she served as the acting in bad as trader for medicare/medicaid services. and with the medicare/medicaid programs and for four years prior to machine served as the deputy head minister with the implementation of the medicare modernization act provisions with the prescription drug benefit program. blast and but not least currently has an executive vice president caring for a blue cross blue shield of looking at the care coordination policy and the provided network said before he joined that senior leadership position served most recently passed spending most of his time at cms with the chief of operations which of course, puerto regulates not only the fee-for-service provision but the medicare provisions with the prescription drug benefit program prior to cms he served on the staff with senator baucus absurd as the vice president before he joined cms. thanks to the distinguished panel. so this is intended to be a dialogue to start off with a few questions there will be a lot of people who are interested in what is happening right now with a transition from wi

according to the centers for medicare and medicaid services--- spending increased 5-point-3 percent in 2014, and nearly 6 percent in 2015.some of the major payers in spending growth include private health ysiciaand clinical tion drug services, and hospital spending. cancer now affects more than 17-million people and is the second leading cause of death worldwide.new data from the university of washington reveals cancer cases increased by 33-percent between 2000 and aging population.prostate cancer was the most common cancer in men ... and breast cancer topped the list for coming up... serve and protect-- the number of new recruits that will soon join the milwaukee police department. and -- all aboard-- the two wisconsin cities where the canadian pacific holiday train is the milwaukee police department is swearing in 58 new recruits today.this is the second class to go through the academy this year. the recruits will undergo six months of training and are scheduled to graduate in early june. this class includes 46 men and 12 women. former brewers owner and baseball comminsioner bud seli

is technical d director at division of nursing homes at the center of medicare medicaid services. he helped launched nursing home overseen the operation since. he has also led the development f the five star quality rating system in nursing homes on the website. e worked extensively with academic researchers, government program evaluators and the press towards to use c.m.s. data so monitor changes in the population of nursing home residents and the oversight of nursing homes. so kristina, i would like to begin with you. you published a report that looked at the star ratings n different nursing homes and one of the interesting results that you reported in your that the as the fact states that have higher roportions of low income seniors tend to also have higher of lower rated nursing homes. do you think that is? ristina: well, yes, we did have that finding. i think it relates to the types of of the nursing homes that are in those states. found, for example, that for profit nursing homes tended have lower, the larger shares had r profit nursing homes lower ratings than the not for n

leslie served in the bush administration as the acting administrator for the centers for medicare and medicaid services. after tom's departure. she managed the day-to-day operations of the medicare, medicaid programs and s chip program which is now just called chip. for four years prior to becoming the acting administrator served as the deputy administrator to tom and was also deeply involved in the implementation of the medicare modernization act provisions which included.things in addition to the medicare prescription drug benefit program. and the last but not least, john blom. journal is currently an executive vice president for medicare fairs at care first blue cross blue shield responsible for overseeing care first patient center medical home program. he also works on care coordination positions, pharmacy positions and provider networks. before he joined care first, john served in several different senior leadership positions at cms. most recently the agency's principal deputy administrator. he spent most of his time at cms basically being the chief of operations for the medicare program which, of

leslie served in the administration as the acting administrator for the centers for medicare and medicaid services after tom's departure. she managed the operations of the medicare and medicaid programs and the s-chip program, i guess which is just now called chip and for four years prior to becoming the acting administrator, she served as the deputy administrator to tom and was also deeply involved in the implementation of the medicare modernization act provisions which included many things in addition to the medicare prescription drug benefit program last but not lest we have john blum, current kpengive the vice president of of affairs at care first blue cross/blue shield. he works on care coordination policies, pharmacy policies and provider networks. he spent most of his time at cms basically being the chief of operations for the medicare program which, of course, regulates not only the fee for service provisions and the medicare program it regulars the medicare advantage provisions as well as, of course, the prescription drug benefit program so he inherited that from tom and leslie, prior to

edward mortimore is technical director at the division of nursing homes as the centers for medicare and medicaid services. he helped launch medicare -- and has also led the development of the five-star quality rating system at nursing homes compare website. he's worked with academic researchers, program evaluators and the press in developing methods to use cms data to monitor changes in the u.s. population of nursing home residents as well as to evaluate the effectiveness of the cms regulatory oversight of those nursing homes. so cristina, you looked at the star ratings on nursing homes. one of the interesting things you reported in your research was the fact the states that have higher proportions of low-income seniors tend to also have higher proportions of lower rated nursing homes. why do you think that is? >> well, yes, we did have that find, and i think it relates to the geography of the types of nursing homes that are in those states. so we found, for example, that for-profit nursing homes tended to have lower -- larger shares of for-profit nursing homes had lower ratings than the not for profit n

services provided in the nursing homes. over the past few years, centers for medicare and medicaid has done a phenomenal job in finding quality metrics, creating regular vanity data, creating aggregate measures and reporting them to the public. this has resulted in services such as a nursing home website, which provides unprecedented data about the performance of the nursing homes in a very easy to understand format of five-star rating. like hotels, nursing homes are now being rated between 1-5 fives, depending on the on somebody site inspections done independently by cms auditors. and to self-reported domains of quality measures and staffing metrics. the percentage of the nursing homes that obtained five-star overall rating as a result of their self-reported measures, has continuously increased from 11% in 2009 to almost 25% in 2003. >> in collaboration with the university of connecticut, i conducted a research to see if inflation exists in these self-reported measures. our research shows that self-reported ratings are neither associated with the on-site inspections in the same year nor the year after. more over, patient-rep

the centers for medicare and medicaid services confirming only $96 million worth of the roughly $6 billione federal government. that equates to a meager 1.6%. those risk corridors are included in the health care law as a way to protect insurers who accrue higher-than-expected costs. the revenue stream appears close to try and congress last year that buy up on the kerry critics passed legislation to keep the obama administration from using taxpayer money to make a difference. additionally, the "washington post" reports 70% of the 400 insurers and obamacare are also of risk order payment dating back to 2015. back to you in new york. nicole: thanks, blake. lauren: let's keep out of the global market action overnight. markets are taking them is of the chinese warships is in the u.s. underwater drum last week in stride. we do have down arrows. this check at japan. the nikkei down fractionally commit and then what was an 11 day winning streak at the bank of japan made today and tomorrow. china, shanghai composite down a 10th of 1%. the hong kong hang seng down and in south korea because they dow

former administrator for the center for medicare and medicaid services. and former administrator for the administration, we will discuss the future of medicare and medicaid. be sure to watch c-span's washington journal, live at 7:00 a.m. eastern on monday morning. join the discussion. >> tomorrow, a look at the challenges for the incoming trump administration. andncludes josh fulton staffers from the george w. bush and obama administrations. that is at 3:00 p.m. eastern on c-span. ♪ , documentary contest is installed -- is in full swing. we are asking students what is the most important issue for the new president and congress to address in 2017? winner for herr documentary, help for homeless heroes. fortner and producer, we covered the issue of homeless veterans on the streets of orange county, california. we decided these people who fought for our country and the fact they are now living on the streets, not handling -- not having family was not ok. we decided we are going to talk about this issue with in our community and we decided to make a c-span docu

the centeras head of of medicare and medicaid services during their spec of years in the federal governmentthey join us now for a discussion on the future of medicare and medicaid. let's start with bruce to get us all on the same page. can you remind us about the differences between medicare and medicaid and the basic services that each provide? isst: very quickly, medicare a traditional social insurance program that grew out of social security and is part of the social security act. it is financed in part by payroll taxes that everyone .ontributed is it is also financed by general tax revenue and premiums paid by beneficiaries. essentially everyone over the age of 65 in the united states with any work history or who has a spouse with anyone with work history is eligible for medicare. in addition, medicare covers about 8 million people who are receiving social security disability income and is below the age of 65. they have been determined to be permanently disabled and are receiving disability insurance through the social security system. the medicare is benefit package by and large is unf

we'll hear today from anne martin, economist in the centers for medicare and medicaid services. you'll then hear from micah hartman, statistician. they're joined by aaron catlin, deputy director in the office of the actuary and benjamin washington, economist also in the national health statistics group. they're here as resorry, as i know are other representatives from cms. without further ado, let me turn it over to anne to begin presenting the results. >> thank you, alan. thank you all for coming today. my name is anne martin. i'm here with other members of the national health expenditure accounts team to present to you the results of national health spending in 2015. and the trends that we will discuss today highlight some of the important point seen in our article. it will be presented as health affairs web first at 2:00 p.m. first and also at 2:00 p.m., all the data will be presented on our website. to start off with some of the overall findings on national health expenditures, total spending for health care in the united states reached $3.2 trillion, up from $3 trillion in

what basically congress has been writing a lot of letters to centers for medicare and medicaid services to find out why epipen is classified as a non-innovator drug even know it has been around for a couple of decades. they have paid up 460 mile -- $465 million settlement with the justice department. maybe the issue -- the issue may be that maybe the government has been paying too much for the drug. >> back to the hearing we saw, a lot of back and forth about the ceo of mylan and her $19 million nearly 500%he increase for the epipen. you have written over 10 stories -- what isany from the take away on mylan and epipen? >> this is part of a recurring pattern that we have seen happen where congress is very concerned about the consumer pocketbook issues of access to drugs. they have had other ceos come and try to explain high drug prices, they talked about possible solutions and i think one of the realities as someone who covers drug prices and the industry is that this is an extremely complicated issue, it is hard to fix it with a band-aid. it is also not going away. consumers are increas

the centeras head of of medicare and medicaid services during their spec of years in the federal government. they join us now for a discussion on the future of medicare and medicaid. let's start with bruce to get us all on the same page. can you remind us about the differences between medicare and medicaid and the basic services that each provide? isst: very quickly, medicare a traditional social insurance program that grew out of social security and is part of the social security act. it is financed in part by payroll taxes that everyone .ontributed is it is also financed by general tax revenue and premiums paid by beneficiaries. essentially everyone over the age of 65 in the united states with any work history or who has a spouse with anyone with work history is eligible for medicare. in addition, medicare covers about 8 million people who are receiving social security disability income and is below the age of 65. they have been determined to be permanently disabled and are receiving disability insurance through the social security system. the medicare is benefit package by and large is u

and one of the things that we've done working with the center for medicare and medicaid services is to dwhier every hospital have a steward -- require every hospital to have a stewardship program. globally as agenda work, we're expanding our think of what's out there in terms of drug resistance. it's broopder issue. we overtreat symptoms and undertreat silent conditions. if you look at things like the flu, common cold, pain, adhd, we may be overusing medication on those. if you look at hypertension or ohio cholesterol, we may be under prescribing. globally we haven't scratched the surface of what's needed to understand and stop drug resistance. i'll never forget, a few years ago i was in india where i worked for many years. i was at the all india institute of medical sciences, really a terrific harvard-quality institution there. i was in the intensive care unit. and this is soon after the -- the new delhi strain of a resistant organism was defined and described, and the head of the icu said i don't know why you're so worried about the new delhi strain of the organism. every patient in

she served in the bush administration as the acting administrator for the centers for medicare and medicaid servicesand four years prior to becoming the acting administrator, she served as deputy administrator to tom and deeply involved in the medicare modification act which includes many things in addition to the medicare prescription drug benefit program. and the last but not least we have john blum. john is currently an executive vice president for medical affairs at blue cross blue shield. he is responsible for overseeing care first patient center medical home program and works on care coordination policies and pharmacy policies and provider networks. before he joins care first, john served in several different senior leadership positions at cms. he served most recently as the agency deputy administrator and spent most of his time at cms basically being the chief of operations for the medicare program which of course regulates not only the fee for service provisions in the medicare program, it regulates the medicare advantage provisions as well as of course the prescription drug benefit program

she served in the bush administration as the acting administrator for the centers for medicare and medicaid servicesip. and four years prior to becoming the acting administrator, she served as deputy administrator to tom and deeply involved in the medicare modification act which includes many things in addition to the medicare prescription drug benefit program. and the last but not least we have john blum. john is currently an executive vice president for medical affairs at blue cross blue shield. he is responsible for overseeing care first patient center medical home program and works on care coordination policies and pharmacy policies and provider networks. before he joins care first, john served in several different senior leadership positions at cms. he served most recently as the agency deputy administrator and spent most of his time at cms basically being the chief of operations for the medicare program which of course regulates not only the fee for service provisions in the medicare program, it regulates the medicare advantage provisions as well as of course the prescription drug benefit prog

of services and that was associated in part with the insurance coverage expansion and increased spending and medicaid. for nursing care facilities, however, growth was driven more by increased medicarepending and for other health, resident and personal care, the rest of the other services were largely influenced by insurance expansion, which again was mainly through the increased private health insurance and medicaid spending. so looking more closely at hospital spending we're showing the growth rates from 2011 to 2015 and hospital spending accelerated for the second consecutive year, increasing 5 .#% in 2015 to reach $1.04 trillion. the faster growth in hospital spending reflected strong growth in private health insurance and medicaid spending associated with insurance expansions. it was primarily seen through increased use in intensity of services where the quantities and mix of goods and services used. for example, in 2015, hospital ut laization is -- both increased in 2015 compared to 2014. price growth was less of a factor in overall hospital spending growth this 2015 as it increased at its slowest rate since 1998. here we are looking at spending spending continued to increase

in the national health statistics group in the office of the actuary at the centers of medicare and medicaid services. michael hartman, statistician in the office of the actuary. they are joined by aaron kaplan in the office of the actuary and benjamin washington, economist also in the national health statistics group. they are here as resources, as i know are other representatives from cms. let me turn over to anne to begin presenting the results. >> thank you, alan. thank you all for coming today. my name is anne martin here with other members of the national health expenditure accounts team to present to you the results of national health spending in 2015 and trend set we will discuss today highlights some of the important points seen in our article. it will be presented as a health affairs web first at 2:00 p.m. today. also at 2:00 p.m. all the data will be presented on our website. so to start off with some of the overall findings on national health expenditures, total spending for health care in the united states reached $3.2 trillion, up from $3 trillion in 2014. per capita health spending rea

spending grew at a faster rate in 2015 and government projections and this is for the medicare and medicaid services. they talk about their findings earlier today. >> we are pleased today to be releasing a paper that shows the national health spending for 2015. this is part of our on going partnership with the actuary. they produce the gold standard estimates for historical and projections in health spending. disaggregated among quite a few dimensions that you'll hear about today by pay or by service type and the like. and you have a flash drive with all of the materials. the press release has a link to the full report and it's until 2:00 p.m. today. i don't think that it's very complicated to introduce the importance of this material. estimates of health expenditures in the united states are extremely valuable in their own right but obvious hi at a time that congress and the president elect are are contemplating major changes in health policy. having a solid baseline understanding of where we have been is critical as well as what you will see today beginning to document the spending effects of the

spending grew at a faster rate in 2015 and government projections and this is for the medicare and medicaid services. they talk about their findings earlier today. >> we are pleased today to be releasing a paper that shows the national health spending for 2015. this is part of our on going partnership with the actuary. they produce the gold standard estimates for historical and projections in health spending. disaggregated among quite a few dimensions that you'll hear about today by pay or by service type and the like. and you have a flash drive with all of the materials. the press release has a link to the full report and it's until 2:00 p.m. today. i don't think that it's very complicated to introduce the importance of this material. estimates of health expenditures in the united states are extremely valuable in their own right but obvious hi at a time that congress and the president elect are are contemplating major changes in health policy. having a solid baseline understanding of where we have been is critical as well as what you will see today beginning to document the spending effects of the

and, what congress has been of letters to the centers for medicare and medicaid services is to find out why epipen is classified as a non-innovator drug even though it's been around for a couple decades. milliond a $465 settlement to the justice department over this issue. their settlement is maybe the government has been -- medicaid has been paying too much for the drugs. >> back to the hearing, we saw a lot of back-and-forth with the ceo and her $19 million salary and the nearly 500% increase for the epipen. you've written over 10 stories on the company. what is the take away on mylan anded epipen? >> this is part of a recurring pattern we have seen where congress is concerned about the consumer pocketbook issues of access to drugs. other ceos have come and try to explain high drug prices, they've talked about possible solutions. i think one of the realities, as someone who covers drug practices and the industry, this is a complicated issue. it's hard to fix it with a band-aid. it's also not going away, because consumers are increasingly shouldering more of their health care costs. th

constituents across georgia and with healthcare in general and what's called the senior for medicare and medicaid services, cms he's very familiar with those issues and there's been a lot of problems in hospitals. for instance in my stay, and the hospitals in my state, not single one is doing better one after obama care than before. they were all promised to walke in with insurance, fewer payments that are charity payments and uncollectible debt. for every sigel hospital in my state they have a higher amount of uncollected debt and a higher the higher charity right off now. a lot of hospitals are very vulnerable. those of the type of issues that you hear were world stories. l beink doctor tom price will be a terrific a leader.will m they're very smart, very engaged, and other law and order guy who will make sure cia continues to follow the law integrate to service internationally. a lot of good pics i have seen i will watch those rollout. >> host: and independent callers on the air. >> caller: thank you for bringing this issue up, my question is, what happened to the balanced budget amendments? are state

not only having served as former senior advisor to the administrator of the center for medicare and medicaid services at hhs, but larry also was instrumental in working with the american medical association in the development f their macra implementation piece which he may comment a little on that, as well. before kpmg, he had a dark side to his career having practiced law in d.c., and then he was also visiting fellow at economic studies program at brooking institutions and his accolades go on and on and on. but welcome to both of them and hopefully our insights today will be helpful to those of you who want to know about macra, what does it mean and how do we get the ball rolling. >> okay. thank you. what i'm going to do here is go through these slides. these will give us an overview of what macra is, the quality payment program, both on the mip side. then we'll have more interesting questions and conversation to follow up on particular areas we think are of interest to all of you. with that i will hop into this overview. this is what we'll talk about just what it is overall. and what to expect from

later discussion on the future of medicare and medicaid with tom scully, former administrator of medicare services and resplendent, former administrator of the health care financing administration. we will take your calls. you can join the conversation on facebook and twitter. "washington journal" is next. ♪ host: good morning. it is monday, december 12, 2016. president obama prepares to sign a new medical research bill into law this week. president-elect donald trump is already looking ahead to january when republicans promised to make repealing the affordable care act one of their top priorities. as discussions continue about how to repeal and replace the law that they refer to as obamacare, democrats are vowing to fight these efforts every step of the way. we are hosting this program on

term, but the reality is that private payers medicaid, medicare more than medicaid, basically the statistics are that roughly speaking medicare 60% ospital services pays what the average private plan ays and medicaid on average of what the % avera average -- pays. there are variations medicaid patients may be sicker than a little hard to say. know, rsus 100%, you chances are there is what people call cost shifting and what it means is that middle class are picking up the cost of through taxes and picking up the cost of medicaid hrough their health insurance premiums and through copay. a moral statement about that, it is a fact, that is the way this system happens work. are we concerned that should we be concerned that hospitals will of business? in very rural areas that, is an issue. ost parts of the country, hospitals will not go out of business, but nobody will get a that, has year probably been true for some time. m rural areas, huge problem, hospitals are where they shouldn't be. we would be far more cost and probably more p ther put cally, if people who are severely ill were airlifted out of rural areas to where the facilities are and wecial

term, but the reality is that private payers medicaid, medicare more than medicaid, basically the statistics are that roughly speaking medicare 60% ospital servicesays what the average private plan ays and medicaid on average of what the % avera average -- pays. there are variations medicaid patients may be sicker than a little hard to say. know, rsus 100%, you chances are there is what people call cost shifting and what it means is that middle class are picking up the cost of through taxes and picking up the cost of medicaid hrough their health insurance premiums and through copay. a moral statement about that, it is a fact, that is the way this system happens work. are we concerned that should we be concerned that hospitals will of business? in very rural areas that, is an issue. ost parts of the country, hospitals will not go out of business, but nobody will get a that, has year probably been true for some time. m rural areas, huge problem, hospitals are where they shouldn't be. we would be far more cost and probably more p ther put cally, if people who are severely ill were airlifted out of rural areas to where the facilities are and wecialis

medicaid and medicare. look, start with, bruce vladeck, perhaps, get us on the same page. can you remind us about the differences between medicare and medicaid and the services that each provide. bruce: quickly, medicare is a traditional social insurance programme that grew out of social security. and is part of the social security act. it is financed in part by payroll taxes that everyone contributes. it's also financed by general tax revenue and premiums paid by beneficiaries, essentially everyone over the age of 65 in the united states, with any work history or who is the spouse of anyone with work history is eligible for medicare. in addition medicare covers 8 million people who receive social security income. that is below the age of 65, but are determined to be permanently disabled, and are receiving disibility insurance through the social security system. medicare's benefit package, by and large, unfortunately a little bit is - was originally modelled on the standard blue cross blue shield plan that was in effect in most of the united states in the early 1960s, when the legislation was written. there's some significant additions over time. tom is prob

. >>> according to the centers for medicaid and medicare services health care spending increased nearly% to $3.2 trillion in 2015. officials believe it is due to affordable care act which led to increase in the amount of people with health insurance and access to expensive drugs. >>> cuteness alert. twin giant panda cubs celebrated their second birthday in western japan. the twins were named after sherry and peach. so they were given ice shaped like chef cherries and peach flowers as birthday presents. i told you cuteness alert. >> we could watch that for -- >> i certainly could. obviously, a lot of other people could. there is the cherry flower. have a great weekend, guys. >>> last time, i swear. robert fulton invented the steamboat because the steam engine was invented by james watt. we got enough. that's all i'm going to say about it. >> steam roller? >> we'll let the people on twitterville tell us about that one. >>> a thousand carrier workers thanked president-elect trump for helping keep jobs in the u.s. we will talk about which other companies are heavily dependent on government

this from the centers for medicare and medicaid services. their economists and statisticians talk about their findings earlier today. >> good morning. i'm editor-in-chief of health affairs. we are pleased to be releasing a paper that shows the national health spending for 2015. this is part of the ongoing partnership with cms office of the actuary. they produce the gold standard estimates for historical projections and health spending, disaggregated among many dimensions. for the media, you have a flash drive with the materials, the press release has a link to the full report, i will remind you know that it's. >> going in front of the deportation officer with the pearl. the deportation officer chooses not to believe in you. the past a background check and we have a witness now in a hearing that this person actually is who he says he is. were just minimal requirement of the hearing in front of a neutral decision maker for people who have very long periods of incarceration. that minimal requirement is available under the statute. >> thank you.

and by actions taken at my request and the request of other senators by the centers for medicare and medicaid services to make sure that we are not putting pressure on providers to overprescribe opioids. surely they are appropriate in certain cases, but the number of prescriptions has soared in this country and is twice the number prescribed on a per capita basis as in our neighboring country of canada. the 21st century cures act also includes a bill that i introduced with several of my colleagues: senators warren, kirk, baldwin, alexander and murray, that is called the advancing n.i.h. strategic planning and improving representation and medical research act. despite its extremely cumbersome name, it is an important bill that's been incorporated into this legislation. it will require the n.i.h. to release periodically a strategic plan outlining how the agencies will meet, its mission statement, and it will provide us with important guidance and metrics as we continue to work together to increase this vital funding. it will also help to ensure that study populations in colin rabble -- in clinical resea

not only having served as former senior advisor to the administrator of the center for medicare and medicaid services at hhs, but larry also was instrumental in working with the american medical association in the development of their macra implementation piece which he may comment a little on that, as well. before kpmg, he had a dark side to his career having practiced law in d.c., and then he was also visiting fellow at economic studies program at brooking institutions and his accolades go on and on and on. but welcome to both of them and hopefully our insights today will be helpful to those of you who want to know about macra, what does it mean and how do we get the ball rolling. >> okay. thank you. what i'm going to do here is go through these slides. these will give us an overview of what macra is, the quality payment program, both on the mip side. then we'll have more interesting questions and conversation to follow up on particular areas we think are of interest to all of you. with that i will hop into this overview. this is what we'll talk about just what it is overall. and what to expect fro

. >> you see headlines every day about how much it's costing us to just service the debt every year. you take medicare, medicaidense and servicing the national debt and right there is 90% of the money. everything else that we think of as government takes up 10%, maybe 11%. >> the one added element you mentioned last hour is tax cuts. th estimates are donald trump's plan $7 trillion over the next decade added to the national debt. >> if we do nothing on spending, if we just maintain the present course and you add those tax cuts, the deficit explodes. if you do those tax cuts and you explode transportation spending and you explode defense spending, you explode the economy. interest rates go up and suddenly we're spiraling out of control. things get out of control. >> i don't see any deficit hawks coming into this administration. >> there are none. i don't see a lot of deficit hawks right now on capitol hill standing up saying we can't do this. i love paul ryan. >> where is paul ryan? >> we're not sure. we've tried to figure that out today. >> $7 trillion medicare plan that was not paid for. are we going to have a

target number one, health and human services secretary designee tom price who favors big changes to medicare and medicaid. and finally, the incoming president will not rip up the nuclear deal the outgoing president struck with iran, even though donald trump criticized it during the campaign. u.s. allies britain and france were part of that deal and so was russia. the u.s. adversary mr. trump wants better relations with. the new president may embrace stricter monitoring of the deal, but getting rid of it altogether is just not worth the trouble and the risk. john harwood, cnbc business news. >>> david williams, he just is not an award winning tv comedian and children's author, he's a judge on "britain's got talent." during the cnbc conversation, tanya breyer asked him what makes working on "britain's got talent" so special. >> it's fun. i enjoy watching the show, and i met simon before i did the show. he said our show -- he said our show is the real-life version of your show. as in he meant, you know, it was the real-life "little britain." i said i'm addicted to watching it. i love all the characters you

in terms of health and human services, it is going to just -- they're just going to sit there and destroy government's ability to provide through medicare, through medicaid -- >> particularly medicaid. >> the affordable care act. these are people who are to the -- you know, the marginal part of the ryan party. >> yeah, although we should note all price -- we talk about devos, price and pruitt, all conceivable in a ted cruz administration. now here's what i think is did i -- distinct about what's coming into focus. this is paul blumenthal. billionaire president, education billionaire, two billionaires appointed to commerce, small business administration today linda mcmahon, connecticut billionaire. >> tom price is just a millionaire. >> dod, dhs, nsa, that's not the actual acronym, you got billionaires and generals. which individually i think some ofhese -- i think mattis is a fairly good pick all things considered. but when you think about governments that are run by billionaires and generals, you don't conjure a ton of great historical precedence. >> no. there's sort of a childlike quality to the way that donald trump is doing this. >> right. >> you wou

parents plan, allows states to provide medicaid programs, and this is prohibiting federal dollars for abortion services and strengthening and repealing most damaging medicare provisions in the aca. let's get a call. gina is up first in georgia, democrat. caller: good morning. i was going to comment about my son having to get the insurance, which i appreciate him getting it, but he tried to use it yesterday and had a problem even finding a provider that would see him. what he has to pay is decent but if the republicans were going to have some type of insurance, why didn't they do it before? i'm afraid they're going to cut it out totally and that he is going to be without insurance again. that worries me. and because of the problems that he has -- i just don't know if he is going to even have it after trump gets into office. guest: thank you so much for calling in. i think your concerns are right along where my concerns are. we know there are improvements guest: thank you so much for calling in. i think your concerns are right along where my concerns are. we know there are improvements to be made to the affordable care act and the health care system overall

target number one, health and human services secretary designate tom price, who favors big changes to medicare and medicaidlly, the incoming president will not rip up the nuclear deal the outgoing president struck with iran. even though donald trump criticized it during the campaign. u.s. allies, britain and france, were part of that deal. and so was russia. the u.s. adversary mr. trump wants better relations with. the new president may embrace stricter monitoring over the deal, but getting rid of it altogether is just not worth the trouble and the rigsk. one wild card that's arisen since we taped that piece is this escalating dispute between the united states and israel over the resolution that u.s. declined to veto. donald trump has sided with israel in that dispute. he just tweeted a few minutes ago that the current administration had shown total disdain and disrespect for israel. i reached out for comment to the white house. they said that they're declining to comment from the national security council about that foreign policy tweet by donald trump. but of course israel's opposition to the iran deal a

service by america's cable television companies. atthis morning, we looked what the future holds for medicare and medicaid. continues. a monday morning roundtable, we are joined by stephanie armour of "the wall street journal," amy goldstein --the "wall street "washington post. " to january, on the repeal side can you explain what republicans mean. is this a complete repeal? are there components that they want to save? guest: that is a good question. part of the answer is we do not quite know yet. for six years since this law has been passed, republicans have been saying they want to get rid of it. in the house they passed more than 60 bills to do so knowing that they never had a chance. now with the election of donald trump, they will be able to do it. there is a lot of debate going on. that there ares some things that can be done quickly. those are the parts of law that can be undone with the budget agreement. for instance, the subsidies many people get him be undone. the mandate that people have insurance can be undone. the penalty for the law for people who do not have insurance can be undone. some of the structu

services. price has a long history of wanting to slash medicaid and is the number one fan of ryan's plans to voucherize medicare. so what's the democratic party going to do? this time around, now that's it's trump touring the country to spend the capital that trump who lost the capital vote by 2.5 million votes and counting doesn't even have. will the party bring the fight that the democrats brought during bush's second term? senator elizabeth warren gave us an example on monday. >> the american people didn't give democrats majority support so we can come back to washington and play dead. they didn't send us here to whimper, wine or gravel. they sent us here to stand up for what is right. and now they are watching, waiting and hoping, hoping that we will show some spine and start fighting back. >> now, when democrats fought back, they picked up 31 seats in the house. nancy pelosi became the country's first speaker of the house, harry reid became the senate majority speaker and the list goes on and on and on. what might they accomplish in the next few years? joining me now for what we're calling our boot camp fo

services. that will be a major league ideological battle giving tom price's past support for blockading medicaid but also making big changes to medicare, the popular middle class retirement health program. this is something that donald trump has rejected. don't know whether the price nomination signals that the shared agenda between tom price and paul ryan is going to take precedence over what donald trump said in the campaign. now, in terms of the effect overall on the administration by the slow process of winning confirmation for these nominees, not that great. it has the potential for slowing everything down, making it more difficult for them to get off the dime crisply from january 20th. however, the big thing that rex tillerson is over is foreign policy. in terms of steven mnuchin, he will look to overhaul the dodd-frank regulatory bill. republicans in congress can carry the ball on that if his confirmation is held up. finally, on tom price, the repeal of obamacare, which is a big core priority of price as well as donald trump, that again is something that the republican congress can move ahead on even in the absence of a confirm

i think we need to look at our medicaid and medicare programs and look at how those are going to work in the future both financially and providing servicethe american people. those are very complicated issues that need to be worked out. ,he other thing we need to do and our leadership is working with the insurance industry to and out what "repeal" "replacement" means, and what that timeline needs to be for the american people. that has yet to be worked out. for: 202-748-8001 republicans. 202-748-8000 for democrats. 202-748-8002 for independents. the congressman will be here for the next 45 minutes or so. is there a plan right now on the republican side that you think would be the place to start to come up with a plan? guest: first of all, the republican planning committee has a plan that we have put out publicly. dr. tom price has had a replacement plan for a long time that he has reintroduced every year. the most recent iteration of that was hr 2300. there are lots of plants that we could base the starting point on. for me as a physician, the main thing we have to do is make sure has accessamerican and availability to low-cost, health

services. >> i think from a democratic perspective, it's more somebody who wants to change in a substantial way medicare and medicaid>> right. yeah. >> that's not something that was a big part of trump's campaign. >> no. >> exactly right. and that's a big question underlying that pick. is that a -- is that a pick meant to assure conservative republicans that he is sympathetic with them or is he actually going to change what he said in the campaign? remember, this campaign donald trump said i'm not touching medicare or medicaid. we don't know exactly which way he'll go. >> john, i was hoping you would just wear the trench coat indoors. the mcgruff trench coat indoors. >> i got a new trench coat now. >> will you -- why would -- we wouldn't -- you're inside. you can still wear it. just to look sort of -- >> you know, you never know. mary duffy may want mre e to we that trench coat indoors. >>> coming up, the government wants to know are you in favor of allowing cell phone calls on commercial flights? details after the break. >>> welcome back to "squawk box." we are in the chairs. back in the chairs. haven't been in the

member, for secretary of health and human services, who has supporting -- who has supported that budget privatizing medicare, block granting and cutting medicaid, long-term care for seniors in nursing homes and so on. and we're told by the nominee that expects republicans in congress to move quickly on this legislation in the new year. even though president-elect trump promised throughout his campaign that medicare would be safe on his watch. he made that promise to the people i represent, the people we all represent, and i can assure you, i am going to be doing everything possible to make sure that promise is kept. gutting medicare -- the only thing that's going to do is create chaos for tens of millions of seniors of, people with disabilities and for the health care system in general. seniors, people with disabilities, all of americans deserve better than this. so as we enter the new year, democrats will fight tooth and nail to protect medicare, to make sure medicaid and long-term care is available for our seniors, to make sure that the guarantee that has been there for a generation for health care, for retirees and people with disabilities

medicare and medicaid and he and i know there are a lot of other entitlements. i wish they would point that out . when they use the word entitlement. host: bob from texas. guest: thank you for your servicen korea and i know that was 90 eight. in terms of how the military is getting we are, the truth is the army we have today is smaller than our army has ever been in sniping 39. the navy is smaller than it has been since world war i. they only have 272 ships, and by their own account, they need 308 ships. our army because of budget cuts and other factors is shrinking, as is the navy and marine corps as well here everyone of the military services is on a downward path. the average age of the air force lane is 27 years. i would not want to pick up my family and put it in a car and in a past the country 27-year-old car, much less fly over enemy territory in wayne that is 27 years old. that is what we are asking our sons and daughters to do. budget cuts and overuse, the military is in real danger. ourhat was not bad enough, adversaries or our potential adversaries like china and russia, have been engaging in double-digit modernization of their militaries. we now believe russia has a tank bet

we've had a regulation that came from c.m.s., the center for medicare and medicaid services, generally called physician supervision. its enforcement is delayed one year in the cures act. i'm a sponsor of legislation to rid us of that regulation permanently but it's a benefit to have it out of the system for another year as we work to find that permanent solution. but the idea that there must be a physician present in circumstances, it's difficult for us to have a physician on site in the inner room with a patient at every circumstance, and our midlevels and others are important to us in rural communities in particular, and that delay is something we've worked hard on and i'm pleased to see we were successful in getting it included in this legislation. many of those hospitals that i mentioned -- kansas, 127 hospitals in our state. 80-plus, 90 are so are what's called critical access, allow them a so-called cost reimbursement. when i was in the house of representatives i offered legislation for hospitals that otherwise wouldn't meet the criteria to be a critical access hospital. there is