recommendations to cms. most these recommendations have not been implemented. the office of inspector general has been on the front line of the investigating fraud for which work with the medicaid fraud control units. in the 2010 the units conducted 9,710 fraud investigations and recovered $1.8 billion. this work is essentials and becomes even more crucial as vindicate expands. but states is limited resources to combat the rising problem on medicaid fraud and there's also a question of the incentive states. health care fraud is sometimes called a dictums crime and money lost as a result it can be easy to overlook what a devastating impact it can have on victims' beneficiaries who do not get the care they need and deserve. today we are joined by one such individual mr. richard west a vietnam war mike veteran and dictum of medicaid fraud. he and his lawyer along with his son testified here today of their personal experiences and their efforts to uncover fraud with the medicaid program. it isn't just about mone

cms will publicly post the outcomes and cms will identify and spread best practices, for example, cms funded work with illinois to use enhanced nursing home drug data to inspect and monitor issues related to antipsychotic use. finally and perhaps most importantly we have recently engaged in a multistakeholder quality improvement initiative focused on reducing antipsychotic nursing homes by eliminating inappropriate use. i have personally led and participated in national quality improvement initiatives and have seen their power to transform health care. these efforts are most successful when they engage a broad range of stakeholders of clinicians, patients and families. therefore, a few months ago we began proactively reaching out to stakeholders into the american director association and consultant pharmacist, it is american health care association, leading age consumer voice, professional societies, government partners and others to participate in a national collaboration. the response has been positive and we are in the process of developing a national action plan. we are no, i did

however, cms is not positioned to do this.as a result, it was unknown whether the program had provided any financial benefits. cms officials told us that it was too early to determine whether the program had provided benefits since it had not met its goals for the widespread use. to help ensure that the development and implementation of idr are successful in helping cms meet the goals of the >> and integrity initiatives and possibly save tens of billions of dollars, we made several recommendations to cms. among our recommendations was that the agency finalize plans and schedules for incorporating additional data into idr, finalists plans and schedules for training all program integrity analysts intended to use 1pi and to track outcome based performance measures to gauge progress for meeting program goals. in commenting on the draft of our report, cnn's agreed with our recommendations. the agency's timely implementation of these recommendations could lead to reduced fraud and waste and overall savings in medicare and medicaid p

cms is considering opening other -- nubble -- [inaudible] cms has awarded a contract to conduct a study in 20-25 nursing homes that will evaluate factors influencing prescribing practices for antipsychotic med sayings. fifth, addressing the use of antipsychotics, nursing home compare. sixth, cms is interested in partnering with states the to address this issue and help identify and spread best practices. for example, cms funded work with illinois to use advanced nursing home drug data to detect and monitor issues related to antipsychotic use. we have recently engaged in an initiative focused on reducing antipsychotic use in nursing homes by eliminating inappropriate use. these efforts are most successful when they engage a broad range of stakeholders including front line clinicians, physicians and families. we began proactively reaching out to stakeholders including the american society of consultant pharmacists, the american health care association, leadingage, consumer voice, government partners and others to participate in a national collaboration. we are committed to working to acco

recommendations to cms. most these recommendations have not been implemented. the office of inspector general has been on the front line of the investigating fraud for which work with the medicaid fraud control units. in the 2010 the units conducted 9,710 fraud investigations and recovered $1.8 billion. this work is essentials and becomes even more crucial as vindicate expands. but states is limit .. states. health care fraud is sometimes called a dictums crime and money lost as a result it can be easy to overlook what a devastating impact it can have on victims' beneficiaries who do not get the care they need and deserve. today we are joined by one such individual mr. richard west a vietnam war mike veteran and dictum of medicaid fraud. he and his lawyer along with his son testified here today of their personal experiences and their efforts to uncover fraud with the medicaid program. it isn't just about money. it's about insuring that we do right by every american citizen who is in need of medical assistanc

recommendatio to cms. most these recommendations have not been implemented. the office of inspector general has been on the front line of the investigating fraud for which work with the medicaid fraud control units. in the 2010 the units conducted 9,710 fraud investigations and recovered $1.8 billion. this work is essentials and becomes even more crucial as vindicate expands. but states is limited resources to combat the rising problem on medicaid fraud and there's also a question of the incentive states. health care fraud is sometimes called a dictums crime and money lost as a result it can be easy to overlook what a devastating impact it can have on victims' beneficiaries who do not get the re they need and deserve. today we are joined by one such individual mr. rhard west a vietnam war mike veteran and dictum of medicaid raud. he and his lawyer along with his son testified here today of their personal experiences and their efforts to uncver fra with the medicaid program. it isn't just about money. it's

cms is trying to fix that. the 3.0 which has been in for over a year has changed the way facilities assess president's payne. in the past the staff wrote down with it a thought residents were in pain. now staff is asking residents if they are in pain. the numbers are considerably higher than we have seen before because most people think 50% or 60% of residents have some pain problems. fat gets identified and treated, there might be -- this could really be a very important way of getting around and are psychotic drug use. the pain is not being identified and treated. >> please submit that to us. tom hlavacek, any comments you want to make to this panel? >> thank you so much for holding this hearing. one thing that was touched upon was the whole concept of care transition. i think that is a very important fees for the committee to consider going into the future. we have definitely seen a breakdown in communication in our task force between the hospital and nursing homes and assisted living facilities. people get

the cm 1hls comes at nfudow..enow what's going to happen, and it takes you into this l c13 jigses. it will transport you. soand ithe night cm 1hlit" by a morganstein is great. if you heard the interviews about it you think i donit is to read this book. great gift book because you are he aawn into his world, youcomi sense of world, and you can pair or something like that. stephen king. st withen ougng has finally t, on something that is really in the news now, the kennedy assa theination. ehis is stephen what if someone went back in time and tried to preve20 the assassination of john f. kennedy. will m telling you, theand iwha" are just amazing. because you think what wou12 Ãfivking e happene da eder ec w this election time. so there is a shift alrea+ to what wou12 happen if you went back in time and could change somethin45that youchenow happend people have loved "middlesex." ehis is his n0 3 Ãitarri. >> ae plot." you've seen the house wives and all thahli this is another t, on it with a political bent. so people i

any health care state groups that express anything less than glowing praise for his performance at cmss is his first television interview since stepping down from the centers for medicaid and medicare services. thank you for coming on. >> thank you for having me. >> i hope it's okay if we sit here while i read glowing quotes about you for an hour. >> you have my permission. >> what were you doing to implement the affordable care act and how poorly understood the act is in a second, but i want to start out by talking about what your background was before you came into the position that you did, why the president thought you were qualified for this position and what you devoted for career to before coming. >> i also trained in public policy, and i got interested in quality of air. it was evident to me as a doctor that things were not going well, costs were way out of control due to waste and i got interested in modern methods of improvement and for over 20 years i worked on taking methods of improvement, the kind of things that made improvements and cars and making other production thing

>> for a pdf cm that would be a specific and for a firm that's in fcm only the fcm would have to initiate the bankruptcy proceedings. >> how often do you examine the fcm's? >> the cftc is not the frontline auditor for fcm's. that is self-regulatory organization who are the front-line auditor's. >> was there a point and if so when was it, when you audited mf global and what were the results if any of that audit? >> the dsr or would be the one to audit and in mf global's quesadilla sorrow is the chicago mercantile exchange. >> can you explain to us just so i will understand and mr. corzine will be here later because he is the other part of the trilogy what the with the bases as for why he recused himself? i think their questions are good ones, i just am not entirely sure i understand the basis was for the recusal. >> congressman i'm not familiar with the basis. he has a recusal letter but that is the limit of my understanding. >> i guess the last question which in some ways is almost a rhetorical question and i think probably everybody in here chairman and ranking member of the committee an

guest: in the legislation there is important language that says gao, cms, all come back with your plansto look at to see what would be a prominent solution. i have my own ideas, but i do is think there will have to be a vetting of for those possibilities are, then pick the best possibility. host: what is your idea? guest: if you look at places where patients are better care for at lower cost, they typically involve around its primary care model, where the primary care physician brings herself with the patient so well that the knowledge of the american position is almost transferred to the patient as they make better decisions. there's a group out of washington state where everyone pays $50 a month and the primary care physicians take care of validation needs for those people. better health care at lower cost. in san antonio there's a group, 100,000 covered lives. they have better outcomes at a lower cost. primary-care physicians take on patients and act as their advocate as they interact with the rest of the health-care system. i think that model is where we care-o go, the primary cente

. >> cms close. can you relate? were destined? >> dissent. >> white destined? because he is richer than the rest of us, so he would come to our events. >> he's not me. >> toni, what do you think? >> what do i think? to the kaizen. >> and the reason? >> i don't know. i've never thought about it that way. [inaudible] >> i see them as the dad who's never at home. there's a possibility is just not connect to it. others? >> i'd say be a close member of the family and good leader of the family. >> how many current michael? okay. tell me something. let's stay here. what makes you confident about mitt romney becoming the next president of the united states? i'm not saying his chances. i am saying what are the positives? would you like about him? what do you see in terms of them is the next resident of the united states? >> moral character. >> strong leader. [inaudible] >> okay, that's jonathan. what else? >> he's going to be able to find work. >> okay good, that's chris. >> steady. okay, so steady, roll up his sleeves. >> it be a good role model. >> okay, good. >> simi

the initials cm are coming to mind. >> if you found out who is working morons on the weekends in this exact seat, let me know. good to see you guys. >> brian is off today. he'll be back tomorrow. great to have you. just don't touch the equipment. >> to think you used to come to my house to fix my computer. >> this is 90's. we'll fix that. let's get to your headlines for a monday. u.s. officials shooting down iran's claim now that it shot down an unmanned american spy plane. nato says it's probably the drone that veered off course and crashed last week because of mechanical problems. either way, the high-tech stealth plane is believed to be in iran's hands. one piece of good news, the intelligence data stored in the drone is encrypted so it's unlikely that they can get their hands on our top secret information. president obama apologized for the nato air strikes that left 24 pakistani soldiers dead. he called the president to let him know that the u.s. will conduct a full investigation. president obama's apology comes after u.s. personnel began packing up and leaving the air base used

four extended and we are making reforms to some of those programs and requiring additional studies of cms to get better data of how they're working. the programs are therapy cap exception process, qi, ambulance payment add-ones and adjustments for physician office visits sometimes called gpci. in the health care world the legislation also adopts a recommendation from president obama that reduces subsidies to high income seniors by requiring them to pay a greater share of the part d and b premiums. this reduces spending by $13 billion in the next decade. exchange subsidies. similar to previous good government changes enacted by overwhelm bipartisan majorities and signed in to law by the president. and repeals provisions in current law that hurt physician-owned hospitals. the legislation extends through september 30th, 2012, the temporary assistance for needy families which is set to expire on december 31st of this year. the extension is bipartisan, bicam ral reforms and close the current strip club loophole of funds not accessed at atms and strip clubs, liquor sfotores an casinos. it makes

four extended and we are making reforms to some of those programs and requiring additional studies of cms to get better data of how they're working. the programs are therapy cap exception process, qi, ambulance payment add-ones and adjustments for physician office visits sometimes called gpci. in the health care world the legislation also adopts a recommendation from president obama that reduces subsidies to high income seniors by requiring them to pay a greater share of the part d and b premiums. this reduces spending by $13 billion in the next decade. exchange subsidies. similar to previous good government changes enacted by overwhelm bipartisan majorities and signed in to law by the president. and repeals provisions in current law that hurt physician-owned hospitals. the legislation extends through september 30th, 2012, the temporary assistance for needy families which is set to expire on december 31st of this year. the extension is bipartisan, bicam ral reforms and close the current strip club loophole of funds not accessed at atms and strip clubs, liquor sfotores an casinos. it makes

conversations of asking people to identify all cash and assets that may be outside of the control of the s cm in response to the surprise to us on sunday night that there is now a problem. i do not recall a specific loan or any specific amount or account of being a part of that conversation. >> were the three of you talking during this time? i assume that you were. >> course. although we were all focused on different activities of emphasis as i have -- as i have said in my remarks, focused on selling assets and bringing the balance sheet down. had little less impact on selling on the firm although active in this dialogue with investment bankers and also working to our trading floors around the globe to make sure that people were reducing positions, preparing myself for postings with regulatory agencies to try to gather information. i think other people were working on other functions. it was not as if we were standing next to each other on a minute to minute basis. >> let me ask you this because we have an obligation to try to learn what happened here. when you were told that there was this -