in an acute Care Hospital for three days. She asked how that could possibly be true. After all, she had been in the hospital for 13 days. It turned out that the hospital had called her an out patient for all 13 days. The wisconsin woman had no way of knowing she was an outpatient in observation status. She was in a bed in the hospital for 13 nights. She had diagnostic tests, received physician and nursing care, medications, treatment, food, a wristband. Her care was indistinguishable from the medically necessary care she would have been given if she were formally interviewed. Even the patients and nurses providing care to her didnt know whether she was an inpatient or an outpatient. And the hospital was not required by cms rules to inform her that she was an outpatient or the consequences of that status. But solely because she was called an outpatient in observation status, medicare, part a, did not pay
Kobani is a tragedy but not the definition of a full measure of whats happening. Fasten your seat belts whats to come. Too dangerous too expensive to remote for human aircraft to go. Another innovation right around the corner. Cars that can talk to each other. That was a genuine alert that youre about to collide to the car in front. Fascinating book out all the truth is out. Turn point boundaries between personal and political lives are rewritten forever. We begin with a desperate fight against extremism in syria. Americas barrage of air strikes did not cripple the group. The u. S. Fired 46 cruise missiles at the group, but many of them had already fled tipped off by growing news reports about the group in the days leadinleading leading up to the air strikes. Meanwhile, i. S. I. L. Moves deeper into kobani. The United Nations warned friday that some 12,000 kurds could be massacred if i. S. I. L. Manages to take control. Calls for turkey to get involved continue but president erdogan re
Another coalition, intensive street battle. Kobani is a tragedy but not the definition of a full measure of whats happening. Fasten your seat belts whats to come. Too dangerous too expensive to remote for human aircraft to go. Another innovation right around the corner. Cars that can talk to each other. That was a genuine alert that youre about to collide to the car in front. Fascinating book out all the truth is out. Turn point boundaries between personal and political lives are rewritten forever. We begin with a desperate fight against extremism in syria. Americas barrage of air strikes did not cripple the group. The u. S. Fired 46 cruise missiles at the group, but many of them had already fled tipped off by growing news reports about the group in the days leadinleading leading up to the air strikes. Meanwhile, i. S. I. L. Moves deeper into kobani. The United Nations warned friday that some 12,000 kurds could be massacred if i. S. I. L. Manages to take control. Calls for turkey to ge
Street battle. Kobani is a tragedy but not the definition of a full measure of whats happening. Fasten your seat belts whats to come. Too dangerous too expensive to remote for human aircraft to go. Another innovation right around the corner. Cars that can talk to each other. That was a genuine alert that youre about to collide to the car in front. Fascinating book out all the truth is out. Turn point boundaries between personal and political lives are rewritten forever. We begin with a desperate fight against extremism in syria. Americas barrage of air strikes did not cripple the group. The u. S. Fired 46 cruise missiles at the group, but many of them had already fled tipped off by growing news reports about the group in the days leadinleadingleading up to the. Meanwhile, i. S. I. L. Moves deeper into kobani. The United Nations warned friday that some 12,000 kurds could be massacred if i. S. I. L. Manages to take control. Calls for turkey to get involved continue but president erdogan
Overwhelmingly, and it made it with Social Security actuarially sound for the next half century. That was 1983. So, those folks knew how to get along. Chairman nelson, Ranking Member collins and members of the committee, thank you for holding this hearing. And especially for the opportunity to testify about the future of the longterm policy. The perspective that im about to share comes from my work over the past 20 years of the office of management and budget as a person responsible for the Medicaid Budget. And also the last ten or 15 years consulting to a nursing home providers and assisted living providers and working with a number of my colleagues here on the panel and ideas including the class act. I just want to start by saying as many of you have noted we spent over 200 billion but we pay for very little care. We depend on over 60 million americans to provide most of the care and they provide it on paid and they do this because most americans are not insured against the financial