the studies that have been so influential are based on medicare data. the starting point, a commitment has to be towards greater availability and the kind of information we need to make these judgments. we often understand the public plan, quite rightly, as a way of providing secure coverage. it also needs to be on the forefront of improving the delivery and quality of care in conjunction and coordination with a private insurance plan. these public/private partnerships that mr. shea mentioned. what hasn't been mentioned as president obama has rightly said the medicare facility, payment advisor commission should play a in role in improving medicare paying for certain services more efficiently and i believe medicare and the new public plan should be doing a better job encouraging the right care and quality care rather than more care. >> i want to say that as we move toward a national standard is important that these standards acknowledge differences based on race, american indians, thank you. >> thank you, mr. chairman, in my opening statement i did somet

this the amendment would promote healthcare provider transparency as well as make medicare and medicaid patient in cutter dataavailable. this amendment would make substantial improvements in health information technology by utilizing the same technology that atm's and debit cards have used as an effective tool to protect personal information while providing more efficient access to important information. to promote competition and fair pricing for patients, providers will be required to provide a cost estimate for non-emergency treatments for coke after the treatment provider, must furnish an itemized list for charges for such treatment at the time of billing. to encourage more research and accountability for public programs, the secretary of health and human services is required to make available to the public including tran internet web site data on claims and patient encounters under medicare and medicaid. this is all privacy protected. to cut them bureaucratic red tape and administrative waste is the amendment utilizes cutting edge technology to promote efficiency. every doctor's office including mine has

time ever at a cabinet level announced an interagency effort to fight medicaid and medicare fraud through improved data sharing, real-time information that will be available and increase the number of strike forces that have been successful in a couple of areas and we would like to see them increase their operations and the budget includes some recommended increase to help health and human services achieve our part of the bargain. we also have initiatives in the budget to move toward a central goal of health reform, improving the quality of care. the patient centered research that is funded in this budget helps give doctors and patients access to better information and better treatments, helps empower consumers and providers, so we hope that not only will we be looking at cost-saving strategies but improve the quality of healthcare for everyone. the budget invest $354 million in target activities to combat health disparities. senators, i just came from a dialogue with close to 30 stakeholder is representing various minority populations and communities who are very interested in working on closing the g

attorney general and i recently announced an interagency effort to fight and prevent medicare fraud through improved data sharing, joint strike forces and key areas of the country and increased operations. this budget includes increased funding to help hhs achieve our part of the bargain. the budget also helps mufasa towards a central goal of health reform. improving as congressman tiahrt mentioned the quality-of-care. thanks to chairman l. b.'s leadership the recovery act has already included in critical resources to buy health care seceded infections. as well as new support for prevention and wellness programs that can keep americans out of the hospital in the first place. .. . bob to support a wide range programs. the funding in hanses nursing schools, increases access to healthcare, works with minority and low-income students, and places an increased emphasis on ensuring that america's senior population gets the care and treatment that it needs. finally, the 2010 budget will support our department as it were to protect the health and safety of our citizens. as the recent outbreak of the new h1n1 flu

medicare patient can have it. we are already starting to see inside cms the utilization based on data but not outcome, because things cost too much. the data on cost compared to the effectiveness is very clear. all you have to do is look at it. all you have to do is look of the cancer survival rate. all you have to do is look at lifetime survivability at three first coronary artery event. it is clear. i'm happy to have cer in the air if we have the protections that says we will not have the bureaucrats telling a patient with a cannon cannot have. -- can and cannot have. i think we should do everything we can. i think whatever that, there should be helpful. a mandate is a totally different thing. when we mandate, we say medicine is a check in a box. we deny the fact that madison is personal, that passed -- that medicine dispersis personal, the positions experience -- physicians experience should have an overriding factor. we do not have these protections in here. i think we ought to have those protections. we are the have language that protect that. -- already have a language that protect that. i would suggest that w