only one example but there are plenty more nationwide seam of her mother head of the centers for medicare medicaid services or c.m.s. said facilities that followed federal infection control guidelines were largely able to contain and control the virus the c.m.s. reports that facilities with a one star quality rating were more likely to have large numbers of covert 1000 cases than facilities with a 5 star rating adding that c.m.s. will take an foresman against nursing homes that have not reported data into the c.d.c. the centers for disease control and prevention burma said if states do not complete the required facility checks by july 31st they may risk losing federal recovery funding there also still remains contention about whether many nursing homes and assisted living facilities are receiving enough coded 1000 testing kits and sufficient protective gear as that blame game continues the bottom line is people's lives still remain at risk and many of these facilities as the number of coronavirus cases continues to climb in some of the poorest rated states for nursing home care in the united states for r t

only one example but there are plenty more nationwide seem of her mother head of the centers for medicare medicaid services or c.m.s. said facilities that followed federal infection control guidelines were largely able to contain and control the virus the c.m.s. reports that facilities with a one star quality rating were more likely to have large numbers of covert 1000 cases than facilities with a 5 star rating adding that c.m.s. will take an foresman against nursing homes that have not reported data into the c.d.c. the centers for disease control and prevention perma said if states do not complete the required facility checks by july 31st they may risk losing federal recovery funding there are also still remains contention about whether many nursing homes and assisted living facilities are receiving enough covert 1000 testing kits and sufficient protective gear as that blame game continues the bottom line is people's lives still remain at risk and many of these facilities as the number of coronavirus cases continues to climb in some of the poorest rated. states for nursing home care in united states for o

the seventh highest rate in the country in early june according to the federal centers for medicare and medicaid servicesmassachusetts has the highest number. coronavirus infections are surging across much of the country. in florida governor ron desantis, one of the first to push for reopening is now blaming floridians who don't follow face covering and social distancing guidelines. the governors of new york, new jersey and connecticut ordering visitors from several states including florida, arizona, utah and texas to self quarantine for 14 days on arrival in their states, yesterday the number of infections across the country surged by 35,000, the highest numbers since the record of 36,400 in late april. >> thank you. a sudden change in hawaii modifying its mandatory 14 day pointing for a lot of state visitors. hawaii says you can skip the quarantine if you can show proof of the recent negative coronavirus test result, the change comes the same day the justice department announced its support for a legal challenge for what hawaii had been doing. just hours from now a police reform bill, the vote expected

joining me now, the former acting administrator of the center for medicare and medicaid services. also joining us dr. william a professor of infectious disease at vanderbilt university. glad to have you with us. check out the latest map that is showing new cases in the united states. it's literally a sea of red infections. they're at an all time high. how worried are you? >> this is how viruss behave. they spread from bigger places to smaller places. anybody who thought that just because we had a positive impact from social distancing earlier that the virus was over was a mistake. people have to get comfortable with the fact that it's how we respond to the virus that will indicate how fast it spreads. and there's a time line. if you're the governor of arizona and florida and texas, when you look out the window of your capitol, what you're seeing the impact of what you did three to four weeks ago. not today. as soon as you think you beat it and start sending the wrong messages, not wearing masks. miscounting the population. you are contributing to the growth of the virus. >> if thi

andy is former acting administrator for the centers for medicare and medicaid services.y, thank you. alarming what he said and the sheer numbers what we found out. it's a stark warning from dr. anthony fauci. clearly it isn't over yet with many states seeing these spikes compared to last week. do you think americans are letting their guard down and they need to be more vigilant? >> i think so. i think we have to remember that nothing magic happened when we stayed home. it was a great sacrifice and i know for a lot of people they weren't sure what came of it. there were studies that showed around the world there are millions of people whose lives were either saved or disease was delayed. but that's the key thing is once we come back out, if we come back to exactly our old habits it's going to spread just as fast. so we have to be out and take the kind of precautions that are safe precautions. we can get back to normal life, we can live with this virus. but if you're in a place with these red areas like north carolina and arkansas you should be very, very careful. >> you m

proceeds posed rule on infection that is being considered a rule proposed by the center for medicare and medicaid services, would modify the amount of time an infection prevention must devote to a facility from at least part-time to sufficient time, an undefined term that lets the facility decide how much time should be spent. regulation has not been finalized, but c.m.s. last week defended its proposal saying it aims to reduce regulatory burden and strengthen infection control. this person who is a specialist, infection preventionist, these are typically not full-time positions at nursing homes? guest: so you're right that c.m.s. has issued guidelines that would affect that necessity need to be infection control, but not always been certainly a full-time position. that's something that as we continue to look at issues that the covid-19 pandemic has highlighted in nursing homes, certainly evaluating the role and need for infection control and prevention. there are requirements, preexisting requirements that nursing homes have, systems to try to identify and prevent and control infections, but certainly de

he is the former acting administrator of the centers for medicare and medicaid services. also, joining, is dr. william schaffner. he is a professor of infectious diseases at vanderbilt university. glad to have both of you with us and your expertise. andy, let me start with you. i mean, check out the latest map that's showing new cases in the united states. it's, literally, a sea of red infections. they're all at an all-time high. how worried are you? >> well, look, this is how viruses behave. they spread, from bigger places to smaller places. anybody who thought that, just because we had a positive impact from social distancing, earlier, that the virus was over, was mistaken. people have to get comfortable with the fact that it's how we respond to the virus that's going to indicate how fast it spreads. and that there is a time lag. and if you're the governor of arizona or florida and texas, when you look out the window of your capitol, what you are seeing is the impact of what you did three to four weeks ago, not today. so as soon as you think you have beaten this, and yo

that's according to the federal centers for medicare and medicaid services. chusetts had the highest number. coronavirus infections, meantime, are surging across much of the country. in florida, governor ron desantis, one of the first to push for reopening is now blaming floridians who don't follow face covering and social distancing guidelines while the governors of new york, new jersey, and connecticut are ordering visitors from several states, including florida, arizona, utah, and texas to self-quarantined for 14 days on arrival in their states. yesterday the number of infections across the country surged by around 35,000. the highest number since a record of 36,400 in late april. shannon. >> shannon: all right, jonathan hunt for us on the west coast tonight, thank you. >> sure. >> shannon: by the way, a sudden change in hawaii, tonight 14 day quarantine for all out-of-state visitors. hawaii says you can skip the quarantine if you can show proof of a recent negative coronavirus test result. the change comes the same to the justice department announced its s

earmarked for increased inspections of nursing homes, nursing homes are at major risk centers for medicare and medicaid services administrator seema verma says while 80% of nursing homes haven't had any cases or deaths from covid those that did have been devastated, we are doubling down on our efforts to do testing for nursing home residents from us as nursing homes are still a major health concern and the path for seniors and families to be reunited goes through testing we want to make sure that those nursing homes are doing everything they can and they're abiding by those longstanding infection control guidelines but leslie dock, the chair of protect our care says the president even today, it's still not serious about protecting seniors is if we step testing right now. >>we have very few cases of any core job of the government to protect its people instead of doing that. weed out you know the president chooses to downplay the risks but from us as the president has been and will stay focused on making sure the nation's seniors are safe and protected reporting in washington. i'm morgan wright. >>truck drivers s

with me now andy slavic from the centers for medicare and medicaid services during the obama administration. so andy, welcome to you. and when we look at these numbers, they show what a shift we've seen in the last couple of months with the virus. florida now posting record levels, new york as i mentioned a second ago leveling off. do you think this quarantine will be effective in keeping the new york numbers down? is that a good tool, so to speak, for any official concerned about stopping the spread? >> it is really important, brooke, that people do respect the fact that even if they don't feel personally in danger, the way this virus works it spreads easily. and hope people respect the fact that it doesn't make sense to travel out of state or mingle in large crowds anyway. so this is i think a smart step by the governors. we're at the same time a bill proposed by senator mcsally and in arizona encouraging people to travel across the country. and i think that is just not very smart. >> how about in florida where officials say that it is younger people accounting for a significant number of

andy slavitt is the former acting administrator of the centers for medicare and medicaid services during the obama administration. he joins me now. andy slavitt, welcome back to the "newshour". as you know, the argument that the trump administration and these 18 states are making is now that there's no longer a tax penalty imposed on people if they don't have insurance thata thisno longer has a therefore, it should bend, overturned. without getting too much into the legal weeds on this, andy slavitt, why is that wrong? >> well, they're suggesting, when the senate passed a tax law in the end of 2017, that it actually intended not to just eliminate the mandate but intended to eliminate the entire law -- in other words, that one was intendedo strike down all. senator lamarlexander made very clear when he said that was not the intent of anybody voting, nobody was voting to repeal the entire law. so they are, i think this case is attempting to -- and i think in a political fashion- to try to reinterpret what congressional intent was witho really pund impact on the american public. now, it's n

center. and andy slavitt, the former acting administrator for the centers for medicare and medicaid services.rt with you for a medical view of this. we finally have republicans seemingly across the board with the glaring ex-sessiception of president of the united states telling americans to wear a mask as we are seeing cases skyrocket, particularly among younger americans. what are you seeing in your hospital? what do you see in these numbers? is this too little too late? are we past the point of no return? and what should americans be doing in their own lives, both to protect themselves, but also to protect people like you on the front lines of this? >> kasie, thanks for having me. it's a really critically important question. and what americans should be doing is not listening to the vice president. and it's -- and at the helm on these task force briefings. the concept of federalism should be thrown out the window in the case of this pandemic. we need every state acting in unison. right now we have 50 different approaches. we need one approach because if we have regional approaches, that's t

of nursing home communities in the united states at the federal department, the center for medicaid and medicare services because they have direct oversight of these nursing homes, let's also involve the federal government when it comes to investigations of nursing homes not just in new york across the country. we are seeing half of state see a huge rise in coronavirus infections including arizona where the president traveled tonight where jenna is tonight and we need real presidential leadership when it comes to covid-19, not racist troops that he delivers on the stage but real actual oversight of what has happened in real presidential leadership that includes wearing masks. >> he is not having -- that is a low blow in the responsibility -- >> kellyanne conway called it a racist trope. >> we got to leave it there because we have breaking news on the streets of dc. we will be back. guys, it's that time... and nothin's happenin'. well now there's score!, from force factor, to rev your libido and maximize physical response. it's no wonder force factor is the #1 fastest-growing men's health brand at walmart

oversight of nursing home communities in the united states, the federal department, center for medicaid and medicare servicesse they have direct oversight of these nursing homes so let's also involve the federal government when it comes to investigations of nursing homes not just in new york but across the country. we are seeing half of states seeing a huge rise in coronavirus infections including arizona where the president traveled the night and we need a real presidential leadership when it comes to covid-19, not racist tropes he delivers on the stage but real, actual oversight and real presidential leadership that includes wearing masks. >> okay, thank you. >> he is not having and that is a low blow. the responsibilities here. absolutely not, kevin. we've got to leave it there because we have breaking news on the streets of d.c., we will take you back to kevin corke live. we wilwe will be right back af this. check it out. safe drivers save 40%!!! safe drivers save 40%! safe drivers save 40%!!! that's safe drivers save 40%. it is, that's safe drivers save 40%. - he's right there. - it's him! he's here. he

. >> we've got folks slotting in at all kind of places from the va to cms, the center for medicare and medicaid servicess steps from the white house during the earliest days of the pandemic to witness how government techies can speed up federal action. >> it might be everything from figuring out how we can enable remote work to trying to help with procurement. we even had somebody who was at the cdc during ebola, and so he's trying to figure out how we can figure out about hospital bed capacity. >> transforms -- >> reporter: president obama founded usds after his health care website kept crashing, even before coronavirus the trump white house embraced the initiative. >> this is the obama agency the president loves. >> you know, i view us as nonpartisan. and our mission is pretty simple -- try to do the most good for the most people who need it the mostme most. and we're bringing technology to bear to make that happen. hi, my name is -- >> reporter: he was employee 71 at google. there were more than 1209,000 google employees now. >> being ajuly -- >> reporter: he chucked seniority and stock options for a

. >> joining us now is andy slavitt, former acting administrator for the centers for medicare and medicaid servicesg the obama administration. i want to get your reaction to what anthony fauci said, and in this context, if i can, which is i think there is a sense in a lot of states where they're loosening restrictions that the worst is over. what would you tell those folks? >> so look, first of all, it's really important that everybody understands that the reason that this is happening is because this is how viruses behave. so if our first reaction is this is happening because some people protested or some people enjoyed themselves on memorial day, or what have you, that's not the case. the virus hasn't gone anywhere. the virus looks for open spots, and it will travel there. that never changed. we all need to remember that. we can't choose to end the virus. what we can choose is how we respond and lead our way out of it. we can choose if we're a governor in the state of arizona, governor deucy had an opportunity because there's going to be about three weeks of case growth after the day he decides t

services center, the medicare and medicaid services. could you speak to where the gaps are in inspection, surveillance and enforcement, education and guidance? ms. edelman: thank you for your question. for the last three month, cms has said to states, do not do -- surveys except for deficiencies, which are 1% of the problem, or targeted infection control surveys. they did infection control surveys. they released 5700 and we look at them. cited any deficiencies and they called them no harm. how in the middle of a pandemic when people are dying every day that we find facilities not having any problems. the number one problem is widespread-- persistent way before the covid-19 problem. we do not have good oversight. problems, and the even if we do, we don't do anything about them. that is the real problem. we let these these issues feste. handwashing is not just a trivial matter. people are dying in nursing homes because the staff are not washing their hands. part of the reason they are not doing that is there are not enough of them, so people try to cut corners and do as much as they can. we need better enforcement of these better standards. rep. davis: thank you very mu

service center, the medicare and medicaid services. mr. elderman, could you speak to where the gaps are in inspection, surveillance and enforcement, education and guidance? >> well, thank you forestion, congressman. for the last three months, cms has said to states do not do any surveys. do not do any surveys except for immediate jeopardy deficiencies, which is 1% of the problems, or targeted targeted infection control surveys. they did infection control surveys spoededly. on june 4th, they released 5,700 of them. they called them no harm. how in the middle oof a pandemic when so many people are dying from infections every day do we find facilities not having any problems? this is the number one problem in facilities, the gao said last month it's the number one problem, widespread, persistent, way before the covid-19 problem. so, we do not have good oversight. we don't cite the problems. and even if we do cite problems, we don't do anything about them. and that's the real problem. that is the real problem. we just let these issues fester. and now we know the number one issue, hand washing. hand washing isn't just a trivial matter. people are dying in nursing homes because the

guidance from the labor department, treasury department and centers for medicare and medicaid services said last week that insurers were only required to pay for tests without patient cost sharing if a doctor orders it. i agree with that. but given that the cdc specifically recommends doctors order tests in two situations -- when a person has signs or symptoms of covid-19 or recently had contact with someone known or suspected to have covid-19 -- who pays for thesing at other times. i believe congress will need to take action to further clarify who pays for the testing at other times. for example, the school may want to do random testing. perhaps it should make an arrangement with the state to pay for that. or perhaps congress needs to provide more money to pay for that. if an auto maker wants to test all its employees at the plant every two weeks perhaps the auto maker should pay for that or perhaps the statewide want to pay for that. that needs to be clarified. finally flu shots. cdc has said more people need to get flu shots this fall so health care workers can getter distinguish be

of the waivers submitted to the california department of public health and to the center for medicaid and medicare services, we asked if our first survey could be reviewed as a desk review instead of requiring a reset and revisit survey. and that waiver was accepted. and the district office of the california department of public health really asked for a lot of information and a lot of data that have been collected regarding the plan of correction. so it was a fairly stringent desk review and they found us to be in substantial compliance with all of the conditions of participation on april 24th. and the denial of payment from new admissions and the daily civil penalties seized a ceasede 23rd of march. which was a huge achievement for the operational side of laguna honda because these changes really showed a significant amount of work and improvement and focus on the patient and resident safety. so i wanted to celebrate that. and i also wanted to acknowledge that we -- as we move forward in this process that the continual survey and readiness and educational update, that we would normally do on an ongoing b

of the waivers submitted to the california department of public health and to the center for medicaid and medicare services, we asked if our first survey could be reviewed as a desk review instead of requiring a reset and revisit survey. and that waiver was accepted. and the district office of the california department of public health really asked for a lot of information and a lot of data that have been collected regarding the plan of correction. so it was a fairly stringent desk review and they found us to be in substantial compliance with all of the conditions of participation on april 24th. and the denial of payment from new admissions and the daily civil penalties seized a ceasede 23rd of march. which was a huge achievement for the operational side of laguna honda because these changes really showed a significant amount of work and improvement and focus on the patient and resident safety. so i wanted to celebrate that. and i also wanted to acknowledge that we -- as we move forward in this process that the continual survey and readiness and educational update, that we would normally do on an ongoing b

of the waivers submitted to the california department of public health and to the center for medicaid and medicare services, we asked if our first survey could be reviewed as a desk review instead of requiring a reset and revisit survey. and that waiver was accepted. and the district office of the california department of public health really asked for a lot of information and a lot of data that have been collected regarding the plan of correction. so it was a fairly stringent desk review and they found us to be in substantial compliance with all of the conditions of participation on april 24th. and the denial of payment from new admissions and the daily civil penalties seized a ceasede 23rd of march. which was a huge achievement for the operational side of laguna honda because these changes really showed a significant amount of work and improvement and focus on the patient and resident safety. so i wanted to celebrate that. and i also wanted to acknowledge that we -- as we move forward in this process that the continual survey and readiness and educational update, that we would normally do on an ongoing b

for more federal oversight. >> we have, and we back in early april senator ron wyden and i sent a letter to both cms, centered on medicare, medicaid services, as well as cdc saying why are you not providing information on the number of deaths and the data on outbreaks in the facility? and provide that information so that not only the residents of that nursing home knows what's happening in the building they live in, but also so their family knows and their community knows. because there's no way, we unfortunately learned in a very brutal way, if you don't test and if you don't have a sense of the scale and the scope of the problem, you are not going to be able to deal with any kind of covid-19 challenge. we are still waiting for that data, and the administration has had said over and over again, cms especially has said, we are going to provide this information by the end of may, and here we are. this information is central for our ability to combat the problem, to provide better care in nursing homes, and to stop or reduce greatly the number of deaths. >> senator casey come something else i know you are very about is what it's like to be l

center of the universe in healthcare because they are the ones who generally are the actions in a service world. . . . provide how healthcare's have been completely different. the healthcare for the government. instead of talking about medicare and medicaid, talk about the health system and the va and their systems to shed light on how government run healthcare could actually pay for better health outcomes and better results and lower cost. it summarizes the action plan and in each chapter, each chapter unveils a different action plan for what individuals can do. >> we are going to transition into a couple of ideas in the book, two or three euros. let me start with one idea the one big thing, over the course of researching this book, i interviewed over 100 different people and healthcare positions, patient advocates, community workers and one thing you could change in healthcare. others have said the same thing. when i also believe, they will change the business model of healthcare. our current model is in the book as plan for action. providers, physicians and hospitals for people, imaging studies, operations, procedures. doing more and more things for people and they document what they are doing for people so they can bill insurance. in