as cms, mr. sean cavanaugh, been working with the provider community to provide better definition or clarity with regard to those type of services? what is the difference if they are and there under an observational status verses inpatient care? is there things you can point to that clearly distinguish that between the two types? >> first, on the first half of your question about whether we are working with providers, was a reasonably are. it was a big part of our attitude going into this year, as you recall. we suspended the auditors looking at the cases for this purpose because we wanted to work with providers. we have, as i said, going into each hospital and taking a small sample of cases in seeing whether they are complying with the rule. in instances where hospitals are, and are left alone for the rest of this year. in instances where hospitals are having trouble understanding of implementing the new rule, they are working with them. i do feel like we have taken a pause looking at these type

that's consistent with the data we seen at cms. that gives you a sense, the system for driving the payment are different and the magnitudes are quite different. >> how do you address that? >> i'm not entirely sure how we address the. one idea we received of stakeholders, had some sort in congress, discrete a payment system that splits the difference, a short stay inpatient payment system. as mentioned, we are soliciting comments on how to great such a payment system. i would say there are challeng challenges. some of the cases that come in a short stay inpatient case, payment, already a very low lengths of stay, chest pain has a two day average length of stay. so the question how would you create a short statement around the type of case that's already fairly short? those are the sorts of technical questions we're asking for public input in the proposed rule this year. >> ms. nudelman, in your analysis you think the midnight standards will reduce stays or increase them? >> again, our analysis is prior to the midnight state. it is d

cms is looking at that. so i think what i would say is we want to cloud it with you and i think this opportunity to share information is very good and i look very good to be involved in continuing this information exchange. >> thank you. dr. mcdermott. >> thank you, mr. chairman. there was a senator by the name of daniel patrick moynihan who said there are a lot of simple answers of them but we need a great complex of fire, and the fact is we have a very complex question here and the next level is going to be it seems to me even more complex. goes you all have a great the basic observations or inpatient patient gets what they're supposed to get. so what we're discussing here is who pays how much to whom. it's a question of whether the beneficiaries get charged more or the hospitals get less money or that seems to be where we are. one of the issues that's come up here, ms. edelman, is one that i would like to hear your thoughts about our, there has been talk about the different cost sharing between part a and

. >> here's another related -- what is the level of direction and oversaying from cms with regard to patients, providers, and health plans? and i guess i would just add to this question, the -- some approaches have healthy behavior incentives. michigan has a healthier behavior incentive, iowa does, too, and pennsylvania is also proposing a set of healthier behavior incentives actually tied to having premiums waived in subsequent years, and there is -- if you read through the waiver applications and the approval from cms, there is a considerable amount of oversight and attention to those incentives and how they'll be evaluated. so i thought maybe we could discuss that oversaying within the context of those provisions. >> our experience has been fairly intense level of engagement and navigation with the cms officials. i wouldn't say there's that much direction but they clearly have concrete boundaries they want to protect in terms of the basic benefit offered through medicaid, the basic protections afforded to individuals, and the income gradient they recognize at lower levels, individ

cms has been less open, but it's just the opposite side. whether or not excluding certain benefits has an effect on people's ability to get care. many questions about medicare enrollee responses to incentives and changes in the delivery system. some of these have been mentioned by our speakers. how well medicaid enrollees respond to having a choice within the in change? not all the state of trying this are extending that choice to the enrollee. some are. can people navigate choice? how will that differ? a good deal of discussion already about financial incentives for wellness. cms is never been particularly interested in taking benefits away from people. we don't need a lot of research on whether or not utilization goes down. we know that. the question then is can we encourage people to do something different through some of these wellness approaches? at the common thread across states that are pursuing this alternative method is that they want to try out different ways to engage, but not just your garden variety higher cost sharing. speaki

cms is the largest health insurer with an annual budget of 800 billion dollars. i believe you have the qualifications to do the job, but there is much that you will need to do in order to assure members of the committee that hhs is heading in the right direction. it is a turbulent time that lies ahead. one of the greatest challenges shoring up the exchanges and making sure that they are operating efficiently. recent reports of the numerous issues faced by the state exchanges at something to implement the law have been cause for great concern. states are required to have a health-care exchange where citizens can go and shop for health insurance. they have the option of starting their own exchange, using the exchange provided by the federal government, or in hybrid will stop they are determining what type of exchange to implement. were given innts two stages for those days who were building all report -- all or part of their own exchanges. they quickly decided to build their own exchanges. in total, they spent $4.7 billion on their exchanges. what is troubling is t

that is something i hope, if confirmed, i can work with cms and others to get that input. >> ok. finally, delivery system quality and improvements. those of us who supported the affordable care act, we saw it having more health care accessibility, country hadoss the health care, controlling costs, but changing the nature of care from a disease based to a preventative base, and changing the way we pay for it from alternative care to liberate models, performance and outcome -- i suggested multi-dosing where appropriate to reduce prescription drug costs. are you open to consider these types of initiatives as a primary effort to try and change the nature of how we pursue both our outcomes and how we pay for them? the delivery system reform issues are very important. i believe the way that we will takinghe problem is by examples and models we will see and figure out which to buy the .est quality and the best cost it is important to get things in place, get traction on changing the system to one that moves toward what you describe as quickly as possible. >> thank you, senator menendez.

now i realize this is problem solution lies predominantly at the statear level, but, i also know cms has a vital role making sure states bet all applications processed in a timely manner. if confirmed will you commit to prioritizing this issue so families in new jersey and across the country can rest assured that their medicaid enrollment has been processed and they're able to receive the care they need and have cms wori to educate individuals andd providers about theirth presumptive eligibility rights so they are able to receive and provide health care waiting for formal enrollment? >> senator, if i am confirmed i would look forward to work bug and cms on that issue. >> because the promise of the act, if at the end of the day you do everything right and register and can't apply and. you're not just processed at the end of the day is really unfortunate. as you may know from our conversation new jersey has the highest rate of autism citizens in the nation, with one in every 48 children diagnosed by the age of eight. why one of my top health care priorities is insuring that individual

cms is the largest health insurer with an annual budget of 800 billion dollars. i believe you have the qualifications to do the job, but there is much that you will need to do in order to assure members of the committee that hhs is heading in the right direction. it is a turbulent time that lies ahead. one of the greatest challenges shoring up the exchanges and making sure that they are operating efficiently. recent reports of the numerous issues faced by the state exchanges at something to implement the law have been cause for great concern. states are required to have a health-care exchange where citizens can go and shop for health insurance. they have the option of starting their own exchange, using the exchange provided by the federal government, or in hybrid will stop they are determining what type of exchange to implement. were given innts two stages for those days who were building all report -- all or part of their own exchanges. they quickly decided to build their own exchanges. in total, they spent $4.7 billion on their exchanges. what is troubling is t

the cms economy will lose one hundred and fifty billion dollars because of the sanctions according to the us treasury such measures have already cost significant capital of clothes from russia and said the crows in the gdp almost to the old set price is said to the boston stock exchange. but fifteen percent the central bank was forced to spend eighteen billion dollars despite the rubble. the cost of buying loans for moscow has gotten so much that the government's top selling debt obligations at the end of april. the consent of the yucatan own memphis ukraine. the kremlin steps back. president reagan appointee and called separatists in eastern ukraine to defraud the so called referendum to the back that i can make such a statement after his meeting with the president of the osce reading a book contest in moscow. i read that he called the upcoming presidential elections in ukraine the right direction at the same time the russian president once again xd and to still be anti operation in the east. immediately you it means that no one was him a new and awesome to see august of that allegat

cms has never been particularly interested in taking benefits away from people. we do not need a lot of research on whether or not utilization goes down when you eliminate benefits or increase cautionary. we know that. can we've heard somebody to do something different through some -- cane wellness coaches we influence somebody to do something different through some of these wellness approaches? not through just garden-variety higher cost sharing. there is a misaligned in the cost-sharing provisions between medicaid and the exchange for people between 100 and 138% of , traditionally in medicaid he could not extend cost-sharing but the exchanges in the statute are written with premiums down to 100% per day. there is a lot of interest with what happens in cost sharing in that income range. i think we will learn that from these states. finally, it is not often these states are scooting some people from the demonstrations based on some sort of health screen. how effective will those be? if we take people out of the risk pool, will we achieve the same savings? we do n

the morass of regulations and the reimbursement policies of cms, the uncertainty that's caused by theighting up here over budgets that leave people with insecurity about what the future is going to look like, i think creates an environment where people are less capable of getting into a pattern of continuous improvement. i mean people that are out there actually delivering services to people rather than just yelling at each other in washington, d.c. and they're weary about this. and i think they feel -- they remind me of my teachers and my principals in the district who felt the same way. i wonder if you could tell us a little bit about your theory of the case for attacking that management side of -- of the work that you now will have to do at hhs and cms and how your work at omb is going to inform that. let me just -- sorry. one last point. in this kpi sten shl debate we're having here about the role of the federal government and the founding fathers and all of that, i think what we have lost is what the american people would really like, which is an efficient and effective federal g

we have reached out and circo has told us to reach out for cms, centers for medicare and medicaid. so now all a cms will say is that they work to spend federal funds appropriately and that they periodically review how many employees are work at that facility. but we have asked them point blank about these claims. we wanted to know if this current employee's claim about getting reimbursed for the number of employees on the payroll is correct. and they won't answer that question. we have not received a solid answer. >> chris, thanks for joining us. good story. appreciate it. >>> missouri republican senator roy blunt blount is vowing you'll get to the bottom p this. what are you going to do? >> sthor enator alexander and i leading republican on the health committee, we're sending a letter today, they have already probably got it in their hands, asking the health and human services for information about this. this idea that somebody would have a $1.25 billion contract to process paper in half a dozen locations and that's just not happening, if you believe the stories that we're hearing

. >> harina, 600 cm de agua, salen aproximadamente 30-40 planchas, de las cuales esas 30-40 planchas,tias de la cÁrcel comenzaron a hacerse famosa en san isidro, provincia de buenos aires, fue ese el momento en el al obispo se le ocurriÓ otra curiosa idea. >> me mandÓ a decir si tenÍa ganas de mandarle algÚn obsequio al papa, y bueno, surgiÓ la idea de escribirle una carta, y bueno, y mandarle mis hostias y la foto del taller. >> dÍas despuÉs en el vaticano, y durante una audiencia casi informal, ojea le hizo llegar el papa francisco el presente de gabriela caballero, una carta y varias portas del -hostias del taller de la cÁrcel. >> interrumpiÓ la audiencia para contestar la carta,sin duda alguna que le dio una atenciÓn especial a la carta de gaby. >> la respuesta del sumo pontÍfice es algo que esa mujer parda como un tesoro, como prueba de que esos pedazos de pan que ella confeccionar con amor estÁn ayudando a borrar su pecado. >> estimada gabriela, monseÑor me trajo su carta, la rara vez con la confianza y las hostias, desde maÑana celebrarÉ misa con ellas y de verdad me emociona,

>> senator if i am confirmed i would want to work with cms on the specific issues, the flexibility to help those 77,000. >> thank you very much. senator burke. >> thank you mr. chairman. ms. burwell welcome and thank you for the opportunity to meet with you to share some thoughts and to hear yours. i want to ask you a couple of questions in specific areas. do you consider medical and public health preparedness and response programs to be a matter of national security and if you are confirmed how will you ensure that these programs beat prioritize to fulfill their mission and the pandemic hazards are paired in this act be fully implemented? >> senator i do consider it a matter of national security and i had the opportunity to discuss a number of these issues and thank you for your leadership in this space because i think it's very important. i'm excited that there was a reauthorization that occurred and that the congress spoke to these matters and now we want to work to implement what was reauthorize and 2013. if i am confirmed on these issues. i think they're very important terms of h

gallinas en un apartado rincÓn de guatemala se llama silvia lÓpez, y a pesar de que apenas mide unos 50 cmla vida con una sonrisa en el rostro. aunque no tiene esposo, silvia confiesa que ha tenido varios pretendientes, pero finalmente su corazÓn se rindió ante los anÁlogos de un - halagos de un vecino que conociÓ hace aÑos. >> la quiere mucho,pero no puede salir por la pobreza. >> aunque ella y su mamÁ tratando llevar una vida sencilla y no llamar la atenciÓn, cada vez que visitan el pueblo provocan una pequeÑa conmociÓn. >> al parecer ella habÍa entrado a una farmacia a comprar medicamentos, todas las personas se quedan observando bastante admirados, porque al parecer es la persona mÁs pequeÑa del departamento. >> silvia recuerda una niÑez marcada por una profunda tristeza al ver que no crecÍa, y por el abandono de su padre. >> me dijo dicho que porque no era varÓn, que hubiera sido varÓn, no me voy, estÁ bueno yo no nacÍ con marido. >> silvia y su madre viven con menos de 100 $ al mes, y su anhelo es vivir con energÍa elÉctrica, su estilo de vida es tan peculiar que cuentan con el apoyo

it is another example, in my opinion, of having to tell cms that if it is not broken, there's no need to fix it. if confirmed, will you do all you can to see if we can reverse this payment issue, so that rural seniors can continue to receive care at their local community academics the issue of critical access hospitals and care in rural communities -- at local communities? >> the issue of crigler access hospitals and care in rural communities is something that we need to get the right intent on. in terms of how to get to the place where the original objectives of the rules and be achieved in the way that they do not have the unintended consequences that you are articulating. >> thank you. my time has expired. >> senator warner. >> let me thank you again for your service. looks like you're coming around the bend and close to being done. i have a number of things i want to get on the record. first, i want to add my voice to the comments made by senator isaacson and senator roberts. i think the displacement of agents and brokers with a challenge and a mistake and i hope you will review t

parts of the train and into a frown to suspend one duncan thinking i'd very heavy rain today about one cm to seventy millimeters off the belt and in your saturday. cool on cookie sheet by about one hundred thirty millimeters of rain and the eerie ample rain will spread that blind are actually going to the weekend some areas may get up to thirty millimeters or not because of flooding and landslides bakery and finance i was thinking mind throughout the day and a switch of town we have been very cold air coming in from the north the consumer taking cause this is taking very clear and the upper atmosphere than their share as unlikely and temperatures in the end of the un is going to be quite warm so the temperature difference because the thunder showers and oh so awesome i was twenty twenty villas and the greens and thundery showers over at the compilation than twice the northern areas at all think hunter region atc cement block concert to see you go inside the building and stay away from the windows and the echoes and not the fifty places to calculate that took the chance to get twenty five

the guys in our cm or more over an eighteen month period. and he was drunk was just an honor and. the we found dust unfortunately the minister didn't show enough highest price to be dealing with teens in the best minor ice he he he repeated the idea to get used to this legislation through to him and his tendency to minimize business. dominic has made its position untenable can i ask if they are reacting to the office didn't hear from the irish catholic faith or to protect expressed its regret that the resignation day eight and goes on to say that he was a distinguished ministers to upgrade the resignation and the circumstances and it says alan shelter was an exceptionally hard working radical and performing minister and bringing the position a genuine and deep economic understanding of the heat the reforms needed to grand island a more equal society do you accept that this was a minister with a kitchen and integrity and diligence and ceo. i figured it sure was a very administer guardian cousins my seemed as eu is any worse than the missus before to mind but what i'm saying is that

i had $2004 of their$td Ñi÷úçm. >> nobodyp picked up, friends ad relativeswn, tolcnt(s7 her j the i said that is not our money.my i don't care if we're starving. crisis, cutting staff at the @:rqÑvht didn't give up. card, you know yelling i need to give you money! edd was happy to take back the money and said there are a couple reasons why there may be overpayments. eeshlg a claimant not immediately notified edd they've returned to work or we received notification after payment has beent( issued we appreciate efforts. she mailed a check and never felt better. >> the weight of the world was off my shoulders you can't take what is not yours. she believe it happens that came through for hundreds of thousands of americans this year. they just found out their families were overpaid many years ago and now the government has come calling. and tonight, how much do you tip? why tip? i have a tip for you tonight at 11:00. i'm michael finney 7 on youryu÷ side. >> let's check on the forecast %-p>> will we tip spencer for t forecast? >> maybe not. check out this live shot. windy, dreary and d

i had $2004 of their$td Ñi÷úçm. >> nobodyp picked up, friends ad relativeswn, tolcnt(s7 her j theaid that is not our money.my i don't care if we're starving. crisis, cutting staff at the @:rqÑvht didn't give up. card, you know yelling i need to give you money! edd was happy to take back the money and said there are a couple reasons why there may be overpayments. eeshlg a claimant not immediately notified edd they've returned to work or we received notification after payment has beent( iss we appreciate efforts. she mailed a check and never felt better. >> the weight of the world was off my shoulders you can't take what is not yours. she believe it happens that came through for hundreds of thousands of americans this year. they just found out their families were overpaid many years ago and now the government has come calling. and tonight, how much do you tip? why tip? i have a tip for you tonight at 11:00. i'm michael finney 7 on youryu÷ side. >> let's check on the forecast %-p>> will we tip spencer for t forecast? >> maybe not. check out this live shot. windy, dreary and drizzly.

they never cms annual military aid to egypt, even so, last month half of that was restored.he u.s. has stopped the transfer of abrams tanks and delivery of some fighter jets but green lighted the sale of 10 apache helicopters and missiles. civil rights while at the same time holding out the position that, if the coming elections go well. why the mixed message? officials have openly admitted it is mostly about regional stability. security along the suez canal, and the sinai, the sinai also shares a border with israel. the 35-year-old peace treaty between israel and egypt is still in force. on all those fronts, cooperation is essential and would be threatened by a full cut off of aid. american are foils insist egypt must move towards a democratic transition. but even though egypt has moved away from democracy, american aid has continued to flow. >> james, how will the united states respond to an al-sisi presidency? >> one month after the military cocoup d'etat, to declare that egypt is on its way for too democratic transition despite the horror show, i think security interests

the cm diagnosis of the kissing of the pope ring.on. >> never again lord he prayed. final image. warm farewell at the airport from israel president. with the hope back in the vatican he has left behind him here in the holy land a legacy of unforgettable moments and controversy. abc news jerusalem. >> up next. massive mud slide in the search under way now for the missing in colonel republican and democrat 0. 4 miles wide. 250 feet deep. 7 miles wide. 250 feet deep. 7 news at 9:00 returns righ [♪] >> colonel republican and democrat 0is dealing with a gigantic mud slide tonight. the mesa county sheriff's office released this aerial footage tonight. this mud slide is 4 miles long and a half mile wide. 3 people are missing tonight. they are feared dead. law enforcement at the scene. calling it unbelievably big. details now from abc news reporter. >> image this remote corner of colonel republican and democrat 0simply incredible. earth giving way. massive hole in the place. wul of mud believed to have swept those 3 men away. >> everybody on

. >>> six people are injured in a knife attack(çm in 8nchina.he series raising new questions about terrorism. >>> coca-cola is to remove a controversial ingredient linked to flame retardants from drinks following an online petition. >>> also coming up, we report from the sahara on the perils facing thousands of west african migrants desperate for a better life in europe. >>> bring back our girls. that is the slogan of a huge online campaign to find more than 200 teenagers who were kidnapped from their remote boarding school in nigeria. it seems it may be getting results including offers of help from britain and the u.s. the militant group boko haram admitted abducting the girls. it means western education is forbidden. the group founded in 2002 plans to overthrow the government and create an islamic state. since 2009 they've waged a campaign of gun attacks and bombs and abductions. many attacks are carried out in schools kidnapping or killing the students. >> reporter: a provocative video designed to cause anger and disgust, the leader of boko h

cms said they were committed to working wither serco. they closely monitored the work that serco was doing. it doesn't say the quantity of work or ever on site to monitor. did you ever have any sense that cmf was on site monitoring what was being done or not done? >> well, in the short time i was there, they came once to my knowledge. but they never visited the site of the building that i worked on. >> i don't know how they can say they monitored the work coming out of that building and supporting the knowing what i know and people that still work there. i want to say everybody who works in that building knows what what i'm saying is the truth. the people who came forward whether they chose to identify themselves or not are telling the truth as well. >> why did you leave? >> i imagine. >> why did you leave? >> why did i leave? because i was bored out of my mind. it was driving me crazy and i have a conscience. that's not what i signed up for. that's not what i wanted to work there for. i was excited to be a part of something that i suppo

then cms centering, 23% a year dividend growth, so when it comes to growth, they do it fairly well, but, tyler, it's also about whether or not they can grow that dividend payment, because that's probably the single-most important part. sudden that's why a lot of income investment manager with mutual funds that have income -- whole funds. >> they love investing. >> oriented to rising dividends. >> a paycheck every single month or quarter. they are among the biggest players, sue, down to you. >>> guys, well, the stock market is up about 50% on the dow jones industrial average, but the strong economic data pushing the s&p 500 to another record high. and it's up about a third of a%. nasdaq is up three quards of a percent. joining us kenny polcari and jack perusian. >> jack, i'm going to start with you, losing purchasing power parody. you have a situation where threat a lot of people on the sidelines. i've had this argument with rick santelli over and over again. when you talk to portfolio managers, one of the reasons they give you they're in cash is because they see what is happening in the

to what extent is massive release of data that cms and others are doing going to change the equation, and is there anything that we can do to make it more productive to help influence cost and quality? >> it would expose it, and that may cause action. but by itself it will not do anything. we have documented for 30 years that variation by area, and it's huge. it is interesting. what is happening now is now that the federal subsidies are what we will see is, if you live in minnesota, because of the prudent practice patterns and efficient delivery system they have there, they actually cost a lot less. peoplee will be very few who will need a federal subsidy in minnesota because the costs are so reasonable. you go to oklahoma city, mississippi, south carolina, north carolina, you will see that there will be lots more federal dollars going into those markets because they are much costlier systems, less efficient, and more unhealthy people. maybe when they begin to do the national analysis and see how many hundreds of billions of dollars are going to some of these places, as opposed to --

institution and are different from what other departments and agencies do and what h h s was creating and cms was reading was implementation of healthcare.gov where the challenges were, were quite unique but there are broader issues and you know them around procurement and technology and i think that is something this administration and future administrations will continue to grapple with because we need to have effective systems that provide smooth communication between systems when it comes to electronic health records and other information that needs to be effected and the efficiency of government can be more effective and efficient. >> thanks for coming on here and congratulations on getting your life back. just one question, the resignation is effective immediately? [laughter] >> dr. oz believes the answer is yes but we will get back to you. >> on this issue of not knowing and being surprised what was going on, how do you explain the letter that the chairman of the veterans affairs committee and the house sent the president over year ago dated may 21st, 2013, and he sent this letter, did

the area and out to the san mateo bridge where you'll notice on the right side of your screen, that cmsarning sign letting you know high winds are on the bridge. they issued that high wind advisory shortly after midnight. we have been calling them this morning and it is still in effect. so use caution this morning between hayward and foster city. and out to the bay bridge, the metering lights were switched on at 5:53. so before 6:00. and you are officially now standing up through the maze for at least 20 minutes to get you on the span. that's your latest "kcbs traffic." back to you. >> thank you. >>> new this morning, attorneys for the ridesharing company uber are responding to a wrongful death lawsuit connected to a december accident in san francisco. the suit was filed by the family of a six-year-old girl who was fatally struck by a car driven by a man who was then a driver for uber. the company's lawyers say uber is not liable because the driver was an independent contractor and had no reason to be engaged with uber's app at the time of the crash. >>> we have developing news from wes

clashedthere when ships at cm we have this first talent and we have this first-hand account. >> both countries claim territorial rights to these waters and chases and collisions. this crash occurred last week. sayvietnamese coast guards the boat was idle in the water when the chinese vessel ramped it. there was damage. no one was hurt. a radar screen shows that there area, which in the is more than double the vietnamese. chases like this are daily occurrences. both sides are ordering the other side it to leave. isthis coast guard vessel seven not of miles away from the exploration rig that you can see in the background behind me. there is a ring around the rig. as closeon is to get to the vessel as possible. typically, chinese vessels give chase. >> the turf battle at sea is likely to continue. bloomberg. here?t is happening what has been done to calm the waters. >> the tensions will subside on land. they were quick to disperse the protests that were planned and they will not allow them to continue after this. it has done too much damage to international reputation and it is clearly

cms and nowwith doing some work on the affordable care act. i am interested in hearing from some of the panel members what are your recommendations would be to the federal government and to state governments in terms of the affordable care act. what are some of the key things that need to be done for this next go round in terms of enrollment? things within the current law that you think need to be addressed at both levels. >> that is a little bit of a loaded question for indiana. due to the significant division -- oferest of appealing keeping the affordable care act, we had a lot of folks who believed erroneous information about what it was going to be. we spent the lion share of our time explaining that there really were not tracking devices going to be put in your arm if you got the affordable care act. that sounds ridiculous, but some of the information that was being shared was so over-the-top that people were afraid of it. the folks who needed it were afraid of it. been an awareness building. i believe that indiana is expanding access to

cms has had some of the best health care in the country. because we don't have a veterans hospital, many of us had conversations over the last two years. we try and figure out a system to create better care access is really what it's about. if you live in alaska and you want to come into anchorage to the clinic, you can spend 1500, $2000 that are very expensive for veterans. we have 800 veterans living in alaska that are both native and non-native. but to print a hospital there was stimulus money, which are very proud of. $170 million facility which is run by health care in alaska. it is given a check to the tribal consortium and delivers health care for our tribes. because of the work you out there with our office, we now access their veterans. 800 veterans have a choice now. they go to any health care services, get the help care near their home or village. i can tell you story after story that is not very valuable. or they go to the clinic for seattle to the hospital. it was an access issue. the care the va offers them a thank you all sai

to what extent is the massive release of data that cms and others doing going to change this equation and anything to help make it more productive to help influence costs and quality? >> it will expose and it that may cause some action, but by itself it's not going to do anything. we have had documented for 30 years that variation by area, and it's huge. and it's interesting. i think what is going to happen is now that the federal subsidies are required, what we will see is that if you live in minnesota, because of the prudent practice patterns and much more efficient delivery system they have there, they actually cost a lot less. so, there will be very few people who will need a federal subsidy in minnesota because the coasts are so reasonable. you good to oklahoma city, mississippi, probably south carolina, north carolina, you will see that they're going to be lots more federal dollars going into those markets because they're much costlier systems, less efficient and have a lot more unhealthy people, and maybe when they begin to do the national analysis and see how many hundreds of

the question of how we work -- how one works with states and if i were confirmed, the issue of how cmsork with states, there have been a number of examples where flexibility has been granted. whether that's arkansas or other examples. i think flexibility is important. i think principles are important. and where you meet in that space of having enough standardization that meets the principles, but flexibility to meet the varying needs of states is something that i think is important in how i would think about that issue. >> my last five seconds, this comment, we had a conversation last week about getting answers from your department to reasonable questions about the implementation of the affordable care act. if it's good for mcdonald's to advertise how many hamburgers it sells, i think it would be good for the department to advertise who's buying the premiums, whether they had insurance, everything. and we certainly need to know that ourselves in the congress. i would simply ask you to focus on answering the questions that members of congress ask you as we go forward. thank you, mr. cha

second, according to the bones to recent cms report to congress, only 7 percent of all recovery audit determinations have been overturned. third, recovery auditors are accurate. an independent cms validation contractor gary recovery auditors a cumulative factories core of over 95 percent. finally, recovery otters target and properly pay claims of all types. yet medicare data have noted consistent high-$ errors for impatient short stays. ..>> "washington journal" continues. ben: we want to welcome fitzgerald, program director for technology and national security at the center for a new american security, here to talk about the justice department filing espionage charges against chinese hackers. let me begin with attorney general eric holder yesterday when he outlined the indictment against these chinese military officials. [video clip] maintainpla officers about this unauthorized access to computers to steal information that would be useful to competitors in china, including state-owned enterprises. in some cases, they stole from secrets that would have been an official to chinese comp