challenges we see it the access could integrated data getting data from all the parties especially the medicaid data. the gas station and collaboration is working well, in michigan. in los angeles they've created a transitional pool that's actually being used in the hospital by case irks when there's a homeless person identified the transitional is used to access whether or not this is an individual who needs to go into supportive housing because of their chronic health issues what would be the best situation for them. in san francisco it's a captains of how do you link retinas with supportive housing to existing health care. and here this models very different from what we've supported of after the country with on site housing and on site health care. really the fact you've got those right next demeanor to each other we're seeing great outcomes as well. >> so we have about 20 years or more of research showing? effective and it makes me sort of think of homeless programs over time. you might remember all the money went into shelters and then the idea of getting people into permanent housing and or e

data might be? you expressed some concerns that some people who enroll or people who applied were i could already enrolled in medicaid. so how solid is the hhs data, and for mila, i'm wondering, something people here might be carries about is, do you envision any way at all people who have been assigned to go to help link to be able to go back if they want? >> so, to the first question, in terms of the data and you're right, the inability to actually do account transfers is not yet fully functional. it will come. not sure win. i don't know that's a catastrophe. i don't know that's a crisis. the issue i think you're getting at a ransom the data which is also the batch files that are common across, it's really more of a system hhs of here's who we think will be coming to you. and here's some information about this so that states can kind of better prepare some of the workload, do we need to staff up a call center? you know, and yet, so we've seen some challenges there. you know, there's a lot of challenges with everybody's data at the onset, so i'm not care but concerned about any of that. it will get cleaned up. it's

data might be? you expressed some concerns that some people who enroll or people who applied were i could already enrolled in medicaid. so how solid is the hhs data, and for mila, i'm wondering, something people here might be carries about is, do you envision any way at all people who have been assigned to go to help link to be able to go back if they want? >> so, to the first question, in terms of the data and you're right, the inability to actually do account transfers is not yet fully functional. it will come. not sure win. i don't know that's a catastrophe. i don't know that's a crisis. the issue i think you're getting at a ransom the data which is also the batch files that are common across, it's really more of a system hhs of here's who we think will be coming to you. and here's some information about this so that states can kind of better prepare some of the workload, do we need to staff up a call center? you know, and yet, so we've seen some challenges there. you know, there's a lot of challenges with everybody's data at the onset, so i'm not care but concerned about any of that. it will get cleaned up. it's

we, again, are working with them around a monthly schedule so that they will confirm medicaid data and enrollment data, and we'll see the real numbers at the end of the month and make sure that the -- they are available to the public, but everything we hear is that they see the same demand, they are eager to enroll folks, and that that is going smoothly. >> and what do you think this success shows about the demand and the interest for affordable health insurance on the part of constituents? >> well, i don't think there's any question that in spite of a series of roadblocks and blockades, and a lot of misinformation driven by about a $400 million marketing campaign last year, americans are eager to see what their benefits may be under the law, what their opportunities are, how to get health security for themselves and their families, and we want to make sure that they see those benefits. the website is one of the ways to do that. the call center, on the ground enrollment, personal outreach, are a variety of ways, and i would tell your colleague, mr. congressman, i'd be happy to get you

data will be? you have expressed some concerns that people who enrolled in applied rorty enrolled in medicaid. howl will that data be? do you envision any way at all for people who been assigned to go to health link to be able to go back to their previous coverage? >> the first question, in terms of the data, you are right. it is fully functional. it will come. i don't know that it is a catastrophe. the issues you are getting at around some of the data, factual errors that may be coming -- here is who we think will be coming to you. here is some information about them. so states can better prepare some of their workflows and call centers. we have seen some challenges there. there are a lot of challenges with heavy data at the onset. i am not terribly concerned about any of that. this is not going to be a huge problem i don't think. to theuld refer you affordable care act's provision that says that it may designate certain staff members who have to get their coverage through exchanges. the final rule showed as the source for qualified coverage for aney are eligible employee contribution. i welco

we, again, are working with them around a monthly schedule so that they will confirm medicaid data andenrollment data, and we'll see the real numbers at the end of the month and make sure that the -- they are available to the public, but everything we hear is that they see the same demand, they are eager to enroll folks, and that that is going smoothly. >> and what do you think this success shows about the demand and the interest for affordable health insurance on the part of constituents? >> well, i don't think there's any question that in spite of a series of roadblocks and blockades, and a lot of misinformation driven by about a $400 million marketing campaign last year, americans are eager to see what their benefits may be under the law, what their opportunities are, how to get health security for themselves and their families, and we want to make sure that they see those benefits. the website is one of the ways to do that. the call center, on the ground enrollment, personal outreach, are a variety of ways, and i would tell your colleague, mr. congressman, i'd be happy to get you t

data on healthcare.gov is secure. i am look forward to hearing from you, mr. chao, about the security issues today. the agency has a long history of maintaining information in medicaid medicare, and other areas and has never had a significant leak of information. they must apply with acts to protect information and the data collected and maintained by healthcare.gov. and like all federal agencies, hss is required to develop and implement process. we have found that cms has compco complied and they will talk to about about it today. the memo, mr. chairman, that you talked about that identified primary concerns, primarily an end to end testing. and a mitigation plan was outlined. i want to hear from the contractors and you, mr. chao, if these findings are being heated. unfortunately mr. chairman i have to raise one more issue in my remaining minute and that is the grand tradition of bipartisanship investigation. the committee last thursday received a memo from cms, red team documentation discussion, the majority didn't share with the minority until yesterday. just after they leaked this memo to the wash "washington post" afterwards. and mr. chairman you were quoted ta

. -- the center for medicaid and medicare services are replacing data center services from verizon communication with services from hewlett-packard. mark's data center experienced issues in late october that caused outages across the system. another story that talks about the website" it white house -- talksanonymously about the white house and it quotes a white house official anonymously. allies,use asked including enrollment are good, the service employees international union and land use the site not so they can install a new address times when demand exceeds the sites capacity. this comes up as the november 30 takes place this saturday. thank you means a time to talk politics. this is sandra. she is on our independent line. caller: hello. of ank it is a little bit disgrace to ask the american people to do with the be, toent's work should do it for them. it is disgraceful to ask the american people to discuss the health care business on their greatest holiday. this is our country. the liberties we have here, nobody has it anyplace else. it has been taken away from us. you don't think talking

the center for medicare and medicaid services fail to establish basic functionality, but healthcare.gov's flaws continue to pose a threat to the security of americans' perm data, and just on a personal note, when i went to healthcare.gov this morning, it was still not functional, but another website can tell me about plans available in my area. we know it was possible to do this. we are all wondering why it was not. thank you, mr. chairman, i'll yield back. >> the chair yields back. mr. waxman. >> thank you very much, mr. chairman. the last six weeks have been a difficult one for supporters of the affordable care act. many were prevented from signing up for the coverage they now qualify, and it has been relentlessly exploited for political game by republican opponents of the law. i was interested to hear the dpraiz in the two republican statements. maybe in all of them. we don't want a third world website. i'll tell you what's third world. third world in this country is when we leave millions of people unable to get insurance because they can't afford it. no other industrial country allows such a thing to happen, but that's what republicans who oppose this la

medicaid systems. my role has been to guide the technical aspects of the marketplace development and implementation, the fairly facilitated parkt place enrollment systems and the data services hub. i work closely with the private sectors, contractors, building these it components. i also work closely with my colleagues and cms who handle other aspects of the site, including the center for insurance and nfgts oversighted, which manages the business op ragtop ragtss. the chief information officer through management of a shared service called the enterprise identity management system. and the office of ch communications. to facilitate the functions of the marketplace, cms contracted with qssi to develop the hub and cgi to develop the federally facilitated marketplace. the hub facilitates information a consumer provides. with nflgs maintained by other sources such as ssa and irs. in addition to the hub, css contracted to build the federally facilitated marketplace system which consumers used for private qualified health plans and for programs like med cicaid and advanced tax credits.

point to make the data systems to work the conversation about housing or habitation or early intervention all those things aren't going to see the light of day when it comes to medicaid, 34th allocation decisions >> obviously from the extent of my analysis we've about that treating a lot of people with cold that anti biotics they - we've created a balloon system that no department can sustain. the san francisco city as a hsht controlled system in the country. so if you compare homelessness you have to say something's wrong. you can't ignore that so if they didn't dlu disclose that they're not doing their jobs. we can't spending send people to the streets we're stuck because we have not dpifrtd our income we're using general fund to pay for our housing when others diversity city's are oourgdz hud i don't condition the report to the health system was doing the job without delores those systems. we have to use our layers targeted services i think they did their job >> debt do you want to say anything about that. >> no. >> before josh goes i'm not familiar with the report. let me say two things. first of all, i think community annoyed to invest in data systems they'd the

medicaid costs are at an all-time lower rate. >> you can go through those points, and for those data sets you are talking about, some of those developments have occurred , but on the flip side, we see millions of americans lose their health care. millions and millions more see health care premiums going up. the price for some of these fixes you are talking about is phenomenally higher than we understood or was represented. isn't it time to go in and look at the areas of the law that are in thefailing? >> marketplace the rates have come than what theower congressional budget office rejected them to be. than actualot lower fact. >> those were projections of the rates so the rates were lower. much like we have heard the projections around medicare part d. >> are you saying in the individual markets, insurance rates are going down? >> i did not say they were going down, i said the rates are lower than was predict did, and for millions of people in the market a will for the first time ever .ave financial help >> we will have to move on. thank you. one of the toughest public service jobs i ever had was the elected insurance commissioner of flo

medicaid. you've got the numbers from the fbi. >> from the fbi as well. and they have dated it back to 2009. that's the best data they can get. anywhere, and it's a huge range, anywhere from 75 billion to 250 billion in existing health programs. stuart: that's medicare and medicaid. >> that's correct. stuart: forget obamacare. >> and other government health programs, correct. 75 billion to 250 billion. stuart: to a quarter trillion liz: right now health reform buried into the law, they're going to spend $350 million in taxpayer money to police health reform, to battle corruption and fraud and abuse in the system. stuart: okay liz: they're going to be auditing. stuart: this just rolls on, doesn't it? stay there, please, liz, a lot more coming. i'm going to stay on health care or health reform i should say. look at the insurer. nicole, show me one insurer that shows the story. nicole: i'd like to show you one with an up arrow. united-health group a great example down over 1/2 a percent and we're seeing aetna, wellpoint, cigna humana, down, down, down. and that chart actually tells the story because they fell off a cliff in midd

medicaid. costs are at an all-time lower rate -- >> secretary sebelius, you can go through those points and for those dataets that you're talking about, some of those developments have occurred. but on the flip side, we are seeing millions of americans lose their health care. >> that was republican senator mike crappo questioning kathleen sebelius just a few moments ago. sebelius is testifying in front of a senate committee about the rollout. she's also been answering questions about the law and whether the law is working. we continue to monitor that on the hill. meanwhile as republican lawmakers continue their angst over obama care, there's a new talking point. politico is reporting that the obama administration has ordered a study to determine whether the affordable care act will increase the number of people enrolled in the food stamps program since it increases the number of people eligible for medicaid. it's too soon to tell, but this much we do know to be true. right now 47 million americans are making ends meet with fewer food stamp dollars. the automatic cuts that kicked in nearly a week ago are f

the repeal caucus, but he's in favor of expanding medicaid, which makes him a moderate within -- on that side of the aisle. making a meal out of one data point, like eating chocolate cake for breakfast which i don't understand because i do that all the time. >> sounds great. >> what does that say to you, if anything? >> it says something about the particulars of his constituency that he's got a large constituency of people who could benefit from the medicaid expansion. >> and as loi the republicans do. >> especially in the deep south, texas, who have people who can benefit and they are fighting against expanding. >> yeah and i think as the rollout continues particularly if it i mproves that that tensin is going to get more severe. you'll see it from statewide already elected republicans. the kentucky exchanges perhaps the best functioning exchange in the whole country and mitch mcconnell is in cycle, leader of the party and supports full repeal of obama care. will that be the case come january, february march if you have few hundred,000 new enroll ees and people benefitting from medicaid in kentucky, will he run on a get rid of the who

data surveillance and intelligence. a couple of health care hearings to tell you about. the centers for medicaid and medicare services will be on capitol hill to talk about the health care law including the health care.gov rollout. it will be live on c-span at 10:00 a.m. at the same time on wednesday morning, hhs secretary kathleen sebelius testifies in front of the senate finance committee and secretary sebelius and other obama officials won't talk about the research and the updates that should be completed by the end of the month. you can see that at 10:00 a.m. eastern on wednesday. >> you are watching c-span2 with politics and public affairs weekdays featuring live coverage of the u.s. senate and on weeknights, watch key items and the latest nonfiction authors and books on booktv. you can get our schedules are websites nuking join in the conversation on social media sites. >> our series on the affordable care act in conjunction with kaiser health news focuses on what is happening with the insurance plans that are being canceled. this is 45 minutes. >> on this segment of the "washington journa

data on healthcare.gov insecure. i am looking forward to hearing from you, mr. chao, about these security issues today. record of has a long maintaining personal information about medicare, medicaid, social security, and many areas and has never had a significant leak of information. hhs must comply with the federal information security management act and national is a dude of standards and technology guidelines to protect information systems and the data collected or maintained by healthcare.gov. like all federal agencies, hhs ,s required to develop document, and implement an agencywide security program shared to date, our committee's investigation has found that cms has complied with every important security rule and guide line. they hired a small army of contractors to make sure the website is secure. they are going to talk to us about it today. the memo, mr. chairman, that we talked about at our last hearing -- that identifies some security concerns primarily a lack of end to end testing on healthcare.gov. it also outlined mitigation plan, when we learned that the agency was followed to mitigate security risks. so i want to hear from the contractors, and from you, mr. chao, i

for medicare and medicaid services, inflation adjusted health spending grew at a 2% annual rate over the three years since 2010. the lowest rate recorded since we began tracking these data in the 1960s. lower health spending helps with wages and jobs. fourth, the dramatic increase in domestic energy production is another opportunity for the u.s. economy. crude oil production has grown each year the president has been in office, reaching its highest level in 17 years in 2012. we've seen stronger fuel efficiency, and as a result of all of these advances, we learned just today that our domestic production of crude oil exceeded our net imports of oil in october. more broadly, the president remains firmly committed to an all of the above energy strategy, including progress on renewable energy as well. finally, the last favorable trend we have is that technology provides significant opportunities for long-term growth, especially in areas that benefit from the combination of mobile computing and increasingly fast wired and wireless internet connections. over the last four years, the united states investment in these networks has grown 40%, markedly faster than in europe and as

data for 1 through november 2. the numbers tell two very clear stories. in every part of our country, americans are very interested in affordable health coverage being offered through the marketplace and medicaid. even with the issues we have had come in marketplace is working and people are enrolling over the phone, on paper, and online. as of this first time, 106,000 americans have enrolled in qualified health plans through and 396,000ace learned they may be eligible for medicaid or chip. 975 thousand customers have made it through the process of applying and getting an eligibility determination and/or currently still shopping for a plan. is working.ace people are enrolling. i can't tell you that rarely a day goes by when i don't meet someone who have gone two, 3, 4 years without insurance. they say how waitress they are to get covered. maybe they are living paycheck to paycheck or they are locked out the cause of a pre-existing health condition. we see their interest reflected in the number of people shopping for plants. state sitesov and have received millions of unique visitors and call centers have received 3.1 million calls. expect thatnably these numbers will grow substantially over th

medicaid systems of varying scales. of te marketplace of element and implementation to facilitate a marketplace eligibility systems and the data services. i work closely with the private sector's, contractors, building these i.t. components. i work closely with my colleagues who handle other id and policy aspects, including the center for insurance oversight, which manages the business operations and makes policy decisions. the chief information officer that oversees the account creation on healthcare.gov through management of a shared service call the enterprise identity management system, and the office of communications which is focused on the call center operations and healthcare.gov. to facilitate the various thects of the marketplace, andfacility for secure -- addition to the hub, cms contract with cgi federal to build the federal facilitated market the places to which consumers use to apply for health coverage through private qualified health plans inaffordability programs. access the system at any one time. immediately address the capacity issues in the first few days and continued to work on and betterrovement user ex

maintenance standards to hospitals and physicians who collected data and how that equipment is kept and serviced. my understanding is a center for medicaid and medicare servicemen issue guidance telling hospitals that are free to vary from the manufactures maintenance recommendation on these types of devices. we cannot do with an automobile or refrigerator. these are highly specialized piece of equipment and when he devices improperly service, the consequences can be deadly. when a "new york times" series of 2010 raise concerns about patient deaths from improperly calibrated diagnostic and therapeutic equipment this committee held hearings in the matter. i'm concerned the weakening of equipment maintenance standards could have some severe consequences or patient safety and the party responsible for that device is the manufacture. if something goes wrong it's that companies in on the label even though they're not the ones who made the maintenance changes. i believe the fda has waited on this action by cms, is that true, dr. shuren? >> yes. >> can you discuss your positions on this? >> our concern is that the maintenance schedule is one pa

data from a relatively small number of states. what we can see from the numbers is that the medicaid enrollment is higher than people thought.er than the exchange enrollment and i think that there is a lot of reasons for that. the states that' that have a ste exchange, the states that are doing the medicaid expansion there is a pretty tight diagram of the states and they are in a strong correlation with the states and efforts to do a aggressive and targeted outreach. going out and looking at the beneficiary, people who are getting other types of local benefits you know who these people are and what their income is into the euro k. getting government benefits. will you reach out to them and say we have something you might be interested in was medicaid? it isn't a surprise they come back and pretty large numbers and say yes we are interested. while those numbers be sustained, like four to one or whoever it is? what we will see is the medicaid enrollment that we have seen will go down into the exchange numbers will go up. but in all what we are seeing is the numbers according to the states we talked to which is pretty much ever

medicaid systems of varying scales. of te marketplace of element and implementation to facilitate a marketplace eligibility systems and the datarvices. i work closely with the private sector's, contractors, building these i.t. components. i work closely with my colleagues who handle other id and policy aspects, including the center for insurance oversight, which manages the business operations and makes policy decisions. the chief information officer that oversees the account creation on healthcare.gov through management of a shared

medicaid. lowerare at an all-time rate of increase. >> secretary sebelius, you can go through those points, and for those data points, some of those developments have occurred. on the flip side, millions of americans are losing health care, millions and millions more see their health care premiums in the price for some of these fixes you are talking about is phenomenally higher than we understood where was represented. isn't it time to take a look at the areas of the law that are failing? >> actually, senator, in the marketplace, the rates have come in 16% lower than the budget office projected them to be. actual is not lower than fact. >> those were the projections. the rates are lower, like we heard senator wyden talk about the projections around medicare part d, the rates came in lower. >> are you saying in the individual market, insurance rates are going down? >> i did not say they are going down. i said the rate are nowhere then was addicted -- lower than was predicted and they will have some financial help paying for their health insurance. to have to move on. >> mr. chairman, one of the toughest public service jobs i ever had was the el

medicaid number, 460,000. what does that do to the 40,000, maybe 50,000 who signed up for obamacare? >> we know from the early data the people who have actually succeeded in getting to the shopping cart and pressing click, having insurance, the information sent to the insurance companies and become officially enrolled in the affordable care act, they are older, sicker and preexisting conditions and they're expensive. there are also people who are not purchasing private insurance who are rushing in to the states where there has been, the governors accepted medicaid expansion, rushing into medicaid. that is actually something that the government did not anticipate. the administration was hoping to see balance between those purchasing private insurance and those going into medicaid. so any real imbalance there, if we continue, if we get a fixed website, if people are able to enroll but they continue to choose medicaid over private insurance, that in the end is still going to skew it, make it more expensive to be privately insured and create the imbalance that could really crush the system that was apparently not anti

data center created to let the affordable care act. where a subcontractor to our teammate, creative computer solutions inc., or ccsi which is a prime contractor for the centers for medicare and medicaid services. our role with ccsi includes a number of objectives relate to security if i'm up healthcare.gov. i think the role as encompassing three phases. first is the creation of the security monitoring environment. this entails getting key staff in place, identifying needed security monitoring of software and hardware, and building out a dedicated security operations center from which all monitoring is performed. second, going to security money capabilities identified in phase one into the cloud environment itself. this has been the most challenging part of our contract because we've had to construct security mounting capability while the system itself is being built. our work on this phase continues. and third is actually monitoring the environment. which itself can be thought of as having two components. one is day to day. .. >> perspective is important. while our work for cms is essential, it is narrowly focused, and we're not involved this the design of the site, developing the so

data collection and surveillance programs. >>> on the next "washington journal." a couple of hearings to tell you about. the head of the center for medicaidservices will be on capitol hill to talk about the health care law. testifies before the senate finance committee about the health care website. secretary and other obama administrations say that problem with the health.gov westbound will be fixed by the end of the month. you can see that hearing on c-span at 10:00 a.m. eastern on wednesday. what is the most important issue congress should consider in 2014? that's the question for middle and high school students. the order comes after nine states denied benefit to the couple. secretary hagel -- during remarking at the antidefamation league on new york city on thursday. [applause] thank you. thank you. thank you. i am grateful for an opportunity ev spend a special evening in u.l of you, each of you. it's a privilege. it is a room, as i sat and listened and had an opportunity ds renew all old acquaints.and n it's a room full of warmth, friendship, love but a purpose. i want to thank this institution for what you have done for this countr

data around enrollment, which is why we haven't given it to date. >> the numbers were taken from the notes for those who were in the war room at the meetings with the medicaid services task who were implementing obamacare and that person walked out with notes that said there were six. there's actually five, five different issuers and six different people. >> i believe it is darrell issa and on the kelly file said this is what we're finding out. the reason it's not official is because the white house has chosen not to make it official. >> they certify it. >> all they have to do is say it is not true. >> it is not official because they didn't certify it. by the end of the first day they had 6. by the end of the second day they had 248. keep in mind for this thing to work and for them to meet their goal, they have to sign up 39,000 a day. by the end of the second day they signed up 250. jay carney was asked about, hey, what's the number going to be? he is now tamping down expectations, as well he should. watch. >> if you're asking me will enrollment be low, the answer is yes because that was always going to be the case. >> oh really? how come the first thing y

medicaid. they need to connect with the federal data service hub and carriers across the country. with that i will go ahead and give you a little bit of background on what we did in utah. so in 2007 and 2008, utah passed to the any willing language to build a health exchange, which is now known as the avenue age. the impetus was to provide a tool that employers could use to help mitigate the rising cost of health care in utah. one of the ways they did that was by establishing the contribution marketplace which would allow the employers to go by their employees with a set dollar amount every month that they could use to go into the exchange and purchase any health plan that was available in the exchange. it provided critics of the become a more options and more administrative cost to the employer and 40 employee to provide more choice, transparency and portability so if they move one job to another they could take their plan with them. it's been very successful. many of you know that utah has default it to the facilitated marketplace for the exchange but they have been given a waiv