so the message has to go to cms who's putting together- i think cms. i think certainly cms. i think, you know, i'm a policymaker, but, you know, i'm at-i'm at a local level. the policy changes have to happen throughout our-our health care system. they have to happen at the local level, at the state level, and especially at the federal level. i think cms can do a lot to make the reimbursement of services much more flexible, give the people who are running systems around the country the flexibility to do more of the upstream kinds of strategies, and i think we'd get a much greater return on our health care dollar. very good. and when we come back, we're going to be continuing this conversation, get into what people in recovery can do to get better access to information, and what the government, states, everyone needs to do to really move and improve upon our system of care. we'll be right back. for more information on national recovery month , to find out how to get involved or to locate an event near you, visit the recovery month website at recoverymonth.gov. i felt broken. i

i really strongly support the renewal of the cm. cbd and i think that the people such as myself who have invested in the neighborhood and the people who live in the neighborhood and the thousands of people moving to this neighborhood, and investing in the future in this neighborhood, will be way worse off if the cm. cbd is not allowed to renew and continue the work that they have already done. thank you very much. >> thank you very much, ralph lee, next speaker. >> good morning supervisors. my name is ralph lee, the general manager for the hotel whitcom, a hotel with 160 rooms and i am speaking on behalf of the renewal and expanse of the cbd. the hotel has $2 million in transient occupation tax that goes to the city. if we can continue to keep the streets clean and safe, and that revenue n

>> a couple things happening and i refer you to cms.also announced today $87 million to establish and fund the research centers across the country by state government to take our data and other data in the research enterprise variation in the race is transparent and help make the marketplace more competitive. also work is being done by cms on helping folks who need financial assistance not be subjected to massive charges but along the lines of what medicare pays for my folks insured actually pay. >> are you publishing or can you publish by medicare for these services and the insurance companies? >> a data stuff we've released includes both a hospitals built churches and what medical care is for each of these services across the country. [inaudible] >> we actually don't have that data in-house. the state government operated price research centers will have access to that data potentially and be able to do work in the area. >> i variation in terms of driving do cost down, do you think when i see transparent that some people will be shamed

i know pam has been extremely active through cms, through other federal agencies, to attempt to position the issue of behavioral health. what does that entail? well, it entails a-a few things in all of the different levels of services that samhsa offers under behavioral health. in the prevention area, we're looking at what services are we going to fund, what is fundable. now we're looking-what is going to be funded are the interventions, and that's not going to cover all the prevention services, so this screening and brief intervention that was discussed earlier, that is an opportunity for us to get coverage across the country. prevention services at the community level, which we can talk about later, doesn't need to be covered, so we're gonna-we can talk about how they relate. the electronic health records. electronic health records across the country will help us out enormously, and we're spending a lot of time working with cms and working with insurance companies and helping them understand how being connected will help stopping people from going to different doctors across state line

mark when was cms administrator in the early days of the program emphasized that part d. in the competitive forces is actually driving up gear in rick use. >> you're happy with the health care bill that gave twelve years exclusivity for the by logic. >> you know, we fully agree with the determination made in congress. absolutely. you brought out here in the hearing that the low-income subsidize assistance is not being utilized like it should. what can we do? i think it's a hard thing to address. i think some is the, again, complexity. so there's an asset test attached to the low-income subsidize eligible unless people come in through the medicaid program in some states. and so there is some thought that the fact that you have to not only meet an income task. you also have got attest to the assets, something that some people don't want to go through. they don't want to do that additional paperwork. it makes the forms longer and more complicated. and so we don't understand this question very well. and this is one of the dilemma. i think it's probably one of the sources. the

my holdings are ford, cms energy, cms. adobe, adbe. and united health group, uhc. >> wow. that is a really good portfolio. [ buzzer ] lockheed martin, come on the show, you know i'm begging you. you're doing a great job. not as good as humana, but still pretty good. ford is a breakout. i think the stock can go to 15%. i think gm can break up to the upside. cms energy is my favorite utility. adobe an okay company. tech, health care, automotive company, that, freddie, has got game. i like that. let's go to john in california, please. john in. >> caller: hey, jim, boo-yah from sacramento valley. >> sacramento, tenth and p where i parked my car and lived. >> it was a nice neighborhood. still okay? >> caller: how about isas pharmaceutical, qualcomm, allison transmission, and nike? >> wow, man, these are some of the more creative port yfolios t there. nike, the stock is breaking out and absolutely has a tech -- i'm calling it a technology company these days. okay. an sbril. isis pharmaceutical. qualcomm, disappointing quarter. probably at 61% is okay. a tech, a spec, an

the threshold so they're not getting paid for lower levels of care, and acute levels of care is what cms is paying for and so as in san francisco general we do have people that are add and denied days because we can't get them out fast enough. cpmc provides other health services and our representative can speak about the services and you'll hear those shortly. the development agreement doesn't change the current mental health services, it address the needs to have committee base option and the da specifically allows to have psychiatric care. i've been working with cpnc to look at a partnership to look at the community's need for the health services so we come up with the plan to link our door urgent care service center which will provide and what we hope to do is provide on sight services at saint luke and the emergency room who maybe in a need of high mental services and counseling, but who do not need to be in the hospital to receive these services. urgent care is a program we funded for the last five years and it's a crisis stabilization unit that partners with general hospital. we pr

one thing that is not said to everyone is that cms has 10 regions across the united states. first thing we are going to do is put them to work inside the 10 regions. and then we go inside states and communities. we have regions all over the country and we have over 1000 staff that work in those regions. they will have state designated contacts for you. so you will see all of this. part of our research has shown that if we start to talk to individuals about buying or applying for insurance in march sustain thee can a interest. they want to sign up then. so part of this is an intentional wait until the summer because they cannot sign up until october 1. >> thank you so much for your time. very interesting insights into this huge project. >> they give very much. -- thank you very much. . [captioning performed by national captioning institute] [captions copyright national cable satellite corp. 2013] >> our next conversation is and will health i.t., be a one-on-one conversation between dr. farzad mostashari, the national coordinator for health information technologies at the depa

although congress and the cms have made important adjustments, there is room for improvement. complex andns confusing to many beneficiaries, as you just heard discussed. despite important efforts to streamline the program, there are too many plans with too many comp amended -- complicated differences. people report it is a confusing benefit. people do not always the plan that is best for them. furthermore they do not always look at alternatives that might save the money and put them in a better situation. second, not every medicare beneficiary has drug coverage. it appears from data that 10% does not have adequate drug coverage, does not have part b that is as good or better. we do not fully understand who those people are, and why the as happening. that is what we need to redouble efforts. there are really important issues remaining with the low income subsidy programs. it has been a big help to people who get the subsidies. only 40% of those required to apply actually have done so and gotten a low income subsidy. than halfalf -- more are not enrolled in the subsidy. they're

to this neighborhood, and investing in the future in this neighborhood, will be way worse off if the cm. cbd is not allowed to renew and continue the work that they have already done. thank you very much. >> thank you very much, ralph lee, next speaker. >> good morning supervisors. my name is ralph lee, the general manager for the hotel whitcom, a hotel with 160 rooms and i am speaking on behalf of the renewal and expanse of the cbd. the hotel has $2 million in transient occupation tax that goes to the city. if we can continue to keep the streets clean and safe, and that revenue can be further enhanced. i just want to speak on behalf that we must continue to renew the central market cbd and thank you for allowing me the opportunity to speak. >> thank you very much. richard lewis perry, robin anderson and nick berg. >> hi i am richard louse perry a fine artist and also representing the odd fellows and the odd fellows have been here in this area for over 150 years and i had my studio there the last 20 years plus and i the chance to oversee the corner of 6th and market and what is going on

further, cms has spending per person will grow 1.8% in 2013 and market wait for the five years at thein 12,006. one reason for slow growth in drug costs as a prescription drug lifecycle in which companies develop medicines which later become generics. here i have a slight disagreement with my co-panelists. i believe the market works to obtain maximum savings from the lifecycle. four out of five prescriptions are now filled with generics in the system is unique to medicines. it contains costs and allows resources to be reallocated from older to newer treatments. due to the lifecycle between 2006 and 2010, the average cost per day in 10 commonly used classes of medicines dropped for $1.50 to 1 dollar. medicines reduce other costs. n-november cbo announced to a credit policies that increase use of an offense on other services. in making the change, cbo cited research finding part d reduce nondrug medical costs for beneficiaries who previously had no limited coverage by an average of $1200. the sql or $2 million in savings in 2007 a new research suggests even greater potential. for instan

so i think if anything cms is given great thought to the complexity, whether in this needs to go and trying to facilitate as broad as possible the update for this program. >> i wouldn't disagree but don't expect any major change but i think the question has been asked and the department ha as s is to say we don't have the authority on certain delays. but i think some interesting conversations may occur around medicaid. and the number of states, arkansas being a good example, that essentially wanted to approach their expands a different way. the question whether you phase in, whether, the question is are the other approaches. i think there are interesting conversations occurring around what would be described as a bridge plan, which is dealing with people essentially go in and out of the medicaid programs and whose income is relatively insecure and essentially at one point you are eligible at one point you are not the one which are eligible for subsidy and one point you are not. essentially how to manage those individuals and families that are essentially in those kind of transition p

because since a political opponent of the administration could they be denied health care or access in cms is supposed to run the data. what will the interface by with the irs sniff they have to enforce, shouldn't they have access to data? these are all reasonable questions to ask and that's why the american people -- we thought after the election that obamacare was here to stay. the tables have changed in the last week. my bill to repeal obamacare within the next few hours we're going to repeal obamacare. >> neil: you know that wouldn't go any further in the senate. >> not today under harry reid but the 2014 elections could be verity. we could see a republican controlled senate, and mitch mcconnell was with me at a press conference itch believe if the senate flips we'll see a repeal and then president obama will have-mile-an-hours of americans americans americans who have been thrown off their employer's health insurance, americans who are jobless, americans who have seen spikes in their health insurance people mum and he may have to repeal his signature piece of legislation that will be

my ownings are offed for, cms energy. >> oh. >> caller: adobe, united health group, uhc and lockheedw that is a good portfolio. that is marilyn from lockheed martin. come on the show. i know you are having a great job. okay, so lougheed martin, the defense company, united health not as good as humana. fofrd, the stocks can go to 15. and i think gm, by the way, can break off. cmf energies is my absolute facilities. adobe is a defense company and automotive company and that, freddie, has got gainf. i like get let's go to john in california, please. john. >> caller: hey, jim, boo-yah, from the sacramento valley. >> sacramento valley, i parked my car and lived. 10th and p. is it still a nice neighborhood? >> caller: okay. how about cbs, isis pharmaceutical, qualcomm and nike. >> wow, these are some of the more creative portfolios out there. okay, cbs, k-mart, good this morning. nike is breaking out. it has a technology company these days. isis pharmaceutical. we make that a spec. qualcomm disappointing quarter, is it okay. we got a tech, a spec, an industrial, let's call it an apparel co

davidd larry shover in the pits of the cm. larry, thank you very much. >> you're welcome.one of the first signs we had that the oklahoma tornado was saucing massive damage were the sparks and flashes we were seeing on the ground as the tornado ripped down power lines and other electrical facilities. now the tornado was two miles wide, huge thing. the winds topping 200 miles an hour. 24 have been confirmed dead, revised down from 51, at least 237 are injured. the national weather service assigned a twister a preliminary ranking of ef-4. that is the second most powerful type of twister but officials say it could be upgraded to an ef-5. meteorologists are predicting more severe weather because we're at the beginning of the tornado season and that is of great concern to our next guest. this is peter delaney, oeg chairman and ceo. this serves 800,000 clients in the greater oklahoma area right in the heart of the storm. peter, first of all, where were you when this storm struck? team talking about the storms and of course, we have separate operations center and all the, we had s

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when i got out of morgantown federal prison as he lovingly referred to a cms that bush hasn't program i did something that i swore it would do, which was to listen to alan rattner telling me i needed to do radio. i don't need anything public to any to be quiet and sit down a little bit. she said you have experiences and knowledge are working history of politics and government so let's do it. the first show we did was tom harkin. of course i knew thom hartmann was. today in washington you to the left or to the right. she's classified in the air. he knows journalism and he's an accomplished author and other fields have been interested to see the bucs. i was little nervous to meet at the show and really went well and i continued to do the whole radio gig. i did my own show for it but okay. bob new government howard monroe. majesty deign to do but didn't like doing "the daily show." so i continue to do talk radio, which i did to this day adventure to india for a little bit. what do you do when you went to recharge batteries? to go to india. his chapter in this book i was delighted to read

a -- guest: cms collects tremendous amount of data they do not share with the public, and this is one case where they said let's just let it out there, and there have been stories about variations in prices even one or two miles apart. you could be paying tens of thousands or hundreds of thousands of dollars more. ist: in a general sense, this a warning for the hospital industry? guest: it might be, but we have not seen enormous pushback. it'll are still wondering what this means. host: burlington, kentucky. republican line. caller: could you please explain what they mean by means testing -- is it based on your w-2, how much money they save, person a and person b both and person a has saved money, and person b has gone on vacation, should they pay the same? guest: in general, they are not trying to punish people that are frugal. host: we had a viewer asking about dr. salaries and how that factors in this conversation. guest: that is the next thing we could turn to. there is enormous variation. in rural hospitals, there is a lack of dollar -- doctors because they can make more money el

jeff flock in the pits of the cm elt. let's start with nicole. >> all right.d lori, what we've seen with the market that moves to record intraday highs. we went to 15,542. we heard from our fed head ben bernanke, talks about monetary policy being extremely accommodative. we heard from the fed minutes that committee members are looking at factors, important factors such as labor. we know unemployment still remains very high. inflation really isn't a concern. for right now we're hearing they will continue doing exactly what they have been doing. with that being said, we moved some major highs and pulled back some which traders are not surprised by that at all. i want to take a look at both lowe's, that is a name on the me and hits an all-time high. mixed street estimates for the latest month looked a little bit better. also taking a look at home depot. it too hit an all-time high. as far as the quarterly numbers moment depot outpaced lowe's easily and home depot is number one and lowe's is number two. we're watching that for two of those main names. back to you.

>> within cms, we have been working very hard to avoid the necessities of furloughs.we are under hiring freeze so i can't hide i can't replace people who leave. which is a serious issue for me in terms of trying to run a program as people move onto movo other jobs, i can't hired to replace them. and there have been, we've applied this of course according to device we have been given across the board as we are required. >> i'm almost out of time but are you telling me then that this administration is furloughing air traffic controllers, vital to public safety in this country but if you are not furloughing anybody in your agency? >> in effect what are because we can't come we can't replace people. >> that's not the same paper talking about at least a 15% furlough of current air traffic controllers resulting in delays and perhaps safety concerns, but it is is a political item by the administration. i yield back. >> that recognize the gentleman from texas for five minutes. >> thank you, mr. chairman. i share my colleagues concern but i'll ask you a question that was passe

duncan will be speaking about the use of technology in enhancing education, live today newseum new cm-- this afternoon. in 40 minutes, and a vent at the new america foundation looking at online radicalization, the grown violentome loa- extremism. you will see the beginning of c-t discussion at 12:15 on span. video from a short time ago, when president obama left the white house for the beaches of new jersey. the president, joined by chris christie will visit families and business owners affected by the storm last fall. he will make remarks at ashbury 1:30 eastern. we will have that at www.c- span.org. the associated press writes that slipped into syria for a visit. officials said the department was aware of his crossing into syria territory monday, but further questions were referred to the senator's office. the trip was confirmed, but declined to comment. in brussels among the european union decided to lift the arms embargo on this. opposition. oning up next, a discussion challenges for presidents during their time in office. >> we are back with ken walsh, the senior white house corr

us to fill the needs, and tel epsychiatry hit almost a critical mass in montana, especially with the cms grant for 7.7 million for montana and wyoming. pure services is developing well, and i guess that one of the things i want to see more is a residency program. i think that we talk about how bad we need psychiatrists, but the fact is every state that needs psychiatrists also needs a residency program, and if they are able to do some of these things, they are able to provide the services through telemedicine, maybe there's a way to structure those residency programs a little bit more flexibly as well. also, the loan repayment programs. our nation really relies on our in-patient psychiatrists, and how they should be taking care of and loan repayments a little bit different than out-patient psychiatrists. thank you, senator tester, and i'm willing to answer any questions. >> thank you, matt, i appreciate your testimony. next we have ralph. >> chairman tester, thank you for inviting wounded warrior project to testify this morning. with our mission of honoring and empowering those wounded i

we did a study a couple years ago for cms trying to look at what account for the large decline in nursing use and one of the variables we looked at was despite a presidential care facilities. while we did find something about relationship, there was a particularly strong one, and there was a lot of noise in the data. so we really don't quite understand this residential care, nursing home interaction, but it doesn't seem be a simple and straightforward one. >> i just completed a study in maine where i found to my surprise and chagrin that while only 70% of nursing home residents of their were on medicaid. and they call it main care. main care pays only about two-thirds of the private pay rate that, in fact, 80% of all a assisted-living residence in the state of maine are on medicaid, that's much more attractive to a lot of people than nursing home care. and for assisted living, maine care pays only 50% of the private pay rates. so it has serious cost shifting going on that further encourages eligibility. >> i saw two hands out. i'm going to ask you to each ask your question before we get a

recommit and replace the memories of those who are still with us, thank god, with the records of this new cm so no one can forget the stories in these lessons. and i ask you to think about how the historic slaughter and suffering of the holocaust reflects a human disease that takes different forms. the idea that there are differences that are more important than our common humanity. >> this weekend on c-span, bill clinton and a nobel peace prize winner mark the anniversary of the holocaust museum in washington dc, and then at 8:30 p.m., from houston the nra annual meeting with chris cox and wayne mott the air. your questions for the "world turned upside down" author melanie phillips. then book tv in london. politics, religion, history, and culture as we start a 12 week series with british authors. and on c-span three, a history of the birmingham race riots. ajiter today to former committee chairs, kent conrad and judd gregg, took part in a discussion on fiscal policy. both men asserted that a significant debt and deficit deal in congress is still doable. the former budget chairs agree that s