in 2001, cms put out a statement, keystones of lym phd ema. keynotes are elevation, compressio exercise. enurage patients to use compression garment between pump sessions to prevent reaccumulation of fluid. despite this statement in 2001, 1years7 years ago, there is stio solution. mr. secretary i'm just asking you please, after six years of working on this myself, a commitment from you, is needed by the people who are watching today, live streaming this hearing, commitment from you, to help them solve this problem, please. >> congressman reichert, i will work with you to see if we cap solve this certainly if it is legislative fix, work to provide technical assistance. >> thank you. >> mr. lewis. you're recognized. >> thank you, mr. secretary, thank you for being here today. less than a year ago, your predecessor, a former member of this committee, sat in that very chair and defended a budget that protect every promise to the sick, the elderly, and working families. last year i fought the administration budget was mean, spiteful as it tried to

and facilities closed by cms. we haven't gotten any better. what happened was that the direct service facilities in south dakota that have been accreditation for a period of time, it came -- the loss came even after cms and ihs partnered together to provide more quality tools and access to the hospital engagement network and other telehealth capabilities. it is so bad in south dakota and in the great plains region that tribes in neighboring nebraska have been set up and are waiting for ihs to fix their hospital which has been without cms accreditation since 2015, they've started to take over their hospitals themselves. my tribes are too poor to do that. they don't have the resources or the dollars to do it, and it is an emergency situation. as many asinine of my constituents have died in ambulances traveling to other facilities over 50 miles away because the other facilities were closed because of such poor quality care and people continue to suffer and die because of this inadequate leadership. i am pleased that

cms payments around it is an important one.ays you think we can do incentives to drive away from opioid treatment is good. know about the barriers on reimbursement of non-up your treatment. -- non-opioid treatment. we areto make sure removing any barriers and our own department to that. great if you are willing to work with us and i can stay in touch with your operation. there are barriers that exist. i appreciate that. i yield back. >> you are recognized. i thank you for coming today. hopefully this is the beginning of a very constructive working relationship. let me throw a few issues that are paramount in my mind. i come from a large, rural, western wisconsin district. health care is very important. yet constituents would be concerned with $2 trillion of proposed cuts that we are seeing right now. the ministrations budget affecting medicare and medicaid funding. lost 83 world hospitals. there are more than 700 on the very vulnerable list right now. they are operating on a very thin margin. it could meants, life or death for

but when i got to cms is, leslie was there. i think medicare advantage was 5% of the program, it's now 35, 36% of the program. m what really amazes me is private, i love cms, i love medicare and medicaid, but when the people are writing checks off the treasury, the behavior's different. the main thing about medicare part d which we spent a lot of time creating is some third party capital is at risk. people behave differently. if i gave humana or aetna $15,000 and said call me next year, magically, they're focused on only spending $14,000. medicare's not run by the government, medicare's run by blue cross plans. you get your medicare check and traditional medicare, you get a check from blue cross of florida. they write checks occupant of the treasury and get paid a 1.5% administrative fee and they don't care because there's no money at risk. magically, they care a lot about the costs. so behavior changes dramatically when somebody has their money at risk, and that's whether it's a nonprofit blue cross or aetna or humana, it's al

go to doing anything now that cms is allowed all the claims data to be used? will those claims data and quality data combined perhaps change behavior if that information is packaged appropriately to either insurers because they direct or employs come because a direct their invoice to particular places? is a used to develop a different benefit design soak enrollees who want to have higher cost care actually pay a higher portion of it whether it's coinsurance or a copayment? do you differentiate levels with the provider network based on the price and quality you're paying whether you are in insurer, the government or an employer? a lot of different things you can see changing the future that might involve consumers more and bring in more competitive intelligent market where individuals get better health care at a lower cost. >> just a couple of things. what of the things you do to make market more competitive, laws are not helpful to competition. >> a particular need. >> i really hope that economists will study some of the certificates of public advantage that h

northeast england, some places could see 5—10 cm. -- 5-15 —— 5—15 cm.g, for central parts of scotland. at the east showers continue, they will be frequent and heavy. more in the way of sunshine, but it will be a very cold day, today might be the coldest of the week. factor in the wins, it will feel more like —5 — minus ten degrees celsius. this big area of low pressure is being named storm emma, it will work its way slowly up from the south full of moisture as it bumps into the united kingdom, it will turn into snow. particularly the southwest of england and into north of wales as we head to the course of thursday. meanwhile there will be further heavy snow showers across the eastern side of the country, in particular northeast england and eastern scotland. we will have to amber warnings in the afternoon, one across the northeast and this new one across the southwest, this know will be heavy, prolonged, and disruptive. another cool day in store, particularly factions of winds, gale forces of southeasterly winds will make you feel very cold. quick snapsh

again, we could see you 5—10 cm, maybe more in places.now showers a little bit further inland. the winds of swing around to a southeasterly direction, so it means the southeast may have escaped them. again, another bitterly cold day for all, with his temperatures really struggling. add in the wind chill, and it will feel well below freezing out there. as we moved out of wednesday and thursday, we still have a frequent rash of showers across the north, but ijust want to draw your attention to what is happening down south. there is an area of low pressure set to move in, and asa area of low pressure set to move in, and as a bumped into this air dash area, it could bring more persistent, heavy snowfall. there is still a level of uncertainty as to where this area of low pressure will tend to settle, moving up all the way from iberia across france as a bumped into the cold air for way from iberia across france as a bumped into the cold airfor a time across central and southern england and northern ireland, so we could see some significant snow

again, we could see 5—10 cm, maybe more in places.zard like conditions, and it may drive a snow showers a little bit further inland. it may be the south has escaped the worst of it, again, another bitterly cold day for all, with temperatures really struggling, and add and the wind, it will feel well below freezing out there. as we move out of wednesday into thursday, we still have a frequent rash of showers across the north, but ijust wa nt to showers across the north, but ijust want to draw your attention to what is happening down to the south. there is an area of low pressure thatis there is an area of low pressure that is set to move them as a bombs into this cold air, it could bring more persistent heavy snowfall. there is still a level of uncertainty as to where this area of low pressure will tend to settle, moving up all the way from iberia across france as a bombs into the cold airfora time across france as a bombs into the cold air for a time across central and southern europe —— england and northern ireland, we could see some

we could see as much as 5—10 cm of snow. that could affect the commute into the london area.land, as well. stay tuned to bbc local radio stations, particularly early in the morning. it looks like the snow showers will be continue to be brought along by a brisk north easterly breeze. a brief lull in proceedings across the southeast, but certainly going to have an impact throughout the day. it will feel bitterly cold out there for all of us with that those temperatures really struggling. most of the sunshine, perhaps, reserved for the west. as we move out of tuesday into wednesday, we stop met 0ffice amber weather warnings. be prepared for destruction, but the emphasis changes. i went to the northeast of england and affecting eastern scotland. again, we could see widely 5—10 cm, maybe more in places. the winds will strengthen, as well. that will create wintry conditions. i will drive the showers for england. —— further in land. it may be the southeast this gives the worse. another call today for all with the temperatures really struggling. add in the factor of the wind, particu

. >>> (gritos) >>> entonces deberÍa de ser alco con sentido cm pero no lo es, tengo que venir a hacercre colectiva, cuanto indignaciÓn. >>> es uno de los que subastan. >>> esta arma fue subastada por u una. >>> ealizada, con este tÍo de ritmo. contribu♪(mÚsica)♪ ♪(mÚsica)♪ messi messi messi messi messi musi messi>>> no les interesa lo que esta pasando.>>> el mismo tipo usado por maautor 17 personas. >>> en un echo donde murieron 25 personas, cierto un lo uso en colorado. >>> fue uno de los artÍculos que se podrian adquirer >>> todavÍa estan rifando esto e no sabe la gente que proboca. >>> la indignaciÓn de mucha gente despertaron. >>> fue proridad pre otro fueron sus libertades. >>> no estamos viendo lo que sicnifica hay una libertad de expresar su opiniÓn. >>> hay qune dicen que serÁ el silencio que acabara destruyendo a la sociedad. >>> esos un mal momento, cuando todo un paÍs esta de luto. >>> uno de los voceros del event evento. >>> ♪(mÚsica)♪ ♪(mÚsica)♪ >>> a sido un mal dÍa del trabajo no se compara con lo que pasaron dos hombres, quedaron colgados a 255 metros suhubieron a la a

if we look at a few of the relations of snow, we could well see around 10—20 cm of snow, particularlyit looks like later in the week, the next area of low pressure moves in from the south as it bumps into that cold air in place that could well see a smell a particularly heavy and widespread snow through thursday and into friday. do keep tuned to your latest forecast. this is news today on the bbc. i'm rico hizon in singapore, the headlines. smiles at the closing ceremony — but a reported offer of talks from north korea is pushed back by washington. it comes as the winter olympics — which mixed sport and politics right from the start — draws to a spectacular close. i'm sharanjit leyl in london. also in the programme: two murders as tensions rise at a rohingya camp in bangladesh. we have a special report. the complaints are growing in number. a fight between neighbours overfood number. a fight between neighbours over food and shelter, enter camp rivalries over a that's arriving almost daily. could he rule for life? china's xi jinping might continue as president indefinitely — under chan

the essex and kent and the other up into the far north and east and so we could see as much as 5—10 cmese two areas. this is due tomorrow. there will be some disruption, amber weather warnings to be prepared for some disruption. the emphasis changes as we go through the week. on wednesday, we are looking a potential for that's not to threaten further north and east. still snow sours, not to threaten further north and east. stillsnow sours, but not to threaten further north and east. still snow sours, but got frequent snow showers. the difference on wednesday is that it will be wetter snow. it will be windier, so that's good adrift and it could push the snow showers further inland. this will affect northeast of england and scotland. top of that, you have to kind of the mixer you pinpoint the three areas. thursday into friday could be significant snow, as well. this is a really deep area of low pressure that will move up from spain and france. one of the leading edge of that, because we have had a week a bitterly cold, dry air, we could see some significant snow quest central and souther

s wife's consulting company got nearly a half million dollar contract from cms, no-bid contract.ses some concerns. >> now this gets reported. ben carson jr.'s wife gets half a million dollar contract for consulting, so she's getting that payment, how does this get stopped? how does it get investigated? because we always hear when it comes to the trump family, everyone else has rules but not the president. how about his cabinet? besides everyone being offended, what are the ramifications? >> well, it adds to the list of, as you said, these growing issues with people in the cabinet. this is not just about the trump family. there are certainly echoes, what we are seeing with this very active role taken by the carson family certainly reminds one of what one is seeing in the white house with the trump family and of course, the kushners as well. so this really does just seem to be the way that business is being done with this real blurring between the public and the private and official business and family business. as far as where it goes from here, it really just, you know, it falls

northeast england, some places could see 5—10 cm. quite red spread.ignificant disruptions for scotland in northeast england as these showers will continue. they will be frequent and heavy. further south, showers around but it's good to be a very cold day. further south, showers around but it's going to be a very cold day. i think today might end up being the coldest of the week. factor in the wind as well, going to feel more like —5 to maybe —10 celsius. bitterly cold. now we look to the south as we head on in towards thursday. this big area is going to work its way slowly from the south. full of moisture. as it bumps into the cold air across the united kingdom, it is likely to be snow initially across southern counties. meanwhile, there will be further heavy snow showers across the eastern side of the country, particularly northeast england and eastern scotland. two amber warnings by the time we get to thursday afternoon. 0ne across the northeast and this new one across the southwest, and this snow will be heavy, prolonged and disruptive. another col

i think everything from medicare cms which covers what will and will not be paid for, as well as the fda approval of drugs, the federal government does have a role in our lives. regulations can go too far, but they are also there to make sure that the health, safety, and welfare of our country is what it is. we're looking to improve that in a way that does not stifle growth. forant a safe community ourselves, our kids, our grandkids. host: virginia independent line. caller: my question is twofold. a quick comment. i do not think we need to change health care. we need to look at what we haven't take stock of but we have. find the specific areas where the health care system is failing. my problem is the changes that congress keeps making is i do not know if they are in the best interest of the american people versus the insurance industry. i think every congressman before they tell us their plan is to tell us how much money they take from the insurance company, prescription drug company, all of the companies that have such high stakes in the game. how much money in contributions have y

when you get an 1115 waiver, cms, , it affords states more autonomy. we have long been barred from using medicaid dollars, for example, which a lot of these folks are covered by medicaid or have the potential to be. we've been precluded from using these dollars for treatment. these are the kind of things that can be removed through this 1115 waiver, one of the things replied to do them one of the things we've done. we've increased the number of bets by over 1000%. just in last couple of years. that sounds impressive but when you start with two smaller smala number that's easy to get to. let me touch on two things will get on this front. the money is there. we spend billions, trillions of dollars in healthcare. this is a health care problem. it really is. that's also a people health problem. we spend a lot of money there, too. it's a function of use. how do we connect people, the question is the people know to call? if they call their local facility and they're told there's not a bed and it with six much, , do they know with te backup is. we base of the

and amber warning remains in place, for northrup democrat northeast england, they could see up to 15 cmof the high ground. significant disruptions for the central belt. —— england. for the south, fewer showers abound, more in the way of sunshine, but it will be a very cold air, today is looking to be the coldest of the week, and if you factor in the winds as well, minus five degrees to —10 celsius. so bitterly cold. looking to the south as we head towards thursday, this big area of low pressure, being named storm, —— emma, full of moisture as it bumps into the cold air across the united kingdom, leading to snow initially across the southwest of england towards wales as we head into the course of thursday. there'll be further heavy snow showers across the eastern side of the country, in particular northeast england and eastern scotland. so to amber warnings thursday afternoon, one across the northeast and this new one across the southwest, it'll be heavy, long dead prolonged, and disruptive. factoring in the wins, we're looking at gale force southeasterly winds, making it feel very cold

we could see around 10—20 cm of snow for many areas particularly toward the east and perhaps even morebringing heavy and widespread snow from the south across much of the country by thursday. bye for now. this is bbc world news. our top story. the us has said it won't enter talks with north korea unless it gives up its nuclear programme. with north korea unless it gives south korea claimed pyongyang had signalled its willingness to hold talks with the us at a meeting before the winter olympics closing ceremony. there's been a suspected chemical attack in syria. activists say these pictures are from a hospital in eastern ghouta, an area under intense attack for a week. this video is training on bbc .com right now. this video is trending on bbc.com right now. the winter olympics, which saw such a mix of politics and sport, has ended with a spectacular ceremony watched by athletes and sports fans. norway finished top of the medal table, overtaking germany in the final event. that's all from me now. stay with bbc world news. now on bbc news, it's time for hardtalk.

we could see around 10—20 cm of snow, particularly around the east. more of that in some areas. area of the pressure bring heavy and widespread snow by thursday. bye for now. i'm rico hizon in singapore, the headlines. smiles at the closing ceremony — but a reported offer of talks from north korea is pushed back by washington. it comes as the winter olympics, which mixed sport and politics right from the start, draws to a spectacular close. i'm sharanjit leyl in london. also in the programme: two murders as tensions rise at a rohingya refugee camp in bangladesh. we have a special report. the complainants are growing in number. fights between neighbours overfood number. fights between neighbours over food and shelter sees aid arriving almost daily.

again, we could see why the five to ten cm, maybe more in—place is.the snow showers a little bit further in land. the wind swim around in a southeast direction so maybe the south eats up great... temperatures are south eats up great... temperatures a re really south eats up great... temperatures are really struggling. add in the factor of the wind, particularly as it strengthens and it'll feel well below freezing out there. now, as we move out of wednesday into thursday, we still have a frequent a rash of showers across the north, but they just want to draw your attention to what is happening down to the south. there is an area of low pressure side to move in and zip ups into this cold air, it could bring more persistent heavy snowfall. there is still a pumped into the cold air. we could see some significant snow. i'm sharanjit leyl with bbc world news. our top story: chinese censorship increases after the ruling party proposes changes to the law to allow president xijinping to remain leader beyond his second term. russia says there'll be a daily five

concerned will be the weather in north and eastern scotland, snow will feed him, some areas will see 10—20 cms across northern ireland into northern england, not as many showers as we have had across parts of lincolnshire and east anglia, and down to south, an area of low pressure spins in, parts of wales, and maybe other southern areas as well. on the thermometer, your attempt —— thermometer will struggle to read above freezing. will g r 2; ame weekend, 7 7 ii 2 the weekend, but 7 7 is... l. % will xlll l % will still on some there w'lllstillbelshowers on some of 7% —— and there w'lllstillbelshowers on some of has"; —— and some there w'lllstillbelshowers on some of 7% —— and some of those will of those —— and some of those will still be wintry. hello, you‘re watching newsday from london and singapore. i‘m sharinjit leyl london and singapore. i‘m sharinjit leyl. the headlines. another resignation. president trump‘s communications director hope hicks is to step down. it comes a day after she testified to congress. the children of parkland return to school to the day after a gunman walked in an

juvenile to help facilities in t plains area meet cms called it an accreditation standards. as a said before money alone can't solve those problems. one thing i hope to see included in the budget was a legislative proposal signaling the interest in working to reform the ihs structurally, like restoring accountability and ihs act that we've discussed previously. my question is, is that legislative solution something that the administration will continue to work with us on? >> we will sort of work with you on that. i've never been able to get deep into it myself but happy to work with you on that. >> as you recall we talk at her confirmation hearing about the final rule regarding application of competitive bidding rates and noncompetitive bid aerie for durable medical equipment. i realize you've only been sworn in for a couple of weeks, so i get that, but it wanted to ask you to please provide a status update on wind that rule would be finalized and whether the president budget proposal on competitive bidding which projects more than 6 billion savings takes that rule into acco

cm writes, teachers and authorities should not be the first line of detecting problems with kids, that their home and bethy e-mailed, parents need to do their jobs and be parents, they need to be involved involved involved in kids' lives, stop pointing fingers. obviously a lot more to get to on that topic and a lot more on the situation in parkland, florida, of course, russia investigation, big hour coming up. "fox & friends first" continues right now. ♪ >> we lost 17 lives and our community took 17 bullets to the heart. march for lives will be in every major city and we are organizing it so students everywhere can beg for our lives. >> as the gun control debate heats up in washington, prosecutors are now debating whether or not the admitted school shooter should face the death penalty and today e we could learn more shocking details about nicklaus' cruz's troubled past. >> president trump says the mueller team indictments for russian meddling prove that there's no collusion, even democrats admit the obama administration should have done more but wait until you see how they are stiming

cm getting old. but that journal. let me mention because i had been planning to do this all along the press publishes important books that are very significant and in the scholarly area in which they are published they are really appreciated. every once in a while we publish a fun book. this book was reviewed in the new york times book review but they couldn't spell out the whole title for some reason. the title story a neighbor said to the farmer i don't want the boy hanging around. and the father said what's the problem. they get along fine. i just want to keep them away. he spelled his name. the neighbor says that is not that big a deal. and a lot of good stories in there. that is a good one. i recommend it. i would just like to say that i copy edited that. it took one whole day. i have another question some of our journals are sponsored by the lenox society. and society. and some of them had associations given that it is no longer populated largely and became permanent what do you see as the impact of the society

shutdown, because of that delay, rand paul, the senate needs to get unanimous consent to do things, 99 cmanted to move this over to the house of representatives before midnight, rand paul said no because he wanted to make a point about the exploding deficits and that is why there is risk as to whether the bill will pass early this morning. there will be some republican defections. conservative members especially members of the freedom caucus don't like the extra deficit spending. they like additional funding for the military but also domestic spending they have a lot of problems with. this is why the top democrat on the committee on the appropriations committee says she likes the other things they are doing on this bill but the other day she cannot consider this bill in a vacuum. democrats want daca. nancy pelosi has been making that case, she took forth on the house floor for eight hours a couple days ago. a record-breaking speech, longest in-house history making that case for daca. you need to get this right, 150 republicans, 70 democrats but when you have someone of nancy pelosi's cali

block grant contract from the remainder of the substance use disorder contract that is overseen by cms. these are the same regulations and funding amounts just approved by the board as part of the larger contract last may, resolution number 159-17. >> supervisor fewer: thank you very much. seeing no questions. are there any members of the public who wish to speak on this item? seeing none, public comment is now closed. is there a motion? >> yes, i'd like to move this item forward with positive recommendation to the full board. >> supervisor fewer: we can take that without objection that we moved this item to the board with a positive recommendation minus the vote of supervisor cohen. thank you. mr. clerk? >> item number 7. hearing to consider the release of reserve found the office of the district attorney placed on budget and finance committee reserve in the amount of $266,645 for staffing in the independent investigation bureau. >> supervisor fewer: thank you very much. i believe we have andy wong? oh, we have representative from the office of the district attorney to present on this

warnings that have been issued by the met office, be prepared for some disruptions, we could see 5—10 cmuse more issues early on. tune in toa cause more issues early on. tune in to a local bbc radio stations if you wa nt to a local bbc radio stations if you want some travel in traffic updates. the snow showers are set to continue during the morning, being driven in by this brisk northeasterly breeze. the best shelters... but it is still going to be a cold afternoon with 0— 4 degrees at the very best. as we move out of tuesday into wednesday, the emphasis on snow showers dressed a little the further up north, and here we have another amber weather warning issued by the met office, with the northeast of england and it eastern scotland again, as much as 5-10 eastern scotland again, as much as 5—10 seven meters, this snow could be possible to the door, which could lead to some disruption. snow showers look likely on wednesday, being driven by a brisk easterly wind, producing some blizzard like conditions here, it will be eight —— better out there, particularly factoring in the strength of th

incur for providing services and equipment and i was encouraged in august last year when i saw that cms sent an interim final rule to omb that would mitigate these changes. however, this rule has been pending since then. so i want you to tell me in writing specific steps you are taking to make sure that the omb reviews and releases that rule. thank you. >> thank you, senator. >> senator stabenow? >> thank you very much, mr. chairman. welcome. first, i have to start, director mulvaney, and say i can't believe here you go again on the great lakes. i can't believe this. last year the administration zeroed out the great lakes restoration initiative which is a bipartisan initiative strongly supported in the house and the senate to make sure that we have dollars available for emergencies as well as water quality issues and so on, and after you zeroed it out last year, we put the full funding back in. strong support from the entire region and now you're back again with almost zeroing it out. so i just don't understand it. i know that last year you said this was a local issue, but believe it or

the things we've done in the administration this year as part of changes at cms have saved our seniors this year over $300 million. within medicare or medicaid and 17 for the first times 2012. >> on reimportation? >> we don't address that in the budget but there are other ways to get at this issue. i believe the president mentioned lowering drug rices in the state of the union address -- drug prices in the state of the union address. a doubling of funding for the fda, and asked her hundred billion dollars to work on -- and i are hundred billion dollars to work on genetic drugs . >> i know there are things he could do right away. his own commission that looked at the open your crisis recommended there be immediate negotiation to bring down the price of the locks on -- price one.olox thisconcerned that at point, i will conclude when we look at what is actually happening in the marketplace for seniors, because folks are not talking about prices going down, they're talking about prices going up. major windfalls from the tax cut. corporate rate was 35, 29. and others as well. i have not see

. >>> the dow and s&p 500 are near session lows let's get out flou to the cm aevenlt rick santelli forpecial jobs friday "santelli exchange." rick >> absolutely. thank you. i'd like to welcome harvard professor ken rogoff i'm so excited to you have on this jobs friday thanks for taking the time >> thanks for having me. >> you know, ed lazier is a frequent guest he drilled into my brain over many years that when the hours worked shrinks, it has a duel effect on jobs numbers a, it overestimates job creation and, b, it makes any rise in wages less potent. today we had a drop in the hours worked and we had a nice jump in wages with solid job performance. can you equate that with the two points i brought up and tell me your impression, professor >> ed lazier is right. if you're cutting back on the number of hours more people can work and on the other hand if they're working less hours, there's less consumption, but, you know, it was still good news that wages were going up >> absolutely. you know, if you look at things that are supposedly purportedly give us insights and how many fed tighte

with us and a particular waiver of this kind, we can also streamline polling goes out and working with cmsor more extradited approval around those more concrete waivers, so this doesn't have to be cotton up in broader waiver discussions that we had to cost up in broader waiver discussions that we have to have. caught up in broader waiver discussions that we have to have . part of the title of today's session is, what's working? hhs is always dedicated to advancing our understanding of what does work. we already know some important facts. one of them is this. medication assisted treatment works. the evidence is luminous and ever-growing. one study from governor baker's state of massachusetts found that putting survivors of overdoses on medication assisted treatment, along with the appropriate therapy and social supports reduced fear the chair -- reduced further chances of death by more than 50%. that is a remarkable number of lives saved and speaks to the number of lives we could be saving -- by expanding access to treatments that work. hhs has been long dedicated to promoting access to and

. >> cms is running the stores independently.t give them the punch they need to be impactful. even though e-commerce is growing dramatically we are still going to have brick and more for off line. 45% of what we are going to buy in 5, 10, 20 years is on that front. whole foods was the starter on that front >> what is the king of tech? >> google, the oxygen of the internet and fang stocks, with the skpepgs of netflix i am a firm believer in those. >> time for the final trade. bitcoin below $9,000 right now tim seymour final trade. >> a big relief in apple so much cash to put to work. those numbers look fine. apple. >> siebert. >> massacre card top payments pick of the year. >> brian kelly >> you buy ea. the kids like the games not the barbies and the fisher prices. this he like to may video games. >> three red phones? who can -- this guy is unbelievable old school >> brilliant >> you know what else is brilliant. goldman sachs left and right >> i'm melissa lee, thanks for watching >>> my mission is simple, to make you money i'm her

yesterday, the cms act wary report on national health expenditures project that is will continue to grow at 6% per year. 6%. nobody believes that our economy is going to grow at 6%. so what that means is this program is going to continue to consume ever greater share of federal spending and the economy. if we don't do something about it. one of the things we might consider doing about it is restructuring this program so that there are federal government caps on spending on a per capita basis. of course is a completely bipartisan idea. first floated seriously by president bill clinton, supported by donna slal lay and howard dean and the american pediatrics and at one point every democrat in the united states senate supported establishing these per capita caps in a restructure of medicaid. your budget, as i understand it, further would allow this per capita cap to grow every year and you would tie it to a measure of inflation that we might actually be able to keep up with. so the net effect of all that is that medicaid spending every year would grow. medicaid spending per beneficiary would

it is pulled off, paid to cms, for the recovery of what the government spends on program.o when people are mad at about chargingrs too much, taking too much you really understood the drug network, you would it is not the pharmacys that are getting rich, our own government has their that excessive cost that everyone is paying. albany, new york, an independent. ken just a minute left here. go ahead. caller: yeah. i just want to say that i think lobbyists in this country rights n away all our lobbyists in ss washington. rights, tripped of paying too much for medical and we are now stripped of our rights, paying way too much for .ur medical, for drugs it is important that everyone in this country has access to proper health care. if we are not providing health care and continually pumping money into the military, which is necessary, but it is also necessary for us to have healthy citizens in the country. have totallythey taken away our ability to take care of ourselves. host: we will leave it there. we will be back tomorrow morning at 7:00 a.m. eastern, 4:00 a.m. pacific. [cap

incurred for providing serviceses and equipment and i was encouraged august of last year when i saw cms sent a rule to mitigate these changes and it has been pending since then. so i want you to tell me in writing the specific steps you are taking that omb releases that rule. >> thank you. >> thank you very much. welcome. so to start director mulvaney, i cannot believe here you go again. this last year the administration zeroed out the great lakes restoration initiative which is a bipartisan initiative strongly supported in the house and in the senate to make sure we have dollars available for emergencies as well as water quality issues. after last year he put the full funding w back in with strong support and now you are back again. soso i don't understand it. maybe if it was a local issue but there is another country that cares aboutsu this called canada we have initiative with eight states it is local and federal and international with the administration doesn't seem to understand so explained this to me. and we did zero that out last year. with $30 billion in with the chesapeake bay

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i think everything from medicare cms which covers what will and will not be paid for, as well as the approval of drugs, the federal government does have a role in our lives. regulations can go too far, but they are also there to make sure that the health, safety, and welfare of our country is what it is. we're looking to improve that in a way that does not stifle growth. forant a safe community ourselves, our kids, our grandkids. host: virginia independent line. caller: my question is twofold. a quick comment. i do not think we need to change health care. we need to look at what we haven't take stock of but we have. find the specific areas where the health care system is failing. my problem is the changes that congress keeps making is i do not know if they are in the best interest of the american people versus the insurance industry. i think every congressman before they tell us their plan is to tell us how much money they take from the insurance company, prescription drug company, all of the companies that have such high stakes in the game. how much money in contributions have you t

. >> did cms give a coverage decision on what we are finding in a lot of areas in health care is we get fda approved products and we get delayed payment decisions which is preventing access to patients. that is a big problem and if that is the case i would appreciate knowing about that because we try to have some impact on that. dr., i was interested in your testimony talking about continuing education for a physician. is there anything the federal government can do to encourage what i would call ground-level training? medicalople are out of school and practicing, i have been talking about the association of medical colleges traininglementing more programs for assessing pain and properly treating pain in medical schools and residency programs. do you have thoughts on that? problem --the bigger doctors in their 20's or 30's come of age during the opioid epidemic and many have lost friends to opioid overdoses and less likely to fall for the nonsense that you can prescribe. the bigger problem with doctors my age and older have drilled -- we didfor 15 years prescribe more and more. >> and i

it's a program that allows us to basically identify in the cms data base for medicare, people who are dependent on durable medical equipment. so based on requests from states, we can provide actually very specific information where these people live by zip code and by address, in cases of irma, florida was able to do a reverse 911 call to those people at risk well before any evacuation orders were put out to the general public to advise them that they should consider leaving before things got worse. in the cases of maria, we actually used that data to identify on the islands of st. thomas, st. croix, people who were dialysis dependent and after the storm passed, we were able to basically link up with the urban search and rescue teams and actually recover dialysis dependent people and basically evacuate them to safety. so there's that part of it. one of the limitations currently is that's only for medicare data. the state medicaid data is limited. we can do that if we have access to that and provide the same information. so that's one area that we can probably benefit from working with

snowfall has hit many parts of the uk, with the south—east and north—east of england seeing up to 13 cmthing called the ‘severe weather emergency protocol‘ which is activated in these conditions which means councils offer immediate shelter to homeless people. but is it working? let's speak to bryan gilchrist, he's 50 and has been homeless for 18 years. he lives on the streets of london. and sally huxtable and chris groves who say they beg because they can't afford to heat their rough sleepers flat. we will talk to them now. hello, thank you very much for coming onto the programme. good morning, brian, how was last night? it was cold. it started snowing really heavily at about two o'clock, i woke up at 6am with an inch of snow over the top of me. it was pretty cold. i heard that it was —10, minus 12. it was a chilly night. why have you not benefited from this severe weather emergency protocol where authorities would get you a roof over your head. because it isn't that simple, it is first come first serve. the one that i know that does it in westminster, connections, they come around mayb

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