one of the disadvantages although conceptually aco and aco-like arrangements or even patient-centered medical home arrangements, one of the down sizes is they generally work on smaller populations. they're specifically about a named population. it might be a segment base that might be very small regional basis or whatever that particular provider group can care for. we wanted a bigger effort than that. we wanted to transform the membership in an eight-county area across the board. so one of the things we have been able to do here is we're including medicaid. we're including medicare, and we're including our employer population, whether it's self-funded or fully insured. so it has a broader impact across the population. what we've done is we've created a combination of fifa service, which we have just been saying is a bad thing, and i know we've been saying that all morning. but there are aspects where fifa service works. as well as a monthly payment we refer to as a care management fee. also because michael indicated we don't want to use state capitation anymore, so we refer to it as

one of the disadvantages, although conceptually aco's and aco-like arrangements, or even patient centered medical home arrangements, one of the downsides is they generally work on smaller populations. they are specifically about a named population. it might be segment based or whatever that particular provider group can provide care for. we wanted a bigger effort than that. to transform the membership in an eight county area across the board. one of the things we have been able to do is we are including arecaid and medicare and we including our employer population, whether it is self-funded bush -- self-funded or fully insured. what we have done is create a combination of the first service,-- fee for and there are aspects where it works. as well as a monthly payment as well as a monthly payment that we refer to as a care management fee. also because michael indicated that we don't want to use -- we refer to it as a care management fee. but i have put it back into this explanation on purpose because it is not inpoint the way most of us remember it. here is generally how it works. what we d

welcome back to the kaiser report imax keyser time now to turn to doug casey an aco capitalist speculator investor author doug welcome thanks max it is always a pleasure to be here with you yeah so a lot of people are familiar with your nonfiction work of moving into fiction and that is the gold market god not dull no no it's got nothing to do with that i'm very involved in the commodities markets because commodities have been going down since about two thousand and eleven and they're getting very very cheap again so i'm very very interested in them again but the reason i'm writing novels as opposed to nonfiction is there's a lot of stuff that especially in today's world you can say in the form of fiction the perhaps you'd best not say in the form of nonfiction close friend that throughout history the poets have found their ability to express their political dissent in ways that get around censorship and other other things so you're following in a great tradition there i'm reading the this is the book the second in the series of seven this is called drug lord i'm reading the back page cha

starts with the promise of a balanced budget but it will end with -- it will start this time when after aco long and difficut recovery from the economic crash from the bush administration if our economy is finally moving forward with stock market highs low unemployment, nothing about our current economic situation demands massive deficit busting tax cuts typically for the wealthiest americans. indeed it's instructive to look back to the 2001 and 2003 bush tax cuts. these tax plans were also paid for and chileans of dollars of d because the nation was newly out war. these plants also overwhelmingly favored the top 1% of americans. we were told then that the tax benefits were to trickle down to the working class and pay for themselvesi. i opposed these tax plans because i didn't believe it would occur in effect it didn't occur. to fight -- despite benefits of those at the top overall economic growth from 2001 to 2007 was weaker than average. medium house come and come fell 2.7% while prices continue to rise. weak regulation and oversight took us into the great recession. the g.o.p. is poised

nancy: but first, what drove aco whatd a koala to the top of a drilling rig and h jonathan: i want tow you something. look at your screen. that is a lot of work. back with 12 acres honoring superheroes. a corn maze at a farm in frederick that is honoring u.s. military for the annual fall harvest festival. they are fun to look at it. if you haven't done it, you try to walk through them you always get lost. nancy: google maps doesn't help. jonathan: you have to yell to hear the way next to you to get out. nancy: in australia a koala from the frying pan to the fire so to speak and had to be rescued from the top of a drilling rig. the driver chased the animal off the busy road so it wouldn't be hit by cars. jonathan: mission accomplished. nancy: that wasn't best choice. once crews reached the koala it was taken for a checkup and seems to be okay. i imagine after that took place -- michelle: probably so frightened. nancy: give him extra eucalyptus. michelle: it's are soothing and calming. jonathan: change of environment. wanted to get to the big city. michelle: a story to share michigan ta

it will be important to keep moving forward, supporting programs like bundles and acos that reward providers for better care at lower cost. it will be important to fully expand programs that are proven to improve healthcare like the diabetes prevention program that we modeled and it will be vital that offices like cmi can continue to innovate and find new ways of providing better healthcare while bending that cost care. many private-sector leaders are moving forward and i have been encouraged by the bipartisan effort of governors and people like lamar alexander and patty murray, their marketplace stabilization bill and the process by which it came to gather represents that we can get things done. together with 20 cosponsors across both parties they have the opportunities to make improvements on top of basic measures of access, affordability and quality. i have been encouraged by entrepreneurs and private-sector leaders who stepped forward and delivery system reform. we started a group called the health care payment earnings action network and it was a public-private partnership to encourage

it's important to keep moving forward, supporting programs like bundles and aco's that we were providers for better care at lower cost. it's important to expand programs to improve healthcare like the diabetes prevention program that we model. as a title that we find better healthcare while bending the curve. policymakers and leaders are moving forward. i've been encouraged by the bipartisan efforts of governors and people like senators lamar alexander and patty murray. this represents the way that we can get things done. together with more than 20 cosponsors across both parties they have the opportunity to make improvements in basic measures on access, affordability and quality. i've been encouraged by leaders step forward. we started a group called the healthcare payment learning action network. public-private partnership to encourage the adoption of alternative payment models. more than 6500 people joined including 130 organizations that set their own goal. after i speak you'll hear from dan who was ceo of independence blue cross and in au along who has also step forward in the space.

the battery, and controls the battery and the battery has the most range.x is that anything ts$be of açóar-term, it ise1 an "ju no. we do not think that's going to be anw3advantage. we think in the endxdstate we think that the shared mobility, is going to resemble what apple does with phone. Ñ california, but assembled by in the blank tech or hardware firm in southeastern wisconsin or southeastern advantage. attention is infrastructure. if anyxq other auto company it there and there's a lot of them how many evs are going to sell andxdif they don have a well-defined plan on the charging infrastructure,ç we don't think they can be takenxd seriously. so that's something that we think provides legitimacy to tesla across the whole stack.# forces that makes them unique. >> it's not just tesla either. there's more coming. >> bingo, that's key, and we don't have a lot of time, but that çó]infrastructure issue. i've talked toÑ$tqtwho lowt into getting electric cars.xd there's not a cord closee enou. buy the $3,000 to $4,000 adapter. there are a lot of barriers liko that that we're

weinstein revelÓ que cobrÓ mÁs de 160 millones por su silencio, contÓ que en 1998 tras de nunnunciar el acosson propensos a la caÍda del pelo y piensan que con esto van a ser una soluciÓn para ellas y no al contrario muy importante entender quÉ tipo de cabello tenemos, ¿cuÁles extensiones podemos utilizar y siempre >> ¿cuÁnto tiempo llevas utilizando extensiones? >> dos aÑos. >> has visto que se ha caÍdo el pelo? >> no necesariamente. >> ¿cuÁles son las diferentes formass para poner las extensiones? >> aquÍ trajimos varias una de las mÁs famosas se ponen como sÁndwich, se ponen uno por encima el pelo en el medio y otro por debajo, si lo vamos a poner con tres pelos solamente luego por un tema de tracciÓn el pelo se va a caer, por eso digo que es importante recurrir a expertos que entiendan la matarÍa. >> doctor de quÉ depende de la caÍda del pelo si toma pocos pelos o estÁ tirando el cuero cabelludo o no necesaria, sino cualquier tipo de extensiÓn puede rovocar esto. >> cÓmo roco enciono si ustedes ven poner todo este peso en una cantidad de pelo pequeÑo. >> hay hay diez sÁndwich. >> se pued

it's important to keep moving forward, supporting programs like bundles and aco's that we were providers for better care at lower cost. it's important to expand programs to improve healthcare like the diabetes prevention program that we model. as a title that we find better healthcare while bending the curve. policymakers and leaders are moving forward. i've been encouraged by the bipartisan efforts of governors and people like senators lamar alexander and patty murray. this represents the way that we can get things done. together with more than 20 cosponsors across both parties they have the opportunity to make improvements in basic measures on access, affordability and quality. i've been encouraged by leaders step forward. we started a group called the healthcare payment learning action network. public-private partnership to encourage the adoption of alternative payment models. more than 6500 people joined including 130 organizations that set their own goal. after i speak you'll hear from dan who was ceo of independence blue cross and in au along who has also step forward in the space.

it will be important to keep moving forward, supporting programs like bundles and aco's that reward providers for better care at lower cost. it will be important to fully expand programs that are proven to reduce cost and improve healthcare like the diabetes prevention program that we modeled and it will be vital that offices like cmi can continue to innovate and find ever new ways of providing better healthcare while bending that cost curve. many policymakers and private-sector leaders are in fact moving forward. i have been encouraged by the ba bipartisan efforts of a number of governors and peepers like some senator alexander and patty murray. their bill and the process through which you came together represent the way we can get things done. together, with more than 20 cosponsors across both parties, they have the opportunity to make improvements on top of the basic measures of access affordability and quality. i have been encouraged by entrepreneurs and private-sector leaders will step forward on delivery system reform. at hhs we started the group called the healthcare payment learning a