aco's. the first year was application cycle. they have opportunities to exit and others that have opportunities to enter. a few key points, one patient can voluntary say this is my aco, this is my choice and then they're in the attributeable population and staying in network. it rewards quality. it waivers around telehealth and providers ready to partner with communities to move to a much more advanced, this can be a fully population statement, totally moving away from people service. we are excited about this model. applications are open now for new participants. primary care, i have update as of 10:00 a.m. this morning, so this was our first model on this slide that did show decrease hospitalizations do -- we are going to release next set soon. it's got two tracks andly talk more about those. estimated 20 states and regions. multipayer where we agree on quality issues and basic approach. could be 20,000 physicians in the model and 25 million patients. so it is the largest primary care model in u.s. history. and we think very exciting, track 1 is similar to cbc b

i think that like wise there's examples and aco's and bundles and primary care where we're sharing directly and doing with other pay ers and encouraging them. we can encourage but not require which is appropriate. encouraging the various medicare plans to adopt or consider adopting the various models, and we're seeing that happen. you're going to see the way that medicare advantage plans pay providers and increasingly converge over time. >> this is a quick follow up and that's at home and it's the high cost of people that are living in the community. is that something that is part of the care system that medicare advantage plans are providing as far as you know working with the medicare plans to be sure that the best practicing are being replicated for the the beneficiaries no matter which delivery system that they choose. >> can i take that up. programs are having contracts with medicare and that cover s the cost of the program and gets them into the black and now doing that care as we speak. >> we have the medicare plans and commercial plans. >> mine transform the advance care, and these

and the aca established the aco for the medicare shared savings program. we call that the cmmi because we love acronyms. that was really marking significant investment in testing new payment models and they gave it unprecedented authority and achieved specified performance on quality and spending. i mentioned that that was the passage of mac ra, the law that repealed the sgr. that was many topics. mac ra has within it financial incentives for and this will be coming in future years. cms is planning to release regulations in the near future and proposed rules on what exactly will be used to define the alternative payment models. that should be coming out soon. a final piece of context shifts more of tradition al payments ad i will move on quickly on to this slide that shows on the left three models of delivery system reforms that we cover in the primner your handouts. i'm going to talk about the individual models that are there on the right hand side. to distill it down, medical homes are really based on the concept that investing a bit more in primary care

and he also has a hand in its aco and risk-based models. we're going to start off with cristina bocutte who will talk about the recent work that kaiser has done and what evidence we have on hand. >> thank you. let's see. okay. good. so i'm going to start with just a little context for delivery system reform in medicare and then i'm going to go over very brief summary of three of the models and conclude with a few thoughts onion going challen on thoughts and context. also cms had already been running some new models on delivery system reform, the affordable care act really brought in a large multi-pronged effort for delivery system reform. it created some permanent changes to the way hospitals are paid, for example, the hospital readmission reduction program. it created the office that called the medicare medicaid coordination office which is looking at ways to align payments for people who are duly eligible for medicare and medicaid. and the aca also established a cos through what's called the medicare shared savings program, which we will

and get them working together. i saw the foreign minister of more aco and he came to my office and secretary kerry saw him and we've had called to the king. here is where we are. morocco was very concerned with some of the things that the secretary general said during his visit to the region. we worked to ask the secretary general to clarify what he meant and he did that. we said to or moroccan friends that we hope that as we were looking at renewing the mandate, we wanted to renew it for one year without any changes. unfortunately, one of the things that morocco did in response to the secretary general's visit, they unilaterally decided to reduce and ask for the removal of members of the mission. that creates a problem for us because as a member of the security cocil, we also have an important stake in making sure that u.n. peace keeping missions are -- their integrity is upheld. and if we allow a precedent by which a country could unilaterally decide whether to accept or shut down a mission or change the composition, that is a real problem, potentially in other areas, with countries, unlike morocco, are not close

>> uh, yeah. [ light laughter ] >> jimmy: so you're eating a a aco, and it's like, "hey, how's it going, man? having a good time?" [ light laughter ] so embarrassed. this is the most embar vssing thing in my whole life. not anymore. i invented the taco dam. yeah. what it does is there's no way to have it come out the bottom. [ light laughter ] try it. yeah. perfect. [ cheers and applause ] that's not bad, right? phone book it is a, damn, taco! [ laughter ] hey, good to see you. your invention was okay. but this clearly wins. bye, buddy. take care. [ cheers and applause ] get ovr there. let's meet our next inventor. come on over here, gary. [ applause ] [ laughter ] gary, how old are you and where are you from? >> i'm 8 years old and i'm from mawah, new jersey. [ cheers and applause ] >> jimmy: thank you for being here. gary, what is your -- can you hear me? >> yes. [ light laughter ] >> jimmy: okay, good. at is your inventioni >> my invention is a nose and earmuff. >> jimmy: the nose and earmuff. >> jimmy: and how did you come up with this idea? >> well, in wintertime it's very cold, es

a cross between britneyenri spears and rihanna this morning she's stopping by'o the loft and share acoustic acos echo. e it is available on i tunes now.n here's christina.. ♪ ♪ (applause). >> you sun great. sun great. come >> as you walk over introduce your wonderfully talented guitar players.ays. >> jewels on guitar. >> grab a seat.ea. welcome to the loft.heof this new album that you have ou coming out now, this is alls about voices and echos. >> actually -- auall >> and conversations.vers >> you lead in with them it'sems actually about myself.tual >> is it? >> i've been through a lot inugi this industry, and it's not easy trusting your gut instinct andnc i've had a problem of trusting t that.th so i kind of wrote it about mebt just getting back to my rootsoy and believing in myself and kind of putting those voices aside and being like we can do this.. not even just in music in anything. >> is that just for the song or is it a theme throughout tfoheot whole album. aum. just for the song the first onee i wrote on the new album kind oo me putting aside all of myselff doubt and then kind of showin

açó blanket fry them like bacon. what do you make of that. >> i mean, if you study the when i was a little boy, you had martin luther king the tradition that we -- andpeople that were saying things like that back in those days that we did not believe in. and i don't think that -- you are not as responsible for people on fox that say things you don't agree that we don't agree with. there was a time we use a lot of language. when i was younger i would use the "n" word and call people the c word because i come up in the rap generation that's the way you talked. i never believed in violence. i do not believe in denigrating anyone with n word. calling people the c word. people pigs or anybody else. >> you don't condone that kind of talk. >> i do not condone any of that and we don't do that national action network. there are other parts of the movement that do things and they don't condone what we do. >> what about the freddie gray case? that's been controversial down in baltimore. that's being prosecuted under marilyn mosby and she got in a bit of trouble when she came out and said we need justice for freddie gray. we need justice for freddie gray and ma

aco conservative. i'm a constitutional conservative and by that it's very simple. i believe our constitution is something along the lines of our owners manual for the nation. we need to hear to it. when i swore an oath to defend the constitution there's no statute of limitations on that. our politicians do the same. thing it to me being a constitutional conservativedi means adhering to that. that means limited government, individual liberty especially the 10th amendment. we have gotten way away from that both sides of the aisle because i think our career politicians have sort of broken the code that the bigger the more powerful the more extensive the federal government is the better it is for their incumbency so i really believe they are supporting and defending their incumbency is as opposed to the constitution. >> host: you refer to your. book "government is the problem" as an after-action report on the 2012 election. >> guest: i do.u finish whenever you do any kind of a mission or objective in the army you write an after-action review. you take a look at what yo