hackbarth we didn't have a hearing on march medpac report. so i want to take the opportunity to ask a question about if i may. as we look for the end of the year and the need for a physician or other health care health extender, i'm worried that my colleagues across the aisle hope to offset. i'm not saying that's what their objective is, i'm saying i am concerned about that, and that is totally unacceptable and the whole purpose of the health care act was? >> we have of many of voluble offsets. spec you've been on that. can you have recommendations on the march report with regard to the market updates policy justification for the recommendations and when these recommendations yield a savings? the madcap estimates which would save $60 million over the next ten years, so i would like you to answer those questions. whether we thought was, major. in the march report we had a series of recommendation most of them were related to the update. in the group you had as you say rough estimate is that if they're in a report where we are adopted they woul

the medicare payment commission or medpac is an independent agency established by the balanced budget act in 1987 to advise congress on payment policies. this is an hour and 20 minutes. the report that the program will go bankrupt 12 years from today clearly time is of the es sent sense. the sub comment has heard from several experts on ways to reform and improve the program in order to bring the program into the 21st century slow the rate of growth and protect medicare for feature generations. we welcome glen here today to discuss the program. it neither encourages appropriate utilization of care nor protects the high out of pocket costs. the evidence shows that supplemental coverage that eliminates some of the cost sha sharing resofts in higher program costs and higher premiums for all ben fishairs. while maintaining an appropriate level and quality of quarter in rural areas is a challenge, it is what we deserve. we must insure that payments made on behalf of beneficiaries and taxpayers are appropriate. this information is especially helpful as congress assesses a series of special

. >> we did not have a hearing on the march medpac report. soef i want to ask you question about it. as we look toward the end of the year and a need for a physician or health care extender, i'm worried that my colleagues across the aisle hope to offset a big chunk of the cost of the backs of the beneficiaries. i'm concerned about it. and that is totally unacceptable in view of what the hope purpose of the health care act was. we have many viable offsets. us recommendations of the march report. with regard to the updates, what is the policy justifications of the updates and would these yield a savings. the estimates in the march recommendations would save $60 billion over ten years. so i would like you to answer those three questions with regard to what one of our major objectives is all about. >> so, in our march report, we had a series of recommendations most related to the update the rate increase for the provider groups in the agregate as you say our rough estimate is that if those recommendations were adopted they would save roughly bill