to you, paul ginsburg. when you talk about what could be heard, a lot of people have been asking us on twitter, why aren't we hearing anything? any sort of emergency signal at all from this plane? >> it may be the location, actually, and as we saw in mh-370, the topographical bottom of the ocean in that case, here we have a much shallower waterw waterway. however, the aircraft may not be able to get close enough at this point yet. >> yeah. >> i expect that today, being morning there, they will have a lot more -- >> something. >> -- to bite into. absolutely. >> looking at the java sea, you're talking about a body of water only 150 feet deep. >> correct. you would think, don't forget, we've talked about the pingers. >> right. >> being able to be heard for miles. and so i believe it's going to be much -- >> you're hopeful. >> yes, i am. especially if the weather clears. >> tom, let me go to you. one of the viewers wrote in and asked us about these clouds. right? because we know that the pilot asked to elevate

[inaudible conversations] >> i'm going to have doctor paul ginsburg from health policy and economics,und come as well as the number of of publications related to research in this area. [inaudible conversations] and we can up all right here. and paul is going to be leaving the discussion on perspectives from researchers and policymakers and payers and we keyed up a number of these issues in our first session. so i think we will have a robust one as we continue. [inaudible conversations] >> thank you. i think we can start now. and i'm really pleased to be moderating with the panel. and it's setting the tone that this is about transparency and it's been a long term interest of mine and i've always believed that some of the confusion of the transparency comes from the fact that we talk about transparency because we believe other institutions have operations that ought to be more transparent. we also talk about the transparency in terms of it being useful to different types of entities. we first think of patients as consumerism and we've been further about physicians and hospitals and heal

>> paul ginsburg mentioned a physician value based modifier. i'd be curious how many people know what i'm talking about? list, it would be the raw data and the final output of the modifier calculations be made available at the physician level. i do not know if that is realistic. but that would be taking this made andcms has just doing the analysis that a lot of the other presenters have been talking about. the idea behind the payment provider is that medicare can be quality and it will be measuring efficiency, including all of the services that physicians order, not just the ones they provide themselves. that would be a significant step forward. i doubt it will happen. i think a second cross-section, as i mentioned, would be useful. it would be useless cms could correct their errors in the first release, so when the issue the second release, the first release is more accurate and you can make better comparisons over time. >> i think a number of us have talked about the theme of war and unlinkveness inching -- of the data. in other data sources,

>> i can -- well, paul ginsburg actually mentioned the physician value-based payment modifier, and i'd be curious how many people know what i'm talking about? some? okay, great, a lot. if i had a wish list, it would be that the raw data and the final output of the physician value-based payment modifier calculations be made available at the physician level. i don't know if that's realistic. but that would be, that would be taking this raw data dump that cms has just made and doing the analysis that a lot of the other presenters have been talking about. the idea behind the modifier is that medicare's going to be measuring quality and going to be measuring efficiency, including all of the service that the physicians order e not just the ones that they provide themselves. so i think that would be a significant step forward. i doubt it's going to happen. >> bruce? >> well, i think a second cross-section as i mentioned would be very useful, but it would be especially useful if cms could correct their errors in the first release so that when they issue the second, the first release is more ac