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[indiscriminate chatter] rep. Neal will members and their guests please take their seats . The ways and Means Committee will come to order. That morning and welcome. We are here to discuss a difficult issue that confronts nearly every family in our nation and that is how to care for our loved ones as they age. It is certainly appropriate that we work to address this matter in november which is alzheimers Awareness Month and u. S. National family caregivers month. It is a deeply personal issue for many of us in the room, for those of us who have not personally struggle to ensure an older relative receive the care they need, you most certainly know someone in your life who has. Fragmented and insufficient longterm care system not only be confusing and emotionally taxing but also enormously expensive, indeed, even unaffordable. Inhome careock costs about 180,000 a year, it cos ....
right now. but by. t now. but by tonight, on all in. anybody on the other side, can you share with us the secret three-page addendum that speaker mccarthy negotiated with the freedom caucus? details of the secret republican governing memo is trickling out, and you ll never guess why we re hiding it. it is the data, and the spending, it is the entitlements program. tonight, to the house republican program, cutting social security, and metal medical care. then, what we know about the committee to undermine criminal probes of themselves. let s call it what it really is. the republican committee to obstruct justice. plus, a viewers guide for how to tell the difference between document theft, and document misplaced men. and, is it there in america again? an economist case for a reagan style victory lap as, the biden economy continues to improve. if i didn t watch nbc in the morning, which i do, the border wouldn t be in my vocabulary. when all, in starts ....
The subcommittee will come to order. I will recognize myself for an Opening Statement. The United States of america is in the midst of a fierce battle against an epidemic brought to us by opioids. It does not matter where you live. This crisis has touched every corner of american society. While new england and the ohio valley regions represent states hardest hit by. The epidemic, Health Officials from the south and reaching across the Mountain West report deaths of those counties. The latest figures from the centers for Disease Control and prevention is astounding. 91 americans die every day from an overdose. Now more than ever we must come together and strengthen our commitment to fight this. I expect toda ....
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 ....
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 wou ....