we just did the analysis of the savings for the readmissions that we avoid, for that we have saved cms, $4.8 million and which is good and they have paid us back one million and so we have actually netted them quite a bit of money and that said, when we talk to the program officer last month, they said that your volume is not where it is supposed to be, and we don't care about the money, we care about the volume and our staff has done incredible amount of work, and we have actually asked our internal staff, to start doing home visits so, some of our programs, volunteered staff, to just kind of do a last ditch effort and have the people go out and complete the home visits so that we could build the cms. and those programs that contributed to that were ihss, and aps, and dos intake, and our quality assurance unit and so i am grateful that they were able to spare some staff to go out and at least try to get our numbers up for the month of march and i mean the month of february. and we are kind of being judged on what we have done through march third and we expect to hear from cms at the e

do you have the automatic reenrollment numbers that i've been requesting from cms? have they given those to you? >> mr. meadows thanks for the question, and happy to be accessible whenever you need. the answer is i think we're still working on it. that is part of the agency, obviously, that i don't have direct oversight over. my understanding is you've had numerous conversations with the ceo of the marketplace, kevin kuninen, and they are working on assembling those numbers. our focus is getting the numbers out to you and the public, but making sure they're accurate when we do. >> so what you're saying is you have not seen the numbers for the automatic reenrollment. you've never seen any totals? >> i have not, no. >> it's my understanding that we've had those numbers and we've been trying for 60 days to get it. any reason why it would take that long to verify numbers? >> i think it's just confirming that the numbers are numbers we can stand behind, making sure they are good numbers that ought to be released. again, i believe staff at cms are in touch with your staff

has hhs or cms looked into the administrative cost that the new system will have on doctors and cms? the reason i ask is because in my practice i'll give you some examples of how this would work or won't work if you do it. we would bill a global payment for anything including follow-up visits and now doctors will be billing for their surgery, every hospital round that they make every follow-up appointment all separate tally -- let me finish -- and not only would the medical practice have to pay employees to submit all these what i consider excessive claims, but then cms will have to process each claim and how can that not cost cms more none not less? that's my first question. >> with regard to the global payment issue, and one of the things dr. patrick conway we try and have physicians who are practicing at the table as we have these conversations. want to understand the point that you're making and how we believe -- i want to look into this one in terms of the specific answer to -- >> it will be a dramatic increase. let me tell you why. if i did an open heart surgery on a patient, i

how can that not cost cms more money, not less.th regard to the global payment issue -- and one of the things dr. patrick conway, we try to have physicians practicing at the table as we have these conversations. want to understand the point you're making and how we believe -- i want to look in into this one in terms of a specific answer to your question. >> it will be a dramatic increase. if i did an open heart surgery on a patient, i would see them in the icu anywhere from three to five days every day and then probably two to three follow-up appointments. that's all under a global. and so now that -- those numbers will be submitted as individual bills. from a surgeon's perspective i see this as -- i think seniors should be paying attention to these comments. this is going to be a dramatic pay cut for surgeons across this country. in my view that's where any potential savings will be coming from. as you look at this, you better -- you should really -- i'd encourage you to pay attention to that. because what will happen is you're go

take cms. cms is one of the largest agencies in government.a year to run cms, and yet that's just a small part of hhs. it's a large part of hhs, but you have hhs running cms and not doing a very good job at that. and you can go into almost all these agencies and find all kinds of failures because the federal government is not going to run things as well as the state and local governments will. and the people want to be a little more free than what we are right now. neil: i'd be remiss if i didn't bring up this whole iran letter, and your colleague, ron johnson, doesn't take anything against writing it maybe to the iranian leaders he wrote it, that maybe who-delivered to was the problem. do you share that? >> well i can say this, you know, i don't blame senator cotton for coming up with this letter, and i think basically it's saying to iran, look, what you're going to enter into with the president is just an executive order, and that could be changed by the next presidency. i think that's important for -- they probably understand that but it's

we work with cms. would work more with siemens. we're done some projects with cms to look at how can we do some of our decision-making in parallel rather than in series so that as data is being collected and product development space data that will meet the needs of both agencies can be gathered and examined. there are discussions with cms on various specific products, and as i said i think in our modern world we need to do more of that. i would so your point speaks to issue that's been in high poverty for me and that i look at defeated like we still have not adequately addressed in which is part and parcel of what you're going to do here, which is we have to look at the whole ecosystem for biomedical product development and use, and recognize each of the different components that often operate in silos actually are very interdependent. one of the things for example, i am hearing now more and more from investors in biomedical researchers is that it's not the fda regulatory process that worries them and they see as a barrier, its re

it is a part of cms. we couldn't function without the cms. everything we do is to improve the program that the agency runs. we are focused on evaluating the results and launching them in the portfolio. i think you will see a steady drumbeat of results and expanding models that work. one very last thought, trisha gave you three reasons why it's important. i want to add one more to that list, so here is reason number four. all of us, should we live long enough will become medicare beneficiaries. we can work on other areas of domestic policy and it would never touch your personal life but if you live to the age of 65, but god forbid, you will become a medicare beneficiary. and that's right the delivery system reform actually matters because, in the brief time that i've been in the government can i have been admitted to a hospital myself and i've taken my children to see the pediatrician. we will all be patients. so this matters not just a matter of public policy and to your bosses but to all of us as individuals. again, thank you for inviting me

we work with cms. we can work more with cms. we've done some pilot projects with cms to look at how can we do some of our decision making in parallel rather than in series so that as data is being collected in the product development space, data that will meet the needs of both agencies can be gatheredened examined. you know, there are obviously decisions with cms on various specific products. and as i said, i think you know in our modern world, we need to do more of that. i would also say your point speaks to an issue that's been a high priority for me and that i leave fda feeling like we still haven't adequately addressed. which is that we have to look at the whole ecosystem for bio medical product development and use and recognize that each of different components that often operate in silos are very interdependent and one of the things i'm hearing now more and more from investors is that it's not the fda regulatory process that's worries them. it's reimbursement issues and getting that right, so i think we really need to tak

we work with cms. we can work more with cms. we've done some pilot projects with cms to look at how can we do some of our decision making in parallel rather than in an series, so that as data is being collected in the product development space, data that will meet the needs of both agencies can be gathered and examined. you know, there are obviously discussions with cms on various specific products. and as i said, i think you know, in our modern world, we need to do more of that. i would also say your point speaks to an issue that's been a high priority for me and that i leave fda feeling like we still haven't adequately addressed. which is part and parcel of what we you are trying to do here which is that we have to look at the whole ecosystem for biomedical product development and use them recognize that each of different components that often operate in silos are very interdependent, and one of the things i'm hearing now more and more from investors and biomedical research is that it is not the fda regulatory process that wor

cmmi is part of cms, we could not function without the rest of cms.improve the programs the agency runs. we are focused on evaluating results from our models launching new models to round out the portfolio. you will see a steady drum beat of results over the next few years and expanding models that work. one very last thought. trisha gave you three reasons why medicare is important. i want to add one more that -- to that list. here's reason number four. all of us should we live long enough will become medicare beneficiaries. you could work on many other areas of domestic policy and it would never touch your personal life. but if you live to the age of 65 or become a patient or become disabled god forbid you will become a medicare beneficiary and that's why delivery system reform actually matters. because in the brief time i've been in government i have been admitted to a hospital myself, i've taken my children to see the pediatrician. we will all be patients. so this matters not just as a matter of public policy or to your bosses but to all of us as i

quienes no tomaron refresco engordaron menos de 1 cm y otros que los consumieron todos los dÍas ganaronsiquiera los jugos de frutas son buenos para adelgazar, lo mejor es mÁs. libre y natural. >> lo mejor es beber agua, si se toma una soda de vez en cuando no pasa nada. marÍa: asÍ es que ni de dieta. jorge: flor refrescos de dieta engorda. gracias. ♪ >>te acompaÑo? >> no gracias. >> que quieres que te diga. la muchacha saliÓ igual de desquiciada. >>¿ que pasÓ severiano? >> la encontrÉ por casualidad. dijo que no querÍa esperar a su hijo. porque esta a punto de casarse. eso le molestÓ.

me revisaba uno y decÍa que tenÍa 1 cm no se dieran cuenta que estaba infectado hasta que el doctor llegÓperada. >> a pesar de las quejas de sus familiares son descartadas por el hospital que asegura que aquÍ se cumplen todos los protocolos para algÚn servicio de los pacientes que tambiÉn se atienden sus quejas. >> para nosotros tienen ese fundamente . la usuaria no tiene los conocimientos mÉdicos no sabe lo que estÁ firmando lo que ella considera muchas veces esta supuesta mala praxis. >> electa obstetricia dice que su personal es muy joven y que tal vez allÍ estÁ la confusiÓn porque los estudiantes dicen estÁn obligados a cumplir estrictas reglas de conducta con los pacientes. >> llÁmese estudiante de medicina, llÁmese estudiante de enfermerÍa. eso estÁ totalmente prohibido a mi me extraÑa que le hicieron tacto cuando esto no es cierto el lamentable estado en que quedÓ la joven causÓ tal indignaciÓn que la abogada tomÓ el caso e interpuso una denuncia contra el hospital por mala praxis e incumplimiento de deberes. >> para que se dÉ una investigaciÓn de la atenciÓn que recibiÓ. estamos s

el mÉdico que atendiÓ al embajador dijo que si la herida hubiera sido 1 cm mÁs profunda habrÍa podidogentino alberto nisman fue asesinado, dijo la familia, dijeron que habÍa sido asesinado por haber presentado una denuncia en contra de la residente cristina fernÁndez. jorge: 4 generales y un contraalmirante se sumaron para discutir los detalles de un alto al fuego definitivo en colombia. marÍa: ahora tenemos un adelanto de lo que preparan con la ediciÓn nocturna, pasamos con enrique acevedo. enrique: hoy, las protestas por la situaciÓn que vive mÉxico persiguen al presidente peÑa nieto. esta vez, decenas de manifestantes le gritaron " asesino" en la capital inglesa. ¿recuerdan la tragedia de los atentados terroristas de la maratÓn de boston? con esto y mucho mÁs en la ediciÓn nocturna. jorge: bueno, al regreso vamos a hablar de los miles de ¿qué son oats? avena son sanos para el corazón. ohhhhh! no oaaaats! cheerios. hechos con rica avena. hechos para el corazón. y hoy les platicaré una historia de mucho trabajo de lagrimas, sudor, pero sobre todo un sueño que se ha cumplido. un nuevo

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a fierce critic of vladimir putin - shot dead near the cm line on friday -- kremlin on fright night. rory challands reports. >>> patiently holding offerings, they waited in line. they came to honour a man they viewed as a champion for a different russia. he was one of the best men in the country. it's a shame to say goodbye. >> he was a wonderful man with great charisma and kindness. a charming man. >> i came because no one deserves to die like he did. it's outrageous. >> dignitaries repeating all 28 countries came to the center in central moscow. former british grandmother john major suggested that the message will resonate louder. >> if anyone believes his voice will be silenced by the murder i believe they have made an error. his death will accelerate the message and will be an echo chamber for that. >> the service finished with mourners queueing up the road. those that hadn't managed to get in threw flowers at the coffin as it went past. heroes never di. >> at the cemetery on the outskirts of town more wade for the burial. many sang the lit urge yes of the church before it was lo

we work with cms. we can work more with cms. we've done some pilot projects with cms to look at how can we do some of our decision making in parallel rather than in an series -- series, so that as data is being collected in the product development states -- space, data that will meet the needs of both agencies can be gathered and examined. you know, there are obviously decisions with cms on various specific products. and as i said, i think you know, in our modern world, we need to do more of that. i would also say your point speaks to an issue that's been a high priority for me and that i leave fda feeling like we still haven't adequately addressed. which is part and parcel of what we you are trying to do here which is that we have to look at the whole ecosystem for biomedical product development and use them recognize that each of different components that often operate in silos are very interdependent, and one of the things i'm hearing now more and more from investors and biomedical research is that it is not the fda regulator

wen meteorologist cecily tynan cm bac tkingbout t sototals a also the record ws to folw poiblfday mrng thank you, adam. >> of cose the "action news" morning te on earlier than er with everytnyou need to know. mto'doell, pamela edwards, david murynd karen rogers on at 4:00 a.m. with the latest on weaer trafc and the cndions across t region. >> "action news" reporter sharrie wiis is e pennd yard in morristown. saie time at last for t last lsminute prerations for pnndo > pennd working on stockpiles getnghem rey, wherehey wnt em tbe. w have activity happeninhe. it cked upn t last 30 mne th is actually t 25th winter ee ts season f penndot. th say they expect t heaviest sn to fall during the mrnincommut so we see them prering the tucks loading up with salt. athgh we e expecting delays on the rds tomorrow therere alrdy caellatnest arrt tit. the departu and arrival boards a philadelphia international arrt help tell the lingering wntereatr sty. 10fghts f toght canced, d even more are epeed tomorrow. > d we thought we would try to be e weather by getting out hertonight. s we're about an hour del

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there are people at cms working really hard to improve that and the providers who -- the stakeholders in those systems are very involved with that. but it somehow hasn't risen to sort of the same level of policy attention and so that's -- it's a quibble. >> well we have time for one more question. >> i'm james calder with the advanced medical technology association. sir, my question is this balancing of cost with innovation as we're going forward especially with durable medical equipment so items such as stair climbing wheelchairs that might allow a patient to stay in their house longer or a continuous glucose monitor that's paid for in europe but not here. all of these innovations that might have up front costs that are higher but long-term savings. how do we balance that with high quality care and affordable cost? >> reasonable question. >> it is a reasonable question. and one of the issues and anybody else can obviously chime in. from time to time over the years there have been several proposals that have come forward and cbo is a very skeptical organization and they look at these

as one analyzes across the department and whether it is at cms or cdc the impact that tobacco has onour nation and the cost of health care in our nation is one that we think is a fair place to go to pay for this care for the children. >> i agree with you. and finally, i want to talk about graduate medical education. i was concerned that the administration's proposal to cut indirect gme funding, 1 in 6 fisz physicians obtains training in my home state of new york and we have some of the finest academic centers in the country. so it requires significant funding and time to develop the infrastructure and expertise necessary to insure quality care is availability. how do we insure stability for these academic medical centers and patients they serve if we put gme funding at risk? >> we believe and hope that our proposal does not do that and meets the objectives of making sure we are training appropriate physicians for both primary care and specialties where we don't have as many as we should. at the same time making sure we target it. there is $100 million for pediatric and a wider pool f

. >> me revisaba uno, que tenga 1 cm otros decÍan que tenÍan 2.bemos que la usaria no tiene las condiciones mÉdicas para decir, y decir y afirmar lo que ella considera mal praxis. >> por su parte dice que el personal mÉdico es muy joven. y que tal vez ahÍ estÁ la confusiÓn. porque los estudiantes estÁn obligados a cumplir estrictamente de conducta con los pacientes. >> llÁmese centro de medicina o de enfermerÍa. no pueden estar tratando pacientes. eso es todo duÉrmete prohibido. me extraÑa, que ella diga que hicieron eso. >> sin embargo el Ámbito del estado causÓ indignaciÓn, que el abogada interpuso una denuncia contra el hospital. por mala praxis en cubrir deberes. >> por toda la atenciÓn que recibiÓ la seÑora. solicitamos de manera urgente, de el secuestro de los archivos clÍnicos. para que sea valorada, a fin de terminar si desea determinÓ un delito de mala praxis. >> la armada de la joven decidiÓ hacer pÚblico el accidente. para que no se siga pasando estos eventos. >> esto va a seguir pasÁndole a miles de mujeres. mi hermana llego como toda

. >> el motor es de 100 cm y de 20 caballos de fuerza. >> esta es una modalidad que crece rÁpidamentea portÁtil para que puedan ver mi proceso de aprendizaje desde primera fila. lo primero es surfear acostado y de panza para tomar confianza. lo que sigue es ponerme de rodillas, y por Último pararme. quÉ emociÓn, lo he logrado!!! estÁ increÍble!!!! amigos, tienen que probarlo no se lo pierdan cuando vengan a cancÚn. nos vemos en la prÓxima aventura! bÁrbara: el precio es de unos 15.000 $ pero cientos de deportistas en todo el mundo se estÁn sumando a la modalidad. Éste viernes estÁn sucediendo cosas maravillosas. algunos lo ven como fenÓmenos naturales, porque no son. en varios partes del mundo se pudo ver el eclipse solar del aÑo. se utilizaron dispositivos especiales y algunos hicieron desde las alturas como si fuera poco, esta noche el cielo estarÁ adornado por una hermosa luna que lucirÁ brillante por estar mÁs cerca. hablando de los caprichos de la madre naturaleza, ya que esta lista con el pronÓstico para este fin de semana. jackie: feliz viernes!! descuento que millones de resid

cbo and cms says that's what we have done. republicans did do it in the past. we need to end it. >> ok. we said we would vote at 4:00. it's a few minutes past 4:00. so we will go ahead and get started. the first amendment up is senator king. with his sequester replacement. we're beginning to vote. people need like five minutes. >> would you mind if we took 5 minutes before beginning that? >> are we taking a break? i didn't hear your conclusion. >> i was hoping not. but how many requests are there to take a break. none. ok. we will go ahead then. >> this amendment creates a deficit neutral reserve fund to be a place keeper for finding a solution to the sequester which we all agree is not good. it says that it should be both defense and nondefense. and it allows spending cuts as well as revenues. >> opposition? >> mr. chairman, senator king appropriately wants to end sequestration. and i think almost all of us agree with him on that. but the way his amendment is written it called to be offset with changes in mandatory programs and receipts. there are many ways yo

do you have the automatic re- enrollment numbers that i've been requesting from cms? have they given those two you click >> mr. meadows, thanks for the question. and i'm happy to be accessible whenever you need. so, the answer is i think we are still working on it. that is part of the agency of the history that i don't have a direct oversight over. my understanding is that you have had numerous conversations with the ceo of the marketplace kevin, and they are working on assembling those numbers. i think obviously come as you as you know, our focus is certainly getting the numbers out to you and the public and making sure that they are accurate when we do. >> okay. so what you're saying is you have not seen the numbers for the automatic. it's my understanding we have those numbers and we've been trying for 60 days to get that. any reason why it would take that long to verify numbers? >> i think it is just confirming the numbers are numbers we can stand behind making sure they are good numbers about to be released. again, i believe the staff are in touch with your staff

that yearng rhhmfe cpl cms p ts k a period of great expansion of egyptian power. the charismatic king thutmose the third aggressively expanded egypt's borders. he pushed north into syria and palestine... and south, tightening control over nubia and securing its gold mines. that gold was a source of wealth that would fill the coffers anenri the tombs ofhe kinom wldo fie gr blic wks like the festival hall also known as a temple of millions of years, and embellish the public image of thutmose the third. thutmose the third ruled from 1479-1425 bc, and embodied the strong central authority that characterized the new kingdom. the pharaohs of the new kingdom were just as intent establishing order and certainty theerlife. across the nile from thebes, due west they found the perfect staging area for their quest for immortality. the west side of the nile is for the egyptians of course where the sun sets. where the journey to the next world starts. to be on the west side is directly related to the fact that the sun's journey is what we're following. at the end of each day th

examples of using data analytics for improper payments include the cms fraud prevention system and d.o.l. integrity center for excellence. improper payments remains a high priority to this administration. although progress has been made, much more remains to be done and we need your help. we look forward to working with the congress to pass the present's 16 budget and we expect additional progress as we execute against our new improper payments guidance during this fiscal year. thank you for giving me the opportunity to testify and i look forward to your questions. >> thank you, mr. mader. our next witness is miss berry davis. she is the director of financial management and insurance at the government accountability office. miss davis. >> chairman johnson ranking member carper, members of the committee, thank you for the opportunity to be here today to discuss improper payments and the use of death data to prevent payments to deceased individuals. in face cal year 2014 federal agencies estimated that improper payments totaled $124.7 billion. this represents a significant increase of almo

. >> when you look at the other competitors in the space, think about cloud, think about cm and think about workday. oracle, although it's a multi-faceted way to play it, crm's chart looks better and it's stuck in that middle between the market caps. workday is the smallest, oracle tease t 's the biggest. hard to turn around oracle. >> what does the chart tell you? because we saw this after the december quarter woshlg beat on revenues for the first time in like three quarters on that quarter. it went up, and then it basically gave up most of its gains until now. >> it had a move from 39 up to 46. and then it's been trading around -- and it's in the low 40s. i think the quarter was good enough. they missed epps, they missed revenue. even margins were a little disappointing. but at 13 1/2, 14 times forward earnings with the potential for growth in the space as dan just spoke about, that's why i think the stock is getting a bounce here. i think it does push up to those december highs that you just mentioned, 46 1/2. and? you recall, into december, this stock had been on a huge tear, prob

remind my friends on the other side that medicare is on an unsustainable path, identified by both the cms actuaries and the cbo. at the current rate, medicare will go bankrupt in 2030. i think it is irresponsible to add any benefit to a program that is not able to afford its current liability. adding this new benefit without any structural reform guarantees that the program will be insolvent faster than anticipated. as plants compete for senior citizen business, they will be able to provide values for our plans -- for their plans. nothing in our budget will preclude these plans offering these services. we see that in the free market there would be an opportunity for such plans to be offered. we also have seen from several states. under our budget, states would have the flexibility to fit the needs of their population. with state flexibility funds for medicaid, states would be able to do things like long-term care services. we know that 25 state governors have artie written to the house and senate in january saying, "we are convinced that the states would be provided greater flexibility ov

. >> tommy hasner, formerly with cms here is one of the things i've seen over the past year or so and the center for budget and policy priorities help make it more clear to me that consumers and navigators have an awful lot of comparisons to make both deductibles of coinsurance different co-pays. quite a few different co-pays and i was overwhelmed by how many they have to compare. i've seen one washington consumer check book center for illinois simplify that. wondering why solutions the panel house for that kind of dilemma confronting the consumers signing up for the affordable care act. >> i will turn to sabrina but let me ask him how many in the audience know what a navigator is? 's good member, but nowhere near majority. you might remedy that. >> just quickly the affordable care act requires exchanges to establish a navigator program. navigators are responsible for conducting outreach and education activities to let people know what's available to them and what their rights and obligations are under the law and also to help enroll people and figure out what they're eligible for a n

it is a part of cms. we couldn't function without the rest.gency runs. we are focused on evaluating the results and launching them in the portfolio. i think you will see a steady drumbeat of results and expanding models that work. one last thought we'd give you three reasons why it's important. i want to add one more to that list, so here is reason number four. all of us should we live long enough will become medicare beneficiaries. we can work on other areas of domestic policy and it would never touch you are personal life but if you live to the age of 65. but god forbid you you would become a medicare beneficiary. and that's right the delivery system reform actually matters because, in the brief time that i've been in the government can i have been admitted to a hospital myself and i've taken my children to see their pediatrician. we will all be patient since of this matters not just a matter of public policy and to your bosses but to all of us as individuals. again, thank you for inviting me. i look forward to your questions. >> thank you v

rick santelli joins us from the cm cme group in chicago. >> this isn't much different than we've seen mornings. the euro currency up powerfully 5 of the 6 last sessions. it's given up a bit of ground. as you look at intraday of tens you can see we're dipping below 1.90, open the chart up. we'll do several charts starting in february. look at the pattern there. and of course there's two levels below traders will watch. 186 from the flash crash in october of last year. current yield low for the year around 163 to 165. keep that date. look at the pattern of continue year rates minus bund rates. look how similar it is. that is not lost on traders. keep the same day look at euro versus dollar doesn't quite look the same but the mirror image does. look at dollar index, it looks very similar as does the or several charts. what traders are look at is high correlations with regard to movement because of what's go on with the ecb and maybe delayed fed. last chart is dax, somewhat similar, less developed. of course new home sales yet. at the moment 1.10 the stopper for euro and it backed away. p

cbo and cms said that is what we've done. republicans did do it in the past. we need to admit. >> okay. we said we would go to 4:00. it is a few minutes past 4:00. we will go ahead and get started. the first amendment is senator keating with his sequester replacement. >> we are beginning to vote yeah. people need like five minutes. >> mr. chair, would you mind if we took five minutes before beginning not? >> as long as we only take five minutes. and that is not rumble for us. -- not normal for us. >> are we taking a break? >> mr. chairman, are we taking a break? i didn't your conclusion. >> harden? >> are we taking a break? >> i was hoping not. how many requests are there to take a break? none. we will go ahead then. the first amendment is senator king. >> mr. chairman, this amendment simply creates a deficit neutral reserve funds in order to be a place keeper or finding a solution to the sequester which i think we all agree is not good either on domestic or defense side. it says that it should be both defense and nondefense and it allows spending cuts as well

members from doctors, as i mentioned from the postal service, we get reports from the treasury and cms as well. >> a report from the postal service, you're not getting a death certificate. you're having the postal service saying someone didn't get their mail? >> that's an unverified report we would need to verify that before we took any action. >> you wouldn't just say the person is not collecting their mail let's put them on the death list? >> we would possibly suspend benefits, we would not terminate the benefit. >> how long does it take to fix these? >> the process is for an individual who's on the death master file correctly. to provide evidence of their identity. we can do that through a scheduled appointment, so the individual does not have to wait, and usually it take ss an hour to complete. >> the problem is, that even if that is done the information is not proactively communicated to the commercial vendors, other banks, others that may want this information. which i think miss rivers is in that trouble. is there a way to do that? otherwise, we're relying on the service to go b

tony hausner, formerly with cms, the last two years volunteer with the affordable care act. one of the things i've seen over the past year or so the center for budget and policy priorities helped to bring it more clear to me that both the consumers and the nav gatorigators have a lot of comparisons to make the deductibles, insurance, the different co-pays, and i was overwhelmed by how many things they have to compare. and i'm wondering, i've seen one tool, the washington consumer checkbook, who has done it for illinois simplify that. but i'm wondering what solutions the panel has for that kind of dilemma that's confronting consumers who are signing up for the affordable care act plans. >> we'll turn to sabrina, but let me just ask how many in the audience know what a navigator is? good number, but nowhere near a majority. you might remedy that. >> sure. so just quickly, the affordable care act requires exchanges to establish a navigator program. navigators are responsible for conducting outreach and education activities to let people know what's available to them and what th