and nobody, not everyone's going to become an aco. so our proposal would be, use these across space and time care coordination teams to allow independent providers, hospitals, medical groups, home care agency, to become virtually acos and i'd make that as a specific actionable proposal. and then create interim finan financing to help people over the bridge to shared risk, shared savings. that's exactly what cms wants to do and there's got to be a way to pay for quality on the way. so, yes, you get paid for now, but you can't game the system. you have to make outcomes in order to get reimbursed. so that's going to take a lot of talking, but i think there is a concrete way to accomplish it. >> carmella, we'll give you the last word. >> so my comment actually goes back to the proposal that ken put on the -- the plea ken put on the table, about prevention and die bettic care. and unfortunately i have to agree with joe antoes. medicare is just this 800-pound gorilla that isn't flexionible and doesn't move like that. and they try to create

universitario de 21 anos acusado de matar a un companero de vivienda velo alaoa u cerebrdespde quemuri de acol alexr kiny ocula en el culavadoelma famien uburbio de estatamorganfue ot ataqu ee tima f brutate golpeada pero sobrevivio...a po elecciones de noviembre, la junta electoral en el condado de montgomery intensifica sus esfuerzos para incentivar a oficiales electorales en los lugares de votacion . maria rosa lucchini... para maynforma puede ll al nta elecl 247-8532haya malas noticias en economia, en particular para los trabajadores latinos... el desempleo general subio al 8,2 por ciento pero salta a un 11% para los hispanos... y solo fueron creados 69-mil puestos de trabajos...fernando mas adedelante:. tos denimalemparad vivir.. volvemos r donde porde ayuda de la comunidad para poder salvar la vida de muchos animales.. en su mayoria ga.. lil mas aa.. ndicio en al albergue de animals en el condado de fairfax y esta es su nueva cara sin duda alguna escapo de una muerte segura pero ahora podrÍa estarla enfrentando de otra forma (sot) a pesar de que este refugio de animales es un lugar ampl

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banner health care system based in arizona, which is actually using it to support a medicare pioneer aco grant. so despite the fact that they have multiple emrs, the ability to couple the traditional data we've always had with interopable data we have now accessed through brute force provides the substrate of information that you were referring to. i would argue that isn't sufficient and a unique abilities to convert that massive amount of information, after all it's quite a bit, usually on complex patients, into activities. so as you think about a patient who is on ten drugs, by definition, they may have ten different diseases. hundreds of different lab results. how can any conversation notice where the insecurity that drove to the inspiration for the act of health for me as a physician, i couldn't keep up with the literature. i didn't know what other physicians were doing. and the ability to in fact create this composite of data, introduce this interrogation capability with clinical decision support, and then in fact define discreet activities to pursue is really what we're trying to i

de evacuados sobrepasó las 30 mil, las autoridades también retiraron del lugar a los miembros de una acoue las llamas seunivision@@noticiero u compasión, los habitantes de colorado springs declaran que esto es algo que está lejos de apagarse, los bomberos han sofocado solamente el 5% 32 mil personas salieron de sus casas, en una carrera contra el tiempo, antes que se derrumbaran muchas viviendas. >>> solo me llevonisionmi@@fciee notir,o univa y lo demás queda casa. >>> es la peor temporada de incendios en la historia de colorado. >>> ha sido un tremendo esfuerzo, ahora vamos ano recib la ayuda de la comunidad. >>> se ha dicho que miles de personas trabajan en el área, con casi 600 camiones de bomberos y 60 helicópteros que trabajan para enoticiero univis llamas, pero la madre naturaleza no da ayuda, porque esperan tormentas para el área. >>> lasciero ision tunivisormen filo, porque puede@@notici habe tormentas eléctricas con descargas y también ráfagas de viento sobre las 50 millas por hora. >>> el presidente barack obama visitaría elionivisio@@ área,no fema autorizó@@ el uso de fondo fe

podrÍa impactarana iviso aco, dision que d@@not.uni-fin s afectados serÍan empresarios brasileÑos. >>t.uni-fin de semanaunivisiom tl presidente hugo chÁvez... n tras encontrarse connoi-fin sue homÓlogo. not.un las restriccionesi-fin emanauni unidas y otras sanciones embargos internacionales a ventas de petrÓleo. irÁn enfrenta obstaculos expuestos por imperialistas, bloqueos, amenaza y sanciones unilaterales. ana albano viajara a quito pun analizar con el gobierno. el asilo polÍtico presentada por su sede diplomÁtica. que esta en la embajada de ecuador. intenta evitar su extradiciÓn a suecia. quieren interrogarlo por acusaciÓn de violacion hechas en su contra por 2 mujeres. las lluvias torrencialee en la provincias de... no se han reportado afortunadamente hi ruidos. en instantes, le presentaremos lo Último de la eurocopa, el paso de espaÑa a semifinales. >>> veremos a quien le va el joven. que estÁ en el estudio un concurso no de belleza si no de frialdad y le diremos quien ganÓ. con esto regresamos. >>> en solo minutos en aquÍ y ahora. esconderse o disparar, es la ley conocida como d

. >>> buscan recursos para enterrar a un niÑo que se suicidÓ vÍctima de aco o bullying por susompaÑerosounivisn ent@@n agentes migratorios. volvemos . >>> las noticias y la maisioÉnunivisgase conectado aÓv del isioÍa @@ciero isionunivis@s i v >>> abogados de zimmerman, isio martÍn en la florida. @@ciero isionunivision@@noticieÓn deivi del kas caso de revocar una deÓn bajo fianza. zimmerman y su esposa trataron de esconder un pasaporte y cuanto dinero tenÍan. el acusado encarcelado esta maÑana, tras entregarse a ayer a las autoridades. >>> los familiares de joel noti morales, necesitan ayuda,univo solo ayuda emocional,ivision@@n entender el swiuicidio de su hi si no que ayuda econÓmica para sepultarlo. la familia asegura que fue vÍctima de hostigamiento o bullyng por parteo univisionuni dejannoticie ir aunivis colegio las estadÍsticas del 2010, indican que la vÍctima de bullyng llegaron a 2univision@@ 700 mil. ero un el fenÓ"eno esion estnÁn extentn han sido testigos del acoso. nuestra corresponsal blanca rosa vilches nos dice como los padres pueden identificar los sÍntomas de estos abus

---la polica dice que el sujeto acos a la menor el pasado lunes en la tarde en el camino 'iron horse'erca de 'westcliffe lane' y le ofreci drogas y le pidi favores sexuales. ---el sujeto sigui a la menor hasta un estacionamiento de la casa de la joven donde se le exhibi.. cu ---dos personas murieron en dos diferentes choques en carreteras del sur de la baha. ---en la carretera 101, en la salida del bulevar de la cruz ,segun la c.h.p., un vehculo iba a unas 120 millas por hora, perdi control y el conductor sali disparado.. el cuerpo del conductor fue encontrado a 150 pies del choque. take vo ---en el otro, un motociclista muri en la calle primera y nortech parkway en san jos poco despus de la una de la madrugada. ---la polica encontr al conductor de 38 aÑos a media calle. ---an no saben como ocurri, pero no creen que hubo otros vehiculos.. stop for open roll open cu ---en mexico entra en vigor la veda electoral que prohibe cualquier actividad proselitista de los candidatos a la presidencia... ---nuestra enviada especial norma garcia nos dice como se viven los dias previos a la eleccion

aparentementpor f)@@er ir clamor de dios e corazón de ustedes >>> jas seodrícreer que los cabecillas llegaran un acosoalizamos como un oceso de pacificació definitiva para nutrísunivisivip >>> en este caso, la es bien rebi, creo que s unuen comienzo perno es suficiente para decique aquí ivir en paz stel fine loss a time tiempo >>> si es ve que está detrás de la negociación, el meaje cedido mandan al pueblo esue >>> esto ya huele mas porqprime( si le pasaran la renta al gobierno, y como también, que el sistema dea seguridapública y densa nional es renteado están pagandrenta y a saber qué cosas s vamos saber elobierno reitó que ellos nunca negocián con pandilleros, y que epao fue y emás, el miniso de católica, justicia, dijo quena gn partdea población está feliz que la vioncia vaya sminuyendo >>> noosplaumos el trabajque haya darroado lea católica,y la vamos a oyar daras cdicies necerias >>> el rostry el cerebroe ta organización, están represenendos por el sor, cricicosién han sido >>, , y alnas ces, una aquí, otra allá, otra allá que dice, no nos gta esto, nos receospechoso, estno es confbl esto es m

this is not açó surprise.ise would have been that jerry sandusky would have been acquitted of all or most of the charges filed gechbs him. we said from the very beginning that there was a title wave of opinion on november 5 9/of last year when he was first charged that he was guilty. that was from the public among the media. and we were fighting that concept of guilt from first day of the charges being filed against him. i said from the beginning, bill, that we were climbing mt. everest from the bottom of hill. we didn't make it. that's what everyone expected. >> matt sandusky, their adopted son was willing to come out, he announce late thursday that he had been abused, prayed upon sexually by the man who raised him. how can you deny that as the most damaging evidence of all? >> matt sandusky was supposed to be one of our witnesses. he was on our witness list. matt sandusky sat with his family the first day of trial. according to his brothers and sister, he stopped one of the witnesses that jerry had abused th

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innovation center and we are not so sure that there's a body of evidence that supports things like acos that are top down driven because the building blocks in various areas of virginia, and i know in maryland, too, are different. you cannot do in virginia in appalachia what you can do in charlottesville or in northern virginia or tide water. if you think of legos and building, you have different building blocks to work with. and so we're trying to build from the ground up the delivery system that makes some sense, and we're not sure that there is yet an evidence-based model from top down that will work in all places. so we're spending a lot of time and energy on that area as well. >> i want to bring in our other panelists and remind this is supposed to be an interactive conversation. so you should all have note cards by now that were passed out at the beginning of the event. and in a little bit we're going to get to questions. we're going to ask -- we're going to collect the note cards and pass them up in a little bit. we're hoping you'll have a chance to get some of your questions in

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>>> mi gente,es cueo que el tri mcano terminó s exitosa gi de partidos amitosos, pero en lado de un acou gi de amtosos por tadounidos enfrentaa bras minuto 22 barrerapara dos santos, un gozo para el 1-0 de méxico pita penal, cobra estudntes d el 2-0arito" heández que ponte en otro amtoso, estos idos chó contra cnadá, elgran el rectivo de cruz azul afirma que querían a efrainuarez, pero el gador aseguró que ya llegó al acuerdo con el américa en la nba,l miami at enen a los celtics en el na, pero dwyane wade hizo un spar que poíaaberle dado puntos y lavioria al millas miami heat, pero lo falló así que, serie se empató a 2 victoriapara cada equipo >>> recuerden, mi gente,ue ra toda l informacióne deportes, vaya a unióndeportes.m ahora samosos con muco más de primer impacto >>> gracias, aonieta >>> vamos a una pausa comercial, mañana los llevam a recorrer bsque mágico,donde los árboles son considerados como fute de energía, no solamamte para el cuerpo, so para el espíritu y en seguida, los inmigrant usan nueva rut para llegar a estadounidos ---buenas tardes, hoy en noticias univision 14 a l

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about what was going to happen to the intelligence records you know the equivalent to the stars the aco and. and he said that well these are very interesting and the intelligence agencies. he would have to their problem in that they're dangerous and he would have to knock them off one by one but in relation to these archives. he thought it best for the cohesion of to need these in society that they will be kept secret so it wasn't a blame game and you were a young man during the fall of the stasi in east germany can you speak a little bit about the stars the archives and what you seventy one what do you think about this opening up of security archives well that germany probably has the most well documented intelligence agency on the planet or one of those german east german starts asia hides. all the handbooks procedural papers training talks to mans internal studies internal training all the documents are roughly public i think this is a very good thing to learn from and that is what the president of tunisia should consider that he needs to distinguish between two things one is persona

but you may be able to open up those windows and turn the aco.row temperatures in the upper 70s to around 80 degrees. no matter where you are tomorrow, it's liking absolutely fantastic. thinking about heading down toward the beaches look at these numbers. 96 on saturday, and 95 on sunday, a chance of showers or thunderstorms, it will be very warm if you're heading down toward the beaches. it's not all bad. hopefully we'll get a bit of a sea breeze to help. next couple days, 87 tomorrow, 93 on thursday, 98 on friday, and 99 on saturday, with a heat index most likely above 105 again, so yeah, the heat will be on, talking about heat advisories, this time we're prepared for it, so just something to think about. >> we're going to sweat it out, that's for sure. >> we can sweat together. >>> high blood pressure is one of the most common conditions affecting americans today, but a small group of patients can't get it under control. no matter how much medication they take or changes they make to their lifestyle. >> now an experimental procedure literally

the acos, which is a complicated thing we don't have to get into is probably going to end up reformingwe pay for health care, so there's a lot of stuff in this bill that's going to work out very, very well. there's some things, the expenses are going to have to be dealt with down the road, but this is a big step forward. >> and we should point out that the medicare expansion is going to be paid for with federal funds the first three years 100%. >> yes, medicaid. >> medicaid, medicaid. >> i'd like to hear what george says about this, because this is a critical piece, and i think congress is going to have to deal with that. that's the one thing i worry about. >> the medicaid expansion, 100% paid for the first three years. >> then it goes down to 90%. >> how are republicans going to say no to that money? >> i don't think they are. this is the highest cost sharing they've had from the federal government in history, and i think very clearly that this is very helpful to the governors getting these people covered, because otherwise these unreimbursed costs are laid off on to the state taxpaye

only the beautyrest recharge sleep system combines the comfort of aco layered on top of beautyrest pocketedoper sleeping posture all night long. the revolutionary recharge sleep system... from beautyrest. it's you, fully charged. >>> joining me now from beautiful downtown chicago is congressman luis gutierrez, a demoat from illinois, and also joining me here in washington is carlos gutierrez who is an adviser for the romney campaign, but served as commerce secretary for george w. bush's second term. thanks for joining us. first to you, mr. secretary, is it sustainable for the romney campaign to continue to say that we are not go g ing to tell you whether or not we would undo the president's directive dealing with allowing young immigrants who came here under the age of 16 to stay? >> well, what the governor has said is that he wants, and this is a commitment he is making. he wants to do something permanent, long-term, and not a patchwork -- >> and so does the president. >> but he has not been able to. >> exactly. >> and he has not done that. >> but the question is about the kids. >> and to

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. > de quÉ se trata vamos a ver con luis > buenos dÍas, y efecvante, estst acos, de l ciudad mÉxico,vision y antan) si usted quiere univision dpierta amÉricaor, caal saludududos a tos. >>> quÉ les pare, chid chido seguimoson mÁs en despiertaeles, ay, parezco alien!. me vas a despeinar. cho,chido, cho. >>> ay!. vamos con los muchhos. no, no veo nada,o veo nada. quÉ veo? . >>> veona mujer con una >>> miren, les tengo que cont, mi mhe saliÓ temprano a la calle y nos dicen que and e buÉ nos sorpren mira eso, no para ms mi che, en breve los argelia con la historia del millonarrÓn de carro@@@@despiern n ♪ Úsica)♪. coinÚa nuesos conciertos tmo de verano d despierta amÉrica prentado p ste farm, no te con una fusiÓn para todos los @@@@despierta americaunivision@@ aquÍ en despierta amÉrica, asÍ que si estas en miami yuieres Í disfr de est evento ne copos en el pao de nst rs de despita america de entado por state farm. >>> eso y si e e e viernes paso viernes estarÁ pa no ne rdselo siguen los conciertos de verano carla. >>> es sigue l mÚsica es que puede no, l hac muy bien dÁndole.o te hagas. >>

we're not so sure there is a body of evidence that supports aco's. the building blocks in virginia and maryland are different. you cannot do in appalachia where you could do would charlottesville or northern virginia or tidewater. think of legos -- you have different building blocks you are working with. that there is yet in evidence-based model from top down that will work in all places. energypending time and in that area as well. >> this is supposed to be an interactive conversation. you should have no cars by now -- note cards. questions and will collect the note cards and pass them up in a little bit. for anybody watching on live stream, you can fall the conversation on twitter -- you can follow the conversation on twitter. what are your basic priorities and concerns that you're looking out for right now? are there states the could be better off with the federal exchange? >> i think there is an interesting example with respect to virginia in terms of the overall landscape. >> i'm not sure i want to be interesting, ron. >> you have your attorney

termales y enviaquipos tÁcticos la viviendaood fue inÚtil, Ánes que te calo mostraban una perna el en el acoc exÁmenes, ye le evalÚa tras sufrir ataque convulsivo que podrÍa her csadoos choques del fin de semana,l secretari prensa dijo q el predente amaxpsÓ sus mor deseos abrÍ son y su famies den tes na cdad de maachutts tendrÁque recordada qnoc cerrada n eran moas, lÍdedes municipales aprobon una ley para mta a quienes dicen mala palabras en pÚbl esto aoriza a policÍ a multar con w0 Óres a los malhabladosue utilicen pabras soeces quÉ opina pa ted, nos lo da ser mÍo en esa cuentas, por lo pronto lia nuestra chii con detalles del tipo, esta maÑana, buenos dÍ chiqui. >> aquÍ estoysatcha, para contarles las mÁximase h comenzamos con la costa oeste, estrmigos de los Ángeles, un poco nublado, olÁ y el valga rÁpi, mire como esta e san francio, el sol a todo lo que da, legasambiÉnon 102°,anraisco 67, el paso, 99°, quÉ bÁrbaro, quÉ eratura, minneapol 68 cÓ esÁ miami con 87°, estamos n sol pero ahÍ estÁ la nube que quie ecer, tampa 90°, waington 78, nueva york 72°, y se ve que hay.... ♪ (mÚsica♪. > l

que con la imementaciÓn de estas leyes de anti bullying en los estados unidos, tÚ puedes reportan un acoaslo repiten en la calle >>> johnny y carla estÁn atentos >>> estamos escuchando, de jaeme dÉjame decirte voy hacer un fondo propio ni porq ayuda a jo abusan de mi >>> no te damos cariÑo, vamos a la pausa y a quien queremos muchos son a nuestras mascotas en minuto veremos cÓmo hacer masajes para que nuestro cachorritos ian y animalitos >>> y seÑora cÓmo no tener guerra g con la suegra y fumar la pipa de la paz >>> y de tal palo tal astilla, veremos lo que dijo y hasta hablÓ sude su pasadas otrdrast nieto >>> cariÑos, cariÑos >>> hola desde los Ángeles. >>> nos vamos (risas) >>> nos vamos hasta california, y seguimos con mÁs diversiÓn allÁ en "despierta amÉrica ". >>> ahÍ va, adelante luis amelia >>> lo hizo muy bien ( ♪ mÚsica ♪ ) rico ambiente hoy seÑoras y seÑores, le damos laienvenida a jasmin sor tiz que nos ortÍz >>> este sitio es muy prendido, hay mÚsica, y la familia nos habla de esta rueda que pongan atenciones Únicas en el mundo dinos por quÉ. >>> por quÉ estÁ impulsada por en

podrÍanicaduciro @@despierta americaunivision@@Ó proteger a nuestras familias de estosunivinsectos nosivisio acolas precauciones que debe tener en cuenta si su hijo ha resultado picado por un mosquito, quÉ sÍntomas dicen que podrÍa algo malo estÁ ocurriendo. >> es difÍcil para mi peroivisi normalmente vadespieameric empe producirse, sÍntomas dedesp determinada enfermedad y estas enfermedades son virales y mÁs o menos producen los mismos sÍntomunomodespa amer undespa a llama, fiebre, dolor de garganta y temperatura. >> hasta que puede llegar a p parÁlisis, coma y muerte. >> alamericuniv menorndespierta estÁ pasando, habra que buscar atenciÓn mÉdica inmediata. >> y lo mÁs importante la prevenciÓn en la casa, muchÍsimasspiertericaunivision@ valiosa informaciÓn. >> gracias a usted. >> tenemos mucho mÁs para ustedes esta maÑana estÁn listos karla y ernesto. >> adelante muchachos. >> y ando con colores de sor beto. >> de lado. >> pero estÁ sa lift ando con un helado que te va a platicar. >> unas chicas her sas nhermosa sirvieron helados. >> y mis meche al probar estos helados se puso como loca. >> y s

and we, we are not so sure that there's a body of evidence that supports things like acos that are top-down driven because the building blocks in various areas of virginia, and i know in maryland too, are different. you cannot do in wise, virginia, in appalachia what you can do in charlottesville or in northern virginia or tidewater. so the if you think of legos and building, you've got different building blocks to work with. and so we're trying to build from the ground up a delivery system that makes some sense, and we're not sure that there is yet an evidence-base bed model from top down that will work in all places. so we're spending a lot of time and number on that area as well -- energy on that area as well. >> i want to bring in our other panelists in just a second, but i want to remind everybody this is supposed to be an interactive conversation. so you should all have note cards that were passed out at the beginning of the event, and in a little bit we're going to get to questions. we're going to collect the notecards and pass them up this a little bit, and we're hoping that y'all h

medicare cost problem, we're doing much of the things that people would like to see happen with the aco, getting on top of implementing information technology, data analytics, case management disease, chronic illness manageme management, we'll be a participant in medicare over the long-term. >> mike you're running close to your medical loss ratios in segments that's been written. do you stand to gain the most if the bill for the most part gets knocked down? >> i don't look at it like that. the medical loss ratios are i'm not sure good policy but something we'll manage with. those are the components. if it gets overturned completely we'll have to figure out what's next. no one was happy with the health care system before this bill, costs were too high, rising too fast, we all know that. the health care system is not going to be in good shape if the bill is overturned, if the bill is sustained completely, there are things that still have to change, for example the taxes that are in the bill, they're being used to fund a big portion of this, fall disproportionately on small business and th