and now you have the cms numbers being cherry picked.e rest of the media on all of this? >> yeah, live by the cbo, die by the cbo. this is what i find most extraordinary. the headline is another significant milestone, marketplace enrollment hits 4 million, but as ab and charles explained, it didn't hit 4 million. it didn't. it didn't happen. that's not what actually happened, yet this is the claim we're getting from cms. this has happened repeatedly. what you see reporters doing is repeating the administration claims. sometimes without qualifying them and making the point somewhere in the article that these are not actual enrollments. they may be sign-ups. we don't know how many paid. i'm shocked that we don't have more journalists at this point looking back on the entire argument about obamacare from before its passage to the assurances we had before october 1st that everything was going to go swimmingly to the problems with security on the site, that a failure of the site, to the bogus numbers we have been getting from the administrati

at this point cms isn't funding medi-cal only. it is for people who are medicare a and b and who aren't through managed hmo. what it provides is when people go to a hospital a lot of times people get rehospitalized because they don't understand their medication and plan and they don't have the transportation, ihh s, you make the it. there is a lot of things that can be put in place to prevent rehospitalization. it's a great program and we've started doing in takes since april. although this program has been in existence for a number of years, but because of the expansion of it because of cms funding we have been able to extend our program. something that we are starting to do this month on going which is a really big deal in my world is we are piloting rather than doing the in takes in house at dos, we are slowly rolling out our intake services for hospitals directly. the reason why we do transitional care service in takes is because most, ihss meals when those are in place, that helps to prevent rehospitalization. so in partnersh

i know i definitely would never like to be in cm. >> cm is the close management unit where some of theematic inmates in the entire state of florida are housed. >> keep it quiet, you understand? no talking. >> among them is anthony cruzado, whose most recent problems have involved sending death threats to the president and cutting himself. now he has taken things to a new level. and we warn you, what you are about to hear is graphic and disturbing. >> we heard kicking on the door. i went ahead and i come up to the wing and i went to his door. and he was standing there and he had blood on him. and i look down, and he said, "look." and i look down and he had his testicle out of his scrotum. i ordered him to submit to i ordered him to submit to hand restraints, and he cuffed up. we took him to medical staff. >> staff believe that he peeled off the casing of a battery and used that to cut himself. he was treated at a local hospital. after returning to prison, cruzado underwent three days of psychological evaluation. >> you can imagine officers and nursing seeing that for the first time, it'

con dos dedos cÓmo 1 cm debajo de donde estÁn sus tetillas.Ño muy pequeÑo, puede ser que se haya tragado algo y este obstrucciÓn de la vÍa aÉrea. por eso, despuÉs de las pulsaciones con los dedos. y se da la respiraciÓn boca a boca. es muy importante que diga alguien que llame al 911. si no tiene a nadie alrededor. >> lo primero es llamar a las autoridades. >> pero si no hay nadie alrededor, tiene que hacer esto durante unos minutos y luego llamar. hay que darle oxÍgeno al cerebro para que esas cÉlulas en el cerebro no se vayan muriendo y que el niÑo no tenga algÚn tipo de discapacidad. >> hay que pasar por este curso, porque me imagino que si uno les pone mucha presiÓn, o no lo hace de manera adecuada puede causarle mÁs daÑos. >> asÍ el cabo, el mÉdico puede arreglar una costilla rota, pero no devolverle la vida a un muerto. por eso tiene que preocuparse mÁs por las compresiones que por las costillas rotas. cualquier otro tipo de secuela, cualquier otro tipo de problema que haya causado, el mÉdico lo va a poder hacer. pero lo mÁs importante e

>> i would ask you to check with cms between the interaction of cms and individual websites.what i can tell you is that when it comes to making sure that every american who has a purchase of insurance under the affordable care act is able to get the benefits are provided within the law and cms is working with the states to make sure that happens and i would also note that many states run very effective exchanges on websites, and i think that was announced a couple weeks ago or last week california had its march 31 target in the middle of february so that one is working pretty well. >> it's costing more. >> i don't have any details in front of me on that so i would refer you to cms. >> going back to ukraine it seems that you are suggesting that when you refer to the ports of russian intervention you're not just talking about news reports, the government through other means has credible reports that the russians have engaged in some kind of -- >> i am referring at this briefing to the news reports because there have been a variety of reports, some of them conflict in and some o

some technical glitches that we're working through and we'll continue to kind of triage those with cms as we move forward here. we're also working with cms and oth other stake holders on a sitlyfied process, one centered an an easy to use application and streamline connection to healthcare.gov. i don't think we'll see that for this enrollment process but certainly hopefully in the near future. regarding small employers, given the technical issues, cms has delayed enrollment through healthcare.gov. so small employers enroll directly with the health plan. usually through the help of brokers and agents. we believe this delay is appropriate since the basic infrastructure for the federally facilitated c.h.o. p. exchange has yet to be developed and thoroughly tested. resources focus on the enrollment in the individual marketplace. specifically fixing these backend issues that i identified earlier. many of these issues will linger well into 2014 and we believe it's important to focus the resources on those issues before shifting them to the federally facilitated c.h.o.p. so looking ahead, wha

to decide to do a classic late friday document dump with the latest obamacare rort, from tavenner's cms, a report requested by speaker john boehner, more than two years ago. the report said quote, we're estimating that 66% of small firms to exper union increases in their premium rates. that is a headline number, a number that translates to anotr headline. million workers, seeing an increase in their premium, leaving white house press secretary jay carney looking for excuses as has become his wont and his way. >> fact that net impact we believe will be positive and report itself states several times i results are incomplete and overstated. overstated. lou: a new number for you, cms releases latest enrollmen numbers in obamacare with 5 weeks left for open enrollment about 4 million people signed up for healthcare through the affordable caring at. joining us now, dr. mark siegel, proces professor of medicine, let's start with 11 million emoyees who may see their premiums rise, your reaction? >> i think numbers are higher, because. it does not include all of excise taxes or increasing peopl

lou: a new number for you, cms releases latest enrollment numbers in obamacare with 5 weeks left for open enrollment about 4 million people signed up for healthcare through the affordable caring at. joining us now, dr. mark siegel, proces professor of medicine, let's start with 11 million employees who may see their premiums rise, your reaction? >> i think numbers are higher, because. it does not include all of excise taxes or increasing people up to age of 26 on your policies it looks at one thing, i want to point-out, they are getting rid of age differential, if you are older your premiums may be a little bit lower, but if you are younger, your premiums are skyrocketing, if you are health you, you pay for those who are sicker and older, that is an entitlement society, that is where we're headed. you don't think that young workers have enough on their backs without paying for someone who has been smoking their career, 50% increase for smoking is allowed in premiums, where i sit in the doctor's was on the, you get every disease imaginable, someone who is young, is paying for someone'

martha: what is the report reaction from this report from cms. >> more damage for the middle class.arm not only what their take-home pay is, because i'm sure they will be passed on but more importantly it will harm the economy. the number one way to see the economy is moving is through small business. how can they hire more when premiums continue to rise. this report was supposed to be done two years ago, released last friday at 2:00, and more damaging to what we've said before. what obamacare is doing to this economy. martha: well the administration would probably counter that it will go down for some people about. about 35% of people that work for small businesses will go down according to cms report as well. >> i'm sure the administration will look different way. they looked at last report,.6 million equivalent out of the workforce and that was somehow good news. national small business administration took a poll of small businesses. 96% of them say premiums gone up. on average was $590 in 2009. and more than $1100 in 2014 almost double the process. martha: this $2500 the adminis

right in the fruit and so they will go through an extensive washing to get the sulfur and the call cm -- calcium salt out of the fruit. the practice of making them is -- basically, you taking that brine and you're soaking it in a stronger and stronger sugar and color solution. over the course of that syrup theg schedule, you can see concentration pickup. here are is some fruit that is early in the process. it is lightly colored. you can see my child are cleared -- you can see how much darker colored they are further along. it is that cycle of the infusion and where is that in the process. >> next weekend, book tv and american history tv look behind the history and literary life of salem, oregon. andrday at noon on c-span 2 sunday at 2:00 on c-span 3. >> more from the national governors association. now, a discussion on the job a k -- job creation and the country. >> good morning. if i could have everyone's attention, please. if i could have everyone's attention. elvis is in the building. where is governor haslam? elvis is in the building. not in the room, but he could be. if you don't

>> so basically it's a report by the chief auditor guy at cms. >> what is cms?center for medicaid services. they were going to look how premiums would be affected in the affordable care act in the employer market. it ended up boiling down to where they looked at section 2701, the fair health insurance premium section and how that would affect small business. 2701 doesn't apply to large businesses. then the other two are things that had been in place before for the health insurance portability act. so they narrowed it down. they're looking at 2701 and how it affects small businesses employers and employees. what they found is they found that 65% of small business employers will see higher premiums and the 11 million people are saying they factored in the account if employers have higher premiums they're going to has that off to employees. >> here's where i had a question. who is to say they would pass it on? a lot of business's costs have gone up, but we haven't seen it reflected in higher prices. businesses have a tough time these days passing along increases. w

it took us a decade to get that approved and it's finally approved through cms. it took a $200 million study and 50,000 patients and smokers have the ct scan and show that the ct scan is a 25% more preventable death over just quitting a lobe and that proved 50,000 patients in nine months. >> you mentioned bonnie now, for folks that don't know bonnie, she's from the cancer foundation. you walked into my clinic and you fixed her. >> stage three lung cancer. >> she had 3b in a trekkie spot. she's a fighter and we're a can-do team and we built a program and she was in the thoracic oncology program and she realized she could do more on her own and started foundation that i helped her start and the rest has been history and she's been trying to change the perpective on lung cancer and drive awareness and build novel clinical trials and novel approaches because, you know, it's never a good time, obviously, to have cancer but it's almost a good time because we're on the cusp of what i think are dramatic changes. >> in just a moment, we do is to take a break in just a mom

cm-1, cm-2, cm-3. when he first gets there, they'll assess the threat against him.e organization, and determine if there's any chatter going on. eventually, they may remove him to less restrictive custody, but he'll have a target, crosshairs on his back while he's there, because you'll have some of the younger gang members who want to make a name for themselves. and they'll take this guy out. you can take a toothbrush, turn it into a knife, stick it into his throat, slit his throat open, you can take a pencil, a pen, make a papier-mache knife out of newspaper and kill this guy. so he's going to have a rough time ahead of him, really. >> how does he survive that? >> well, i mean, he's 47 years old. he could ally himself, potentially, with maybe the aryan brotherhood or one of the white gangs. if i was him right now, i would have someone send in a book on personal self-defense. but it's not like he's a child molester or something, it's not like he's going to be an outcast, but the white supremacists may view this guy as some kind of hero for killing the black teenager

want to give students a taste of that one too and it's like when their boat in sight and sixty nine cm and above the law therefore it should be read to him and that we are going to the low post and we top thus the jury weeks to experience the high court the flying with him. i was sixteen percent increase in income in tourism to israel it is safe to say that the israeli tourism industry it's funny to me again the jn one one jacobson at itt and conference utility eye. the next eighty seven as capri hotel and casino was the playground of men known as the blade and that's that butcher as well as the hollywood stars to rub elbows with some of the biggest mafia so severe but as hedonistic mob and movie star days came to an end with fidel castro's nineteen fifty nine revolution and the hotel adjusted into a long slow decline but after being closed more than a decade ago the capri is back in business its rebirth is part of cuba's latest bid to trade on its colorful pre communist past and attract tourists dollars to fund its socialist presents. the newly refurbished capri has reopened as a part

then there's the book since nineteen sixty nine cm and above the law. therefore each a direction given that we are going to the low post and we topped out at center and greets the experience that i quote the flying with him. i was sixteen percent increase in income in tourism to israel. it is safe to say that the israeli tourism industry. it's funny to me again. the jn one one jacobson at itt and conference utility up the chevy dealer topshop has created a new way to experience their collection this week's london fashion week that the live stream from the modern turbine hall which operates the brand's flagship oxford circus store which then went straight to the catwalk. participants wore specially commissioned headsets to enter the fray and sixty degree virtual world which incorporate life the catwalk show at eight am pst titles descriptions and looked around for miles and celebrity seated along the runway. topshop founder sir philip green spoke about how he intends to keep pushing the iconic brand for weight. this saturday. and that is a company. in th

nation of it but don't cut within often tied to the folks at sony the ceramic on islamism own cms gonna study is on them this is all for one still it's a win for the most noble be evident on this. but in terms of the oakland spinoff untouched. so it says the outskirts to the it's all spin amounts of paintings and loved unforced income. ben has been the type that this be that the promise of home this was not done is done one to be invited stuff and some in the league to get in touch. china needs to be seen if i'm stunned that i don't need to land a solid jones and ian st. after the troops patrolling the jam into a maintenance issue and up to four hundred and nineteen the injured list and not windy. on monday fifty million euros to find and security forces he only found two cars. judgment old tabby taken by him not to mention two tops and two. i did see the international community pants to keep up to ten thousand for selection in the country after the end of the key demands to admission six sunday to eat and eat and then steamed for training and consultationrinciple to bld the top so i we

hits their suitcase that they want to eat and slack then there's the book since nineteen sixty nine cm and above the law. pitt forty two the wrexham him and that we are going to the low post and we top. the center of weeks to experience the high court the flying with him. i was sixteen percent increase in income in tourism to israel it is safe to say that the israeli tourism industry it's funny to me again the jn one one jacobson at itt and conference utility visitors to stop cheering to wait and see snoopy pony was out for winter and picks up smoking to see you are experiencing more frantic russian winter experience in a russian off house nestled on a steep mountain slopes of christina lamb play on up on the fringes of starchy. john and all can use to have a business in moscow before she knew to section seven years ago and opened the bottle house main street is spending a link to the barn yet. as i knew that nobody was on to demand which is done yet when m and two lots on and so on which you see him so often than sticking a piece of land leased from across the globe on in one place on

it's still a knighthood much like to stick to my best to cut seven cm. but the tactic to salem. sam. but all the small adult. if you let it heat it was a small short videos even more. tony shepherd of the body. how about that. i get on a budget in increasing numbers of tourists and poisons close enough to start minister that the patients biggest challenge is currently facing debacle trained teachers essential equipment. luckily infrastructure. nevertheless mr maher the inside says prospects for the kitchen in the country part of me up lone wolf will live. he was eleventh of june. so if you don't know the speech. it was israel's top scientists leading the charge in developing alternative energy bio fuel from one of the world's most abundant life points to algae. fossil fuels like oil rapidly disappearing. finding the new energy sources is critical that's right touch of weeks more of an eco energy is finding ways to help local and international energy suppliers and infrastructure companies go green. she believes out she is attractive because not only reduces costs and outside and

. >> >> ♪ >> ay me apuntas ♪ los 30 millones, a las cuentas que tienes cm ♪ >> conmigo ♪ >> se estimaas porque el carnaval empieza este jueves y es masivo. >> ( ♪ música ) >> regreso con ustedes. >> gracias francisco. >> ( ♪ música ) >> como si un espiritu maligno se hubiera apoderado de su cuerpo una joven peruana de 14 años lanza espeluznantes alaridos, sus seres queridos están convencidos de que fue poseida por el demonio. la sometieron a un exorcismo y fue sujeta a este rito y sujetada al a fuerza en medi ode oraciones. su familia asegura que esto sucedió después de juigar a la wija. >> mis vecinos dicen que agarra el cuchillo diciendo que me iba a matar. >> según relato al a tía la menor estuvo viviendo con su padre e intento matarlo y bajo el cuidado de la madre también quiso quitarle la vida. >> con letreros de fuera las tropas estadounidenses protestaron fuera de la embjaada estaounidense en filipinas. fueron interceptados por las fuerzas del orden que les lanzaron potentes chorros de agua >> momentos de terror de empeleados y usuarios en un banco de china cuando un hombre arm

last november he visited him at cms and eight in this place esteem as a heli hike employed as a modern japan. you listened to it. i hope that we can deepen ties to studies of japanese haiku. and like the english language. the contract to include exchanges for five years thirty of the season aiming to jointly conduct research on high gear as well as agriculture. now the embassy's this gadget to sign the agreement and bounds and in late april and on time we'll likely be joining the semi. an hour at sunday's edition the time and he's mine and that income and the handset sales. as the offer. you should use his duty to do when speaking to. we need to call or you can phone booth. the holder's speech to the acoustics of this. it's a showcase. warren court it is industries. isn't it gorgeous. he was to discover each week. all in great need. ay ay ay ay ay ay i am. using. this is new. ah shea. and. the us. in

on i am annoyed up shots in ict in a cafe today ms simmons said they were excited about the ninety cm deep within them something that good looking. you love it. he is the universal emotion. i think the odds that it did it that people who don't know but it just so hoping to go into body bags guide biscuits they were still reporting for me to be adopted by that. and i bought from that date it has to be is that the media is detected the fifth. so exciting. papaw and do what's right. does just being and happiness you can use. this is the story and yet they missed the closing minutes of your interest in islam. it's the fourth one will even do her life. if it was disgusting to live and study the action. at. the once the preserve this evening before we can do that all stories once again. these are the boxes on it. this is the sum of all the non bonded with it. it's one of the gospel. it is. for somebody to talking to god the exhibition. just in time to buy. rich cultural heritage paleolithic paintings for creature from the ruins of ancient as it awaits these. these historic treasures in eigh

dani says he actually enjoys his job to be sick of always having to prepare sandwiches and one cm it's not waking coma dream job he says i like to take a more active role in caring for the elderly. the speech is to preparing meals. daley says things could be worse our guardians thinking about quitting and moving out of retirement town he says it's not the kind of fourteen fish and twenty accepted this job i make. you can watch in a sea world you were ever you go. indeed she asks for your own template. this program schedules on demand video. i don't mind saying it's the other night to a boil. i enjoyed the us versions available. this is your marketplace today research makes the network. mm. and. i use. use it. thus. company to cover me up it always read your troublesome when he exposes them. local student like me. the thoughts i will get a good player that didn't like it was totally shocked not actors too through him. it's no sin to screw you who don't know how to be simple. several intersections. job well done it also tasted it. you knew and moving me the eye. i know my team that and i

one of these days cms will have to own up to the fact that our enrollment numbers are lower than what we reported. there's a big push by the insurance industry to get people to make that final payment. right now it's only about 80% of the that 3.3 million. >> host: is a possible if i sat down at my computer that i think i have gotten through the steps and i'm done but i haven't made the final step. is that something people are concerned about? >> guest: absolutely and a lot of people are getting healthcarhealthcar e for the first time through obama obamacare and they haven't been through this before. they might think of a select a plan that's the last thing you need to do. it's not all police the consumer's fault. when healthcare.gov stumbled out of the gate they left the backend in development. so a lot of the information that was going from healthcare.gov to the insurers to notify them who was signing up never got there or got bad information so there has been a delay in insurers billing these consumers. it's not always the consumer's fault. sometimes they're still waiting in the bi

we have a unique tool to do that. 100% federal dollars for the next few years, cms wide open for waiverss working together to try to open up to put personal responsibility in that situation. look at what's been going on in iowa with being able to have pilot projects for non-emergency medical transportation. that's great. i mean, looking at having premiums in a medicaid program and co-pays, all of the reforms are right within our grasp if we work together to move forward to use these resources so that working folks, and the other thing, it's the right thing to do. if you're working, you aught to have health care. >> i think the biggest issue for us is washington passed the bill, you can debate the policy one way or the other, but washington passed the bill in which they had no idea how to execute the bill, and the problem is the states don't know how to execute the bill and we were not involved in the writing of the bill. that was nancy pelosi -- >> hold on, stay here, we are about to talk presidential politics and we want you to participate. you have to hear what jeb bush said earlier to

company thatsame the government brought in to be , taking over for cms on the federal level.o they were brought in in maryland as a general contractor back in december. now they will be the prime contractor. the company is headquartered in columbia, maryland. so the fixer is right in their backyard. >> what does this mean for enrollment in the state? >> i mentioned it had around 30,000 as of february and they are trying to get to 150,000 by march 31. so they have a long way to go. and you compare them to a state like kentucky, which has done very, very well with its site. that state had around 40,000. that is an even smaller state than maryland. so they are very far behind. politically, very interesting for governor o'malley who was one of the biggest advocates of the affordable care act. maryland is the second state after california to come forward and say we are going to do our own exchange and we are going to do this right here in -- do this right. and now it is probably one of the worst examples in the country. >> one of those nightmare scenarios, as you mentioned, going

said they are pleased end to end testing of the system, the group went on to say they continue to earn cms to reconsider icd-10 mandate during a time when physicians are struggling to keep up with many other costly federal mandates. according to a recent affirm ma cost study, mandated implementation of icd-10 code set alone will be dramatically more expensive for most physician practices than previously estimated. some doctors already are saying this new system is extremely complicated. >> it's going to be time consuming. for me i will be spending way more time adapting to changes as well as my staff. that means less time for patients. >> supporters say it's necessary to update a medical coding system over 30 years old. gretchen. >> wow, sounds like a lot of paperwork to me. thanks very much. fox news alert, growing crisis in ukraine. gunmen seizing airports in crimea region were tied to russia strong. taking up positions around a coast guard base there, too. this as the country's ousted president speaks for the first time since he fled his palace for russia. u.s. warning russia not to in

at the time the law was passed actuary, rick foster at cms said, the future of hospitals under this laws bankruptcy. they can not maintain their business given the cuts scheduled to take place. there was a promise that they we insure people but doesn't look like it is panning out that way. this might be the leading edge of a lot of hospital distress. gerri: wow. we saw a picture of the hospital that will actually close. it is the fourth in georgia that is actually going to close. more unintended consequences. more problems for consumers. @ore confusion. this week we had a huge debate about the number of people who will lose their jobs because of obamacare. sebelius famously saying there, is no proof that jobs are going to be lost. what d >> i am not a fan of her economic skills, nor her web skills, let's put it that way. had trouble with websites and now this. this is just not right. the incentives for part-time work are clear. the incentives to get out of labor force the cbo highlighted. the fact we have 800 billion in new taxes and a lot of new regulations is not pro-growth, that does

cms says they're not a big. >> that is that. >> centers for medicaid and medicare services.oblems with healthcare.gov are fixed and they can pay for subsidies and cost sharing plans they will see how many people have paid their premiums. we want to know and can't get the answer. >> something is shady but we'll keep looking. kate is on this. even though she is one of the young people who are holding this entire thing and country back. >> not only is the white house picking and choosing what numbers it wants to report, it's also picking and choosing what parts of the health care law it wants to enforce. the americans are saying the end runs around congress are run. that's exactly what our judge is saying. andrew napolitano. no surprise there. >> no, no surprise. i'm very pleased the american people have caught an because the president is doing the opposite of what he was elected do he was elect faithfully to enforce the laws. when he doesn't enforce then or picks and chooses which ones to enforce or which parts of certain laws to enforce, he is actually telling people how to a

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>> there was a disconnect in the early day between what they knew and what was going on at cms.acts are facts. the president clearly didn't seem to know. the white house -- we know the white house was involved in a jude dating and overseeing this. the domestic council was heavily involved. why they weren't participating with the president i don't know. >> i've got 25 seconds for you. does the republican party just do obama care or do they need other issues to win the senate in 2014 this november? real fast. >> look, we know that they're not going to get legislation that's good through the harry reid signed by the president. they need to stick by principles, don't abandoned core. >> what principles? >> we can't. >> we know what they're against. what are they for? >> freedom. >> we'll have you back. go read the new york times. i've got to get out of here's. we appreciate it. steve brill before that. >>> big day for new fed chair janet yellen. did she say anything about finally getting the fed back to a clear rules based monetary policy? did she give false hope about slowing the ta

. >> i would refer you to cms, but it is important this is not, again, when people like to talk about it as government health care, it is profoundly not that. >> reporter: except insurance industry officials responded to carney's comments by noting the president's team does have at least an idea of how many people have paid since the administration cannot hand out the government subsidies until they know who is legitimately insured. in the new fox poll, 9% believe their family will be better off. 25% think worse off and 65% say the same. >> they can't deny what the american people are feeling and what they are seeing. the fact of the matter is i believe 2014 will be a wave election for republicans. if they stick to the economy and obamacare. >> reporter: administration officials told us tonight they do not know for sure how many people have paid premiums because they have not yet finished the back end payment system for healthcare.gov. shannon? >> one of the many topics we'll discuss with the panel. >>> cold weather has been blamed for a drop of half a percentage point of retail sales

in our state recently we were granted a waiver from cms that allows us to shift towards making the global payments to hospitals. 10 of 44 hospitals have shifted to this method so they can be assured of what their payment will be, and so they can start focusing on improving the wellness of those citizens who are suffering from chronic conditions. you all know what they are. congestive heart conditions, diabetes, asthma. these hospitals will do better as they reduce the repeated readmissions that those folks poorly treated and uncovered with health care would be racking up for us to cover. as a nation we have seen that sharply escalating cost of health care is being brought down. is it going in the right direction yet? no. but it's no longer that hockey stick that was eating up our productivity and ability to create a stronger middle class so we can grow our economy. >> yes, sir. >> i think the only way we solve the health care problem in america is to get people to take ownership of their own health. my previous job as president of a medical school, we did health risk assessments on facult

i actually started in about two thousand and five cm when i was in the actually started i e was visiting my life here in taiwan during the summer will and she at that time worked for gio which has now been merged into most of it and i went to visit there one time mentor office and she wasn't able to leave at that time because he had lots of work sia went to the gio library and a head. all of the back issues of the free china of preview and i to sch to start looking through them because i was curious and they had the speeches that of chiang kai shek and changing clothes. he gave on the patients of ten and the constitution day. they were just right in and they were filled with references to democracy and i thought this would be an interesting opportunity to look through those and see what it is that they had to say about democracy open though were some of the important findings will highlight of the book. well that night i tried to do to sing some whiny is too soon to determine whether or not there was any substance to the discussions of democracy that of chiang kai shek and changing will

he formerly served as the deputy director of the center for medicare and medicaid innovation at cms where he helped shape initiatives to implement higher quality care at lower costs. he also served as the director of delivery system reform at the federal health and human services offices of health reform and before that was the ceo of the pacific business group on health and executive director of the center for health care rights. so welcome to all of you. we're going to start with an overview from heather howard, setting the stage for what we have seen to date in the state-based health insurance exchanges. so health, welcome. >> thank you. thank you susan. thank you to the robert wood johnson foundation for your work on expanding coverage. i have a few slides to talk about some of the key takeaways. so what are we seeing? despite the rocky start, we've seen that enrollment in state based marketplaces is generally outpacing the enrollment in thor if fed really facilitated marketplace states. it's also because we're seeing far more robust consumer assistance and marketing efforts. and real

we're making sure cms is working closely with states to successfully implement their marketplaces. and that includes making sure that those who are eligible for subsidies are able to receive them. >> woodruff: the problems with the federal health care insurance exchange have largely been repaired. but the states of oregon, maryland, massachusetts and hawaii are still laboring to get their websites into optimum shape. a retirement surge means regional airlines in the u.s. will need hundreds of new pilots each year over the next decade, but they may not get them. the government accountability office reports 11 out of 12 regional carriers failed to meet hiring targets last year. a major factor could be the average annual starting salary, just $22,400. regional airlines handle half of all domestic flights. >> woodruff: a major exchange for bitcoins filed for bankruptcy protection today. mount gox, based in tokyo, acknowledged a massive loss of the virtual currency, topping $400 million. it's still unclear exactly what happened to the missing bitcoins. we'll find out more about the exch

china cms strategy is a challenge. china says we are not interested in the domestic politics of this country or that country or the other. the domestic politics are very interested in china and chinese companies are set to buy what happens domestically in sudan. they are learning they cannot avoid these entanglements and i have to figure out on-the-fly how they deal with them. >> chinese foreign investment aren't limited to developing world if you will. talk a little bit about how their investments in places like canada or australia in the united states for that matter and how that differs from their perches elsewhere in their reaction to it are particularly the differences if any between the u.s. response are not as australia. >> said the first overseas chinese oil and that that wasn't in africa. to listen in latin america appears in canada. alberta. there's a long history of chinese overseas investment in these countries. if you look at australia, plenty of experience not just in china, but the japanese direct invest

days, cms will have to own up to the fact enrollment numbers are actually lower than what we have beeneporting. right now, it is only about 80% of the 3.3 million have paid. possible -- i have gone to the steps and i'm done, but i have not made the final steps? is that a concern? guest: absolutely. a lot of people have been getting it for the first time through obamacare. they have not been through it before. it is not always the consumers fault. we are seeing when healthcare.gov stumbled out of the gate, the ministration focus on fixing the front end of the website and let the backend, stay in development. a lot of information going to the insurers to notify them of who was signing up, never got there were sent that information so there has been a delay in building some of these consumers. it is not always the consumers fault. sometimes they are still waiting on a call from the and sit -- the insurer. >> how do you know what you are 100% done and have gone through all the steps you need? class you will get an insurance card in the mail. they are encouraging people to call their insure

bill was signed on to like ten cm two thousand and eight. and the name of the agreement is called the agreement between new zealand and the separate customs territory of the taiwan police who came in and matsui on economic cooperation while and stacked social. what is the significance of signing up this economic cooperation thank you very much is that denying that the u s trade data to now full to the base is coated and stick to it at its worst it's been a mainstay is certainly a significant development. for new zealand and taiwan. in forever nice to sit together tom. a mistake as both economic and political significance. okay i think ultimately economically it's probably more significant for new zealand than in taiwan because taiwan is such a big market economies even compared to the small black and i'm single review of the open market and bought it it's it's called economic significance of both of us and optimistically that i won of course it's very significant because it's the first such agreement that taiwan has been able to negotiate wi

in our state recently we were granted a waiver from cms that allows us to shift towards making the globalayments to hospitals. 10 of 44 hospitals have shifted to this method so they can be assured of what their payment and so they can start focusing on improving the wellness of those citizens who are suffering from chronic conditions. are.ll know what they congestive heart conditions, diabetes, asthma. will do better as they reduce the repeated readmissions that those folks poorly treated and uncovered with health care would be racking up for us to cover. seen thatn we have sharply escalating cost of health care is being brought down. is it going in the right direction yet? no. but it's no longer that hockey stick that was eating up our productivity and ability to create a stronger middle class so we can grow our economy. >> yes, sir. >> i think the only way we solve the health care problem in america is to get people to take ownership of their own health. ofprevious job as president a medical school, we did health risk assessments on faculty, staff and students her. we have gone through

i have to admit paccar is the one i wish i owned now. >> the cms stuff came out on friday. >> to thes complicated so it might be worth explaining what's going on here. it was a year ago that we got, remember, a real scare, then there was some scanned ld in washington. >> it leaked. people are looking for a minus 8 cut in the medicare advantage proposals. that is a preliminary. in april we get the final. and i think in april what you're going to find is that humana was ripe to be up this much. i'm not going to disadpree with the rally in humana. truck market look out. this swrun of the most important hirers in america. >> amazing how much we end up talking about the transportation of goods whether it's coal on rail. >> i'm tired of being about the oil being the most flammable. it's the most flammable because it's the best. >> interesting you mention that. of course last week we had peps ko. >> what did you think in. >> reengaged on the idea of trying to separate snackance beveragbe -- snacks and beverages. >> you know what coca-cola would do? they could go buy frito-lay as fast as the

it is to make sure that cms makes the data available for anyone.do not know what they pay a hospital for a gallbladder. it would require them to post that online so you and i would know what they are paying. we would know what our insurance company should be paying. -- it allows you to buy across state lines. it has never made sense to me that you can buy every other insurance product across the world, but you cannot buy health insurance across state lines. it would allow you to have groups form that could perform larger risk pools to make insurance more affordable and allow the cost to go down because of the grouping and getting bigger. back to thego standard deduction. that sounds like a loss of revenue. how much would that cost? to make thisted revenue neutral. that was one of the requirements i had. no mandates, no taxes. aout 80% of people will get reduction in their health insurance. about 20% will go up. it is a revenue neutral bill. if they have a planet is more than $20,000, they will not pay taxes on that. it is still fully deductible for

cms views october 1 connections to the nine states as a risk due to the fact that their document maysubmitted completely nor reviewed by october 1. we all know of course the significance of october 1, chris. >> right. basically the warning here was, nobody was quite sure whether even the core was secure, the matrix on the federal level where all, basically the largest trove of consumer kind of data that the federal government has ever put together in one place, that has so much information about some americans, this is appending state systems on to that already uncertain core and dire warnings saying, we have no idea, we have no idea if they're even secure. the answer was, go ahead and do it anyway. that tells us a lot of about the state of mind of these folks getting ready to dot launch and we've seen the consequences. martha: the way you put it, understanding connection between the states and what access the federal government has, if everybody just for a moment sort of thinks about, if you had in your home computer, your irs information, your social security information, your heal

small businesses.hw8q%á he formally served as deputy director of the center foror implement higher at cms with an over viewe from healther howard, state-based health insurance exchanges. johnson 0o@:hujz for yourvdvdík for bringing us together today to talk about early lessons. !b0c so what are we seeing? >> we're seeing enrollment isjy outpacing the enrollment,z3s/f e marketplace. that's because most of the system glitches have been workeñ vlpñ based marketplace. we're also seeing we're seeing for more robust consumer assistance in those state based3 marketplaces. and medicaid. it's worth noting there is a success story in five states, this is just early on, that been doing what we call fast tracka$nj9Ñq[/&ée4 expedited er medicaid. oregon, forxp example, despiteáw their own going change to enroll 121,000 people into medicaidee. we're seeing that plan choice varied by state level acros38wx; 6júc what it locks like in their states. overall, we're seeing that 80% are choosing silver or higher level. and that age distribution also varies. overall, 24% of the enrollees are in the 18 to 34

jon: republicans making hay of the new report coming out from cms, center for medicare & medicaid services. roughly 11 million employees of small business will supreme premiums spike because of obamacare. the good news six million will supreme premiums drop. >> right. jon: but two out of three are seeing an increase. >> that is going to be the problem. obamacare will have winners, no doubt about it. people that didn't have coverage will have coverage. but people will be paying a lot more. the political problem in this election year the losers are always louder than the winners. this is also runs contrary to what were promised when obamacare was struggling to get the votes on capitol hill. there were a lost promises made you look back at now, really haven't born out to be true. jon: the law requires that you can not discriminate based on age. so the young people who are, you know, healthy and don't need the kind of health care services are going to be paying higher premiums to support the older folks, right? >> that is going to be the real difficult challenge for the administration. if they