i think when we're able to link to the csrs, the bottom line information on the csr is going to make the bottom line review document much more efficient, more accessible and could provide a lot of efficiency to the review document itself. this is part of the broader reforms under way. we're trying to come up with a more consolidated review memo. a lot of documents made public at the time of product approval are different documents related to the different consultative aspects of the review process, so different components of the agency and the consultants, so you have multiple memos. we want to work in the direction of coming up with a more consolidated memo so you have a more team based approach and everyone's working together to consolidate that explains the agency's filus fae where you have one document where you can see the consensus. having the csr available, being able to link to it makes it much more feasible to come up with a consolidated document. just to finish, so that's one virtue of doing it. and that's sort of an efficiency. but the other is that the csr is one level ab

it's in the csr. so, if we make the csr public, this should be good, and the data are already aggregated there with an individual participant data, the data aren't already aggregated. you would have to do it yourself and we do have some ways of getting access to that, including y.o.d.a. so this is risk of bias. and this is a complicated graph, and if you're interested in it, you can go to the original publication. evan, who's in the audience, is the first author. each of the trials, of the 20 trials that i mentioned, we're going to assess, are these good trials, what's the risk of bias. and so for each trial, sometimes there is only one publication. that's where there's a dot. and where down below i use this pointer but there are multiple screens. so, sometimes there's only one publication or report, and sometimes there are lots of them. like that one out on the far right, saying 2013. and what you see is on the inner circle, you see, if you only looked at one, what's the worst case situation? and on

filled my inbox more than the insurance company is, how upset they are we have not taken care of their csr, basically a subsidy from the federal government for the exchanges. we're talking about solutions today. i don't think there is a one size fits everybody resolution.

you know, he's starting with the csrs. he's assigned someone to look at 100 complete response letters. he seems to have a few ideas on how to get the companies to move forward. you know, he seems to be saying that part of the deal will be a different, maybe more coherent review if they sign-up for this. but what are the kinds of things that you think people can do, maybe not just investment community but others if they want to support what the commissioner is doing and really see him go further? >> well, i think it's a matter of public policy. i don't think this prisoner's dilemma can be solved by exporting companies to release information. they're not going to unless everybody else does and everybody else isn't going to unless they have to for some reason. so it seems to me that i'm not the expert on the legalities here, but mulultimately it fallo some kind of legislation or policy decision by regulators to say we are going to make available this information or we're going to require that companies make available certain

know, as the chairman said, short term csr's are not something we want to do. but again, if this what does not pass now, a federal government will shut down. this is no time to shortchange our first responders, our military, as we continue to recover from natural disasters throughout our country. and, again, response to the threats that face us abroad. this is no time to shut down the federal government. allow to shut down and put all of that in jeopardy. it allows us to continue to vulnerableost families, especially our veterans. this is not the time to let them down by shutting the federal government down. it also funds medical care for millions of children. and supports missions of critical defense activities. this is not the time to let them all down and shut down the federal government. this short-term csr will allow us to work together to find common ground. something else, mr. speaker. i want the country to know that we also have to solve the issue of active. -- of daca. fault,des have been at of refusing to sit down in good faith to negotiate a solution

>> the csr -- our recommendation has been to drop the medicaid extension to 100% of the federal povertyen put in an exchange and subsidize. it would cost $20,000 a year. help people understand how to purchase insurance. and if they move up the socioeconomically, they do understand that. there is some bipartisan support for that. >> is vertical integration in health care, in delivery management payment, the future? >> i don't know. clearly, it is being discussed a lot. our view is that at a minimum, it is important. aligning the incentives and enabling the suppliers and the intermediaries to be more aligned towards joint value creation for individuals. that is what we have been all about. an example. we have 500 collaborative relationships in the u.s. baseband 33 states. there with primary physician groups. we work with them, sharing information and sharing care coordination resources. nurses. case managers, etc.. we like that model a lot. putting the customer up front and center. driving innovation. and getting the best of both organizations through alignment. we think that is a winning

filled my inbox more than the insurance company is, how upset they are we have not taken care of their csr, basically a subsidy from the federal government for the exchanges. we're talking about solutions today. i don't think there is a one size fits everybody resolution. the country is complicated. health care in miami, florida, is different than it is in rural ansas. [captioning performed by the national captioning institute, which is responsible for its caption content and accuracy. visit ncicap.org] [captions copyright national cable satellite corp. 2018] the secretary: good afternoon -- sarah: good afternoon. i'd like it start today's briefing by bringing up treasury secretary steven mnuchin. the i.r.s. is releasing new withholding tables which is great news for american workers. we're going to be keeping more of their hrd be a earned money as a result of the new tax cut law. and the secretary will get into those details on that and then answer a few of your questions on thatting to in. then as always, i'll be back up here to take questions on other news of the day. mr. mnuchin: thank

winning is finding a solution on daca, on military spending, on disaster, under csrs. why i'm hopeful is that i think we're close to opening up the government, but we're also close to getting deals. >> what is the president's role here? have any of you heard from the president? >> whether or not this is enough for the democrats to come along will be determined by what conversations the two leaders have before the noon vote. if we can get firmer language, i would encourage him to try to. if they can get language they're comfortable with, i think we'll have the government open. >> let me just add one point. first of all, i do think it would be helpful if the language were a little bit stronger because the level of tension is so high. but you have to remember that initially the majority leader was not talking about this issue. so he has moved the republican leader has moved to accommodate the concerns that had been raised. and i think that the democratic leader needs to give him credit for moving on the daca issue. but it would, at the same time, be helpful if senator mcc

on your csrs. why i'm hopeful is i think we're close to opening up the government but also close to t getting deals. >> just let us add to that. >> whether or not this is enough for democrats to come along will be determined by what conversations the two leaders have before the noon vote. if he can get firmer language, i would encourage him to try to. if they can get language they are comfortable with, i think they will be open. >> let me just add one point. first of all, i do think it would be helpful if the language were a little bit stronger because the level of tension is so high. but you have to remember that initially the majority leader was not talking about this issue. so he has moved. the republican leader has moved to accommodate the concerns that have been raised. and i think that democratic leader needs to give him credit for moving on the daca issue. but it would at the same time be helpful if senator mcconnell's language were stronger. >> senator collins, you had a side -- i think thi

what is winning is finding a solution on daca, on military spending, on disaster, on your csrs, why i'm i think we're close to opening up the government but we're also close to getting deals. >> what is the president's role here? have any of you heard from the president? >> whether or not this is enough for the democrats to come along will be determined by what conversations the two leaders have before the noon vote. if he can get firmer language i would encourage him to try to. if they can get language that they are comfortable with we'll have the government open. >> let me add one point. first of all, i do think it would be helpful if the language were a little bit stronger because the level of tension is so high. but you have to remember that initially the majority leader was not talking about this issue. so he has moved the republican leader has moved to accommodate the concerns that have been raised. and i think that the democratic leader needs to give him credit for moving on the daca issue, but it would at the same time be helpful if senator mcconnell's language were stronger. >>

filled my inbox more than the insurance company is, how upset they are we have not taken care of their csr, basically a subsidy from the federal government for the exchanges. we're talking about solutions today. i don't think there is a one size fits everybody resolution. the country is complicated. health care in miami, florida, is different than it is in rural kansas. diversehas a hugely population. the incidence of preeclampsia in south texas is different in oberland park -- then preeclampsia in oberland park, kansas. we need a safety net for those people that don't have health care. we need a safety net called medicaid that needs to be prioritized for those people that needed the most. host: we go on to gina in mississippi. a republican. caller: good morning, doctor. guest: good morning, gina. caller: i would like to reiterate what the congressman, mr. marshall, has said about the pit -- care patients get now in the hospital due to all the paperwork. i have been in the hospital two in the last -- two times in the last year, and both times i was asked by nurses if i could wait when i ca

we may or may not see the funding of the csrs. don't think there's that much momentum in the senate there's some rumblings in the house to get that done the main thing is about a million or so people not subsidized are in a place where they don't have subsidized coverage to go into the exchanges. but now we have associated health plans, the selling of insurance across lines >> is that game changer? >> it's meaningful, not a game changer but enough for someone who is a sole proprietor even if he doesn't have employees working for him. they can buy a $200 a month policy that's relatively affordable >> one thing we've seen is the individual mandate disappear because of the tax law changes i've been reading republicans are trying to figure out a way if they can get rid of the employer mandate if that would happen, a lot of big businesses probably wouldn't change but small businesses might. would that change the guidance you might anticipate >> more small groups, united is not that much in the under 50 market anne them and the blues ar

you got a problem you can guess the direction of the error and second big issue coming our way is the csr bailout subsidies et cetera and what is the assumption of cbo -underscore there. present and the cr payment and how will that be scored as if he's any number or as it is continuing them. >> we been treating it as an entitlement. it remains there unless we get something different we are assuming that the money will be found somewhere because it's an entitlement. >> right and that brings us back to the whole health care debate in the score they are again i just don't feel like we got a systematic, sheltered at the highest rate quotes $39000 all in the family of four guest access and that's not sustainable and we would like your economists to say the way you are going the best economics are not sustainable in addition to showing us the merits of technical bills and the big programs social security and i'll add one other piece interesting to me is immigration is a huge issue coming our way. we are all debating that and have you done any scoring on the total cost of illegal immigration yet