Individual patients through 200,000 visits. So also i would be remiss if i didnt say texas as im sure all of you in this room know, this is not Medicaid Expansion state, so, therefore, only children, the elderly and disabled are still eligible for medicaid. We are also a, on the federal run exchange we did not object to a state exchange. Our marketplace and how people are accessing it, they are coming into our clinic, making appointment or walking in. They meet first with a certified application counselor who starts the process by getting them to walk through the consent. This causes a lot of anxiety for some people, and because theyve heard a lot of bad publicity. Declared about identity theft. Theres also been several groups in houston that have been fraudulent groups out collecting information from people, and basically stealing their identity. Theres been a lot of publicity around it. We have to get over some of that anxiety. Then we have to determine the clients knowledge. And thi
And the disabled and the chronic conditions, we have got to do more than just keep them covered, we have got to cover and then at th to the cost curv. David blumenthal at commonwealth has done a famous job explaining this. This is what the states are doing that i think its is reay exciting news. Im going to do another session on this. Reforming the Delivery System and reforming the way that we pay for care in this country. We have to treat Health Care Just like a bunch of economic and the words paying for value that is with medicaid is focused on these days i will stop there and look for questions at the end. Thank you. That is a great start this discussion and now we are going to turn over to daniel skyler who is the director of Exchange Technology and a former director of the technology for Utah Health Insurance exchange which has been in business as long as anybody. His colleagues have been helping a number of states prepare for the implementation, especially the exchanges and we ha
But look in the mirror and hate yourself, not the people who are doing this work. It is the job of these senators to question policy but attacks are thats what you do instead of dealing with the policy issues. We have have a very distinguished member with us, a good friend of all of us, someone who deals seriously with policy issues and is joined us today and that would be january from illinois. Also i think today of most significance i believe is my role on the Intelligence Committee. All of us were given a briefing based on emerging information from the Intelligence Committee. Susan rice, i do susan rice went on television based on the information that was available at the time and the briefing that she was given information and intelligence that she had no part in collecting. The kind of statement that is anyone who had been given those briefings would have made in public. Obviously, this was on an unclassified buys sis but she was given information that she had that has subsequentl
Are there any lights that teenage america have help . We literally only have ucla up and running for the past, even now they are still refurbishing building in the communal area, so it is still under construction. I have not a man of the idea of those things come and go. After going to duke, i went to yale. I went into three separate rooms, three teenage boys. Another one of his last treatment. I cannot remember exactly what. His hair was all gone. There was another boy in isolation. Unfortunately i could not visit him because i was on a really tight schedules. There they were, three boys. None of them knew they were next door to each other. They are proposing to implement a program, starting with an outpatient program. They get it. It is just a a matter of juggling balls and giving them the right place. Have you found the social media platform like twitter has led them to york ucla program . I did not do it. I do not go on any of those things. They terrify me. [laughter] i will keep m
Were concerned about problems nd its puzzling to me why these key people didnt talk to you about it. They gave you no hint this is existed . Perhaps i just was not included in certain discussions. What you knew then have spoken ld you up more with regard to rolling out the website on october 1 . Luxury of a ad the time machine to go back and change things, but i cant do that. I understand that. It is a matter did you ask someone at that time for more time . No. Why not . Because my direction was from . Tavner was to n deliver a system on october 1. So marilyn said deliver october 1. Briefingsen in on the from mckenzie that said there were serious problems. Them, i n two of believe. And this was hhs headquarters on april 4. Also in the and Eisenhower Executive Office building on april 6. Briefing the problems. Move it for october 1. Charge of man in making this work, she didnt problems hat those existed . Is that what youre saying today. Told you or didnt tell you . Just curious. I dont