patrick conway. doctor, you've got -- you've got a title here. acting principle director -- acting principal deputy administrator, deputy chief administrator for innovation equality and chief medical officer at centers for medicare and medicaid services at the united states department of health and human services. so, i thank you, again, for all of your good work and being here. pursuant to committee rules, all witnesses are to be sworn before they testify. those on the panel as well as those that accompanied mr mr. dodaro, if you would all rise and raise your right hand.

to my immediate right is patrick conway. he is acting principal deputy administrator at the centers for medicare and medicaid services. and he is also the director of its center for medicare and medicaid innovation, cmmi, you will hear that a lot today. cmmi is overseeing the payment approaches that we're going to be talking about today. eric de jonge. next to me is tricia neuman and eric de jonge, director of geriatrics and co-founder of the medical house call program at washington hospital center. eric will give us a glimpse of the independence at home program that is getting so much attention and that med star is planning to expand to other facilities. to my far left is jim garnham, director of contract and payment innovation at the university of rochester medical center. he leads rochester's bundle payment program. and he also has a hand in its aco and risk-based models. we're going to start off with cristina bocutte who will talk about the recent work that kaiser has done and what evidence we have on hand. >> thank you.

and doctor patrick conway, doctor you have a title here, acting principal director, deputy minister, deputy chief administrator for innovation and quality and chief officer at medicare and medicaid services i thank you for all your good work and for being here, pursuant to all witnesses, please rise in racy right hand. >> do solemnly swear and affirm the testimony you are about to hear it will be the truth, the whole truth, nothing but the truth. >> thank you. you may all all be seated please let the record be seated let the record show that all members responded in the affirmative. we ask that all seated at the table please limit your oral testimony to five minutes. members should should have ample time to ask questions. it is your discretion if you want to yield time to a particular individual as we get into the question. we will have a seat there if need be. but you are now recognize for five minutes. >> thank you much mr. chairman, good money to you, members of the committee. we are very pleased to be here today to discuss gao's sixth annual report on overlapped application of du

patrick conway. you've got a title here. acting principal deputy administrator, deputy chief administrator for innovation equality and chief medical officer at the centers for medicare and medicaid services at the united states department of health and human services. i thank you again for your good work and for being here. pursuant to committee rules all witnesses are to be sworn before they testify. those on the panels and those that accompany, if you rise and raise your right hand. do you swear or affirm the testimony you are about to give will be the truth, the whole truth and nothing but the truth? thank you. you may be seated. let the record reflect all witnesses answered in the affirmative. we would ask the four panelists here at the table to please limit your oral testimony to five minutes and members should have ample time to answer questions. mr. dadaro, your discretion if you want to yield time to a particular individual as we get into the questions. we have a seat there if need be. mr. dadaro, you are recognized

to my right is patrick conway. he is acting principal deputy administrator at the centers for medicare and medicaid services and cmmi. you will hear that a lot today. and cmmi is overseeing the payment approaches that we will be talking about today. he is director of geriatrics and cofounder of the house call program at med star's wash center. eric will give us a clims of the independence at home program that is getting so much attention and med star is planning to expand to the other facilities. to my far left is jim, director of and leads the bundled at the same time program and it is aco-like. we will talk about the recent work kaiser has done and the evidence we have on hand. thank you. let's see. good. i am going to start with just a little context for delivery system reform and medicare and then i'm going to go over very brief summary of three models and conclude with a few thoughts on ongoing challenges and opportunities. so to get right to context, i will mention a few items. the affordable care act brought

patrick conway. you've got a title here. acting principal deputy administrator, deputy chief administrator for innovation equality and chief medical officer at the centers for medicare and medicaid services at the united states department of health and human services. i thank you again for your good work and for being here. pursuant committee rules all witnesses are to be sworn before they testify. those on the panels and those that accompany, if you rise and raise your right hand. do you swear or affirm the testimony you are about to give will be the truth, the whole truth and nothing but the truth? thank you. you may be seated. let the record reflect all witnesses answered in the affirmative. we would ask the four panelists here at the table to please limit your oral testimony to five minutes and members should have ample time to answer questions. mr. dadaro, your discretion if you want to yield time to a particular individual as we get into the questions. we have a seat there if need be. mr. dadaro, you are recognized for

medicare and medicaid services chief medical officer patrick conway was among the panelists who discussed the change at a talk hosted by the alliance for health reform and kaiser family foundation. this is an hour and a half. >> we're going to go head and get started. i'm marilyn serafini. i'm with the alliance for health reform. i would like to welcome you to today's briefing on payment and delivery system reforms in medicare. so today we're going to be looking at the evidence behind numerous experiments that are going on across the country to pay medical providers based on quality rather than the quantity of services. i would like to thank our supporter in this event, the kaiser family foundation and in particular our longtime