the cm program includes well over 50 procedures. whenever staff or at consultant is added to the program, they are fully trained. they are expected to be familiar with all of them. the key function of some of these procedures involve business processes, some of which are automated, to our construction management information systems. there are some key figures that did come into play with the resolution of the tunneling issue. still, there are a number of reasons why this creaky enhances our ability to efficiently deal with issues like this one issues like all our team's work in coordination with preestablished procedures. we have high visibility to all team members on important issues. we are able to follow these issues, the progress made on resolving them, from anywhere. it can be done. we can facilitate e functions such as court administration and -- key functions such as core administration. we promote a lot of pro active -- pro-active activity. i think, in yen, timely decision making and great cooperation were the key reasons we

. >> can we do with cms coming along? >> i thinkcms is essential to make it happen. you have seen it happen many times. they change their reimbursement for nuclear medicine and cardiology practices. we cannot do it without them. the reimbursement changes around admissions create an opportunity to payer industry to move ahead. if we plan more carefully together on how to do it, we would have much greater impact. i don't think we act in concert. we are a fast follower when changes are made. >> care in this country is going to get safer because of what cms is doing in safety. when you get hospital infections and you get paid twice as much, you get more infections. when cms stopped paying for those, the business model will change. >> how many folks in the audience are from provider organizations? that is a pretty good number. if all of you were advising a local community hospital, 300- bed, well-run hospital what to do about all this, what would you say? george, talk to me. [laughter] >> in 2002, 25% of physician practices were run by hospitals. the number is now 55%. th

. >> from the air, it looks straely cm, buthere ia battle raging below and it mayook le -- imay not lookorkersave last managed to em the flow of continat water. butome ch radioactive buildup iide the plant, ty have been rcedo dump ousands ofoles o it in the a. officia inst thathe ter is only mildly toxic, but it is cleay a desperate measure a the strain is beginning to ll. for friends and relivesf those working iide the plant, thes are woring mes. me have bee evaated her to anld high-schoolell outside the gernmt-imposed exclion zone. forears, they lived in th shadow ofhe fukushima nuclear ant. pele here are reluctanto talkboutukushima. we did fd contractors who re inside the building wh t earthqke a tsunami stru. th wou not talk on cara, but they described t ear shakin vlent and the turbe roomilli up with du. they sd if they had too back d work the, they wld do so willingly. others have doubts rired six years ago from his jobt the cleaplant. >> the menorki in there now are probably doing it because it is theirob. it is a dangerous place where no ordinary peoe wod go. itas me, i would n d

el diÁmetro no debe pasar los 12 cm, pero cÓmo pudieron ver se vio de todo. >> asÍ que si quiere luciros invitados pero especiales, eso tambiÉn forma parte de la sencillez de la pareja real, si ven la lista eran familiares y personas allegadas a ellos. >> sonriente llegÓ elton john para ser testigo de la boda del siglo, iba acompaÑado de su pareja, y en la mano llevaba la famosa tarjeta amarilla que les permitiÓ el acceso a la abadÍa. se casaba del hijo mayor de su gran amiga la princesa diana, y aunque el prÍncipe guillermo sÓlo ha compartido con Él en una ocasiÓn, quiso invitarlo como un recordatorio de que ahÍ estaban las personas importantes de su madre. tampoco faltaron david beckham y su esposa, el futbolista fue criticado por lucir del lado incorrecto la medalla que le regalÓ la reina isabel. otros de los pocos privilegiados que recibirÁn invitaciÓn a esta boda real, y pudieron presenciar el emotivo momento. quÉ bien. ♪ >> la presencia de tampoco somos dos muestra la sencillez del prÍncipe, la mayoría eran personas familiares y amigos bien cercanos. la fiesta sigue en inglaterra

the actuary at cms is attacks on drugs, medical devices, health insurance, all of which will result in higher premiums. the president you recall said the purpose of health care reform was to bend the famous spending curve downward. he promised that would happen if we did the right thing. the new law will do exactly the opposite. it within the health care spending curve, but it will bend upwards. cms actuaries estimates over the initial 10 years of the loss enforcement, the united states will spend an estimated $311 billion more than we would have spent if the law had never been enacted. the president said that you see an increase, you will see a decrease in taxation or the middle-class americans will not see a tax increase. he promised that no family making less than $250,000 annually would see a tax increase. well, most of the tax increases that my friend jim capretta sites in the book are tax increases that would directly affect the middle class. in fact, increases for medical goods and services and drugs, insurance, all of these things passed on to you. these are middle-class tax in

except in paragraph seven or item seven, a bunch of pilot projects and experimentation at cms which is exactly the approach adopted in the affordable care act ironically. so where does that leave us? i think the key issue at this point is much of what was being discussed in the previous panel that i had an opportunity to hear which is, what do we mean by value? how do we measure it? there are different approaches that exist abroad and there may have been discussion of that earlier. for example, as you know in the pharmaceutical setting in france there are five different categories based on the degree of advancement or the degree of improvement in a new drug. in austria there are three different categories for the same topic. there are variety of proposals floating around to move in that direction in the united states and frankly i don't see, i don't see a significant alternative. it's hard for me to argue against either patent life or reimbursement rates depending on whether there's a significant advance or a trivial advance from a new technology. doctors pierson and bach at sloane ket

i'm not sure what cms -- >> i read most of it. >> you have, very good. thinking about let's say the -- aside from the relations that haven't been digested by the health system, what can we really expect aside from marketing? one of the ideas here is essentially managed care except a gentler care of managed care. if we can accomplish that, that'd be a great thing. >> we know managed care, but that's gentler? >> the contrast may be in the 90s, in the early 90s when a lot of employer plans, medicare moved very much towards traditional hmos, and mmo being -- hmo being an organization that you have to enroll in, and there was -- that form of managed care had a lot of mother may i's in it as well. if you were going to go to a specialist, you had to go through a primary care physician. if you were going to be admitted to the hospital, you needed approval and so on. some of those ideas probably didn't work, many of them did. >> you mean, there were movies where characters made fun of it. it was a popular thing to -- >> right, that was unfair. by the mid-90s nobo

finally, both cms and private insurance companies should develop new models of experimental and pilota specific example from scientist who's working on it, if 10% of your kidney cells work, you do not need kidney dialysis. through regenerative medicine which is growing your cells and putting them back into, no problem transportation have no problem of rejection. in that model you could take dialysis had a. kidney dialysis is $27 billion a year, growing pretty rapidly the past the nih budget. you can't today be a commitment from anybody that if you had a regenerative model that don't pay for the extent to actually use it on people. you can't raise the capital because nobody less capital wants to risk it to get to the fda did into a payment system that probably will not pay for it. that's just foolish. two, one money, and two, quality of life. i had an ongoing spent seven years on dialysis three times a week. we would like it to be full lives, fully productive, fully engage in less than fully earning a living. not having spent all the time as patients. that's the kind of payment reform

i'm not sure what cms -- >> i read most of it. >> you have, very good. thinking about let's say the -- aside from the relations that haven't been digested by the health system, what can we really expect aside from marketing? one of the ideas here is essentially managed care except a gentler care of managed care. if we can accomplish that, that'd be a great thing. >> we know managed care, but that's gentler? >> the contrast may be in the 90s, in the early 90s when a lot of employer plans, medicare moved very much towards traditional hmos, and mmo being -- hmo being an organization that you have to enroll in, and there was -- that form of managed care had a lot of mother may i's in it as well. if you were going to go to a specialist, you had to go through a primary care physician. if you were going to be admitted to the hospital, you needed approval and so on. some of those ideas probably didn't work, many of them did. >> you mean, there were movies where characters made fun of it. it was a popular thing to -- >> right, that was unfair. by the mid-90s nobo

i think cms is essentials and cooperation with the payer community in order to make it happen. you've seen it happen many times. i mean, the chance to reimburse the for the nuclear medicine and cardiology practices when 55% of the practice revenue tied up in the nuclear medicine all this suddenly not hospitals to become a part of the system. i think that we can't do it without them. never. the upcoming reimbursement create an opportunity to partner and move ahead. if we plan more carefully together on how to do it i think we would have a greater impact and i think we don't act in concert we sort of for a fast follower behind cns when they make these changes. there's a collective the line with a sort of tale following through. >> care in this country is about to get a lot safer because of what cms is and be doing. in fact come up until now, the business model has been like the car industry with the crash to the car and the reward for the crash of the car is that somebody got two more cars and paid for it. so, you have twice as much per patient you have 1.7 million infections. we

the cms actuary estimates over the initial ten years of the law enforcement of the united states will spend an estimated $311 billion more than we would have spent if the law had never been enacted. the president said you will see an increase -- you will see a decrease in taxation and middle-class americans will not see a tax increase, no family making less than $250,000 annually would see a tax increase. most of the tax increases that my friend james capretta sites will directly affect the middle class. tax increases on medical goods and services and insurance, all of these will be passed on to you. these are middle-class tax increases. even the 40% excise tax on high-value health care plans, the cadillac coverage is largely in a middle-class tax increase. more and eight out of ten person that would be affected by that tax would be persons making less than $200,000 annually. you recall that during the debate one of the big concerns was how is this going to affect senior citizens. the administration and its allies in congress promised there would be no cuts to medicare benefits. anybo

finally, both cms and private insurance companies should develop new models of experimental and pilot project funding to be able to go and say and a specific example from scientist who's working on it, if 10% of your kidney cells work, you do not need kidney dialysis. through regenerative medicine which is growing your cells and putting them back into, no problem transportation have no problem of rejection. in that model you could take dialysis had a. kidney dialysis is $27 billion a year, growing pretty rapidly the past the nih budget. you can't today be a commitment from anybody that if you had a regenerative model that don't pay for the extent to actually use it on people. you can't raise the capital because nobody less capital wants to risk it to get to the fda did into a payment system that probably will not pay for it. that's just foolish. two, one money, and two, quality of life. i had an ongoing spent seven years on dialysis three times a week. we would like it to be full lives, fully productive, fully engage in less than fully earning a living. not having spent all the time a

eighth graders and first prize winners and that student cm competition this year. -- student cam competition this year. over the next three days we will introduce you to our top prize winners. the grand prize winner will be this wednesday at 9:00 it did. tomorrow we will speak with their first-prize winner in the high school category. -- the grand prize winners will be this wednesday at 9:15. thank you for watching today. we will see you tomorrow. [captioning performed by national captioning institute] [captions copyright national cable satellite corp. 2011] >> coming up, we will go live to george washington university's's school of international affairs for a daylong conference on foreign policy affairs. speakers include scholar state department officials, and others. we will join in at 10:30 eastern. later tonight, and look at same- sex marriage in america. we will hear from the democratic strategist behind a lawsuit challenging proposition 8. and we will get an update on the proposition 8 status in california courts, and what it means for the rest of the country. again, we will go live to

cm, there's going -- d.c., there's going to be a fun party. >> reporter: like what we're seeing here. >> behind us. actually that is one of our performers at that time event. that is a contemporary dancer. based in the area. and so she's doing a bit of, like she said, just fun per for mans today and performing at the -- performance today and she will be performing at the event. there's going to be story telling, spoken word, planned poetry and upstairs, walk around performers and dancer. a fun event and appropriate for spring. >> reporter: and 8:00 p.m. to midnight. and you have to be 21 -- >> 21 and not doing ticket sales at that time door. that's important. so advance ticket sales only. >> reporter: thank you for joining us and bringing out dancers. plenty of opportunities to enjoy the festival. whether it's this weekend, during the week, so telling everybody, come out. the weather is going to be great and should be a good time. back to you. >> don't know what to say. >> paul, thank you so much. >> thank you, paul. just giving you a hard time. >>> it's 8:52 on this friday morning. p

eighth graders and first prize winners and that student cm competition this year. -- student cam competition this year. over the next three days we will introduce you to our top prize winners. the grand prize winner will be this wednesday at 9:00 it did. tomorrow we will speak with their first-prize winner in the high school category. -- >> ahead, marion blakey . after that marc rotenberg talks about cell phone locations. >> next we're joined by joe allbaugh. a documentary to look at the government's response to a tornado that hit his hometown. "washington journal" each morning at clock eastern. with the annual caucusses 10 months away, c-span will simulcast radio programs from there. tomorrow it is the jan mickelson show. wednesday, it is the "exchange," and thursday it is the "jim fisher show" from davenport. live on c-span. >> topics at monday's white house brief included the economy, syria, and the economy, syria, and the wikileaks document on guantanamo bay. this briefing it 20 minutes. >> i wonder if you could articulate from the white house perspective why syria is different than liby

except in paragraph seven or item seven, a bunch of pilot projects and experimentation at cms which is exactly the approach adopted in the affordable care act ironically. so where does that leave us? i think the key issue at this point is much of what was being discussed in the previous panel that i had an opportunity to hear which is, what do we mean by value? how do we measure it? there are different approaches that exist abroad and there may have been discussion of that earlier. for example, as you know in the pharmaceutical setting in france there are five different categories based on the degree of advancement or the degree of improvement in a new drug. in austria there are three different categories for the same topic. there are variety of proposals floating around to move in that direction in the united states and frankly i don't see, i don't see a significant alternative. it's hard for me to argue against either patent life or reimbursement rates depending on whether there's a significant advance or a trivial advance from a new technology. doctors pierson and bach at sloane ket

the cms says 20% of hospitals could close because of this.here could be worse benefits under the plan. the ryan approach says, let's put the money in the hands of seniors. instead of saying why doesn't the federal government determine the best way to save the money, it's, let's individuals decide. there are multiple reasons for that. what's good for the "average patient" may not be good for any given patient. that is why it is much better to have a system that is rooted around the individual. the other thing that has not been said about the rights and benefits, the way they are given is that people -- the rise in -- that, theeneiftfits is way they're given, people who are poor and sicker would receive more subsidies than people who are not. the medical inflation idea is that, if you put the hands of purchasing power into individuals and we have an actual consumer market for health care, like we do for all sorts of other things in america, because we are consumer-based economy, that will lead to lower prices and contain health care inflation.

eighth graders and first prize winners and that student cm competition this year. -- student cam competitions year. over the next three days we will introduce you to our top prize winners. the grand prize winner will be this wednesday at 9:00 it did. tomorrow we will speak with their first-prize winner in the high school category. -- >> two-thirds of the american people depended on the network news of those three networks as their primary source o n

we tried to find out actually how many have been denied over the years but cms didn't want to tell us, probably for obvious reasons. and our rejection was one of them. it's disappointing that so much authority can be wrapped up in the hands of some federal bureaucrat at the centers for medicare and medicaid services who may have never been to kansas or any of our states or even to a nursing home. it is disheartening that kansas and other states haveo battle washington when trying to do good things for the people of our states. too much red tape kept us from improving medicaid in kansas. and 49 oth states are also locked into the same dictums from washington when it comes to this program. instead of having the essential flexibility, we need to administer the program in our states best and unique interests. we all know that governors from across the entire nation on a bipartisan basis have expressed their desires to have more flexibility with medicaid funding. and this budget offers exactly that. in converting federal spending on medicaid to block grants, governors, state legislators an

and because i've worked in that world kind of with unicef and cm a.r.e -- c.a.r.e.and other organizations, you know, i'm constantly on the lookout for stories that, hopefully, will change our world, make it a little bit better. >> on a more serious note, what was it like to be in the white house during the time of 9/11? what were the emotions like? >> be on a more serious -- i thought he was just going to say on a serious note, what was it like to be at the white house. [laughter] i wasn't, i wasn't, i was not at the white house on september 11th. so i was away at college in texas. but, of course, you know, we can all remember what september 11th was like, and, you know, it was hard because my parents were there, you know, and i was away from them. we actually, i think we came back the week -- my parents got us plane tickets, and we flew home the weekend after or two weekends after. to make sure that we could all be together. because, you know, i couldn't hear -- i didn't hear from them. i got taken to a hotel. i lived outside my apartment -- i looked outside my par

i think cms is essentials and cooperation with the payer community in order to make it happen. you've seen it happen many times. i mean, the chance to reimburse the for the nuclear medicine and cardiology practices when 55% of the practice revenue tied up in the nuclear medicine all this suddenly not hospitals to become a part of the system. i think that we can't do it without them. never. the upcoming reimbursement create an opportunity to partner and move ahead. if we plan more carefully together on how to do it i think we would have a greater impact and i think we don't act in concert we sort of for a fast follower behind cns when they make these changes. there's a collective the line with a sort of tale following through. >> care in this country is about to get a lot safer because of what cms is and be doing. in fact come up until now, the business model has been like the car industry with the crash to the car and the reward for the crash of the car is that somebody got two more cars and paid for it. so, you have twice as much per patient you have 1.7 million infections. we

i'm not sure what cms -- >> i read most of it. >> you have, very good. thinking about let's say the -- aside from the relations that haven't been digested by the health system, what can we really expect aside from marketing? one of the ideas here is essentially managed care except a gentler care of managed care. if we can accomplish that, that'd be a great thing. >> we know managed care, but that's gentler? >> the contrast may be in the 90s, in the early 90s when a lot of employer plans, medicare moved very much towards traditional hmos, and mmo being -- hmo being an organization that you have to enroll in, and there was -- that form of managed care had a lot of mother may i's in it as well. if you were going to go to a specialist, you had to go through a primary care physician. if you were going to be admitted to the hospital, you needed approval and so on. some of those ideas probably didn't work, many of them did. >> you mean, there were movies where characters made fun of it. it was a popular thing to -- >> right, that was unfair. by the mid-90s nobo