pcp becomes the source of referrals. and we provide support -- we have changed our provider support model such that the pcp has concurrent data to share with specialists. the net result of the financial model is that we'll reward outcomes. we have already seen higher patient satisfaction scores. and we are early, this program that i'll display here in a second started january 1st. but we are already beginning to see primarily because of changes in referral patterns we are beginning to see cost decline. so functionally -- and i'll apologize for some of the granilarity of some of this, but i think it's important you know functionally what graduation based contracting can mean. it's a term we use a lot. but to bring it right down to a relationship between the health plan, the member and the provider i think is important to understand. we launched ours in this eight-county area on january 1st. we actually started the april before and began educating the pcps in our region for nine months prior to implementation. we now have

we now have 1000 pcps participating and we have about 400,000 of our members attributed to those pcps. one of the disadvantages, although conceptually aco's and aco-like arrangements, or even patient centered medical home arrangements, one of the downsides is they generally work on smaller populations. they are specifically about a named population. it might be segment based or whatever that particular provider group can provide care for. we wanted a bigger effort than that. to transform the membership in an eight county area across the board. one of the things we have been able to do is we are including arecaid and medicare and we including our employer population, whether it is self-funded bush -- self-funded or fully insured. what we have done is create a combination of the first service,-- fee for and there are aspects where it works. as well as a monthly payment as well as a monthly payment that we refer to as a care management fee. also because michael indicated that we don't want to use -- we refer to it as a care management fee. but i have put it back into this explanation on

she tested positive for pcp. not once, two times.the woman at the center of this controversy who, of course, we've been seeing this video for so long now, which has become a part of this push to protect metrobus drivers, now we learn that she not only missed her first court date but also tested positive for pcp at least twice. >> i think a lot of people -- it was the first question that jumped to mind. why is she carrying around urine with her? >> exactly. we were there when she was arrested at the plaza metro station. pat collins there with her as she was talking to the cameras here. she said she never intended to do this. we talked to her on the phone a day or two after it happened. she said she never wanted to do it but the metrobus operator was being rude to her. that's why she did it. we learned that she's probably facing more issues here and still being held in a d.c. jail right now. >> fascinating stuff. >> never ends. >> i know. thank you for staying t here's a look at some of the other top stories we're going to be following

that woman tested positive for pcp. not once, but twice.appened here along the x 2 bus route as the buses come all across the city. opal brown actually missed a court appearance that she was supposed to be at. after her initial arrest, after the initial incident here where she actually tossed that cup of her own urine on a metrobus operator. a judge ordered she go through drug testing. not once, but twice that drug test came back positive for pcp. she faced another court appearance yesterday. she's being held in a d.c. jail and this whole incident really sparked a call to better protect metrobus operators from passengers out there on the system with them. we now know a little bit going on with her not one but at least two positive tests, drug tests for pcp, guys. for this women who threw a cup of her own urine on a metrobus operator. she did later apologize for doing that. now we know more about her. back to you. >> adam tuss with us with a story only here on news 4. thank you. >>> 6:37 right now. authorities working to find out what drug a

to have a pcp assignment doesn't have to be an hmo plan where it's chosen. we use a tool to attribute all of our members to certain pcp is such that they have a full panel. we focus on the total health which i think should become apparent in a minute, and i'm not just treating illnesses. become a source of referrals and we provide support and changed the provider supports model such that it has come pertinent data to share with specialists. the net result of the financial model is reward outcomes. we've already seen higher patient satisfaction scores and we are early. this program i will display in a second started on january 1, but we are already beginning to see primarily because of changes in referral patterns, we are beginning to see the costs decline. so, functionally, and i apologize for the glory of eco- granularity of some of this but it's important that you know what many of this contracting means. it is a terminology that we use a lot and to bring it down to a relationship between the old plan, the member and the provider is important to understand

opal brown, that woman has tested positive for pcp. not once but at least two times.his happened along the x 2 bus route which runs all across the district. who can forget the images of this woman taking that cup of her own urine and throwing it on the metrobus operator. it's something that has sparked a lot of calls to further protect metrobus operators. but now we get a little bit of a clear picture about what is going on in ms. brown's past. first of all, she missed a court appearance for last week and after the first time that she was arrested, we actually have video of when e our pat collins was there. she was drug tested and two subsequent tests came back positive for pcp. right now, ms. brown is being held in a d.c. jail until this friday until she has another court appearance. but this just gives us another window into what may or may not have been going on in her mind at that time. of course, she says that the metrobus operator was rude to her. that's why she did it. she apologized to the bus operator after that. back to you. >> adam tuss, live in northwest w

opal brown, the woman charged for throwing a cup of urine on a metrobus driver tested positive for pcpice after she was arrested brown is being held in jail and adam will have a live report in our next hour. be sure to follow him on twitter @adam tuss for updates. >>> a brave little girl managed to get away from a man who sexual lay salted her in prince george's county. it happened near indian head highway. the girl was walking home from her bus at the time. cars and inappropriately touched her. she was able to get free and runaway. right now, police tell us they are still looking for that suspect. >>> a woman has settled a civil rights lawsuit with the district after d.c. police officers barged into her home without a warrant and arrested her. you may remember this video from last november. take a look. this was between lourdes ashley hunter and officers. neighbors called police after they say hunter and her friends were making too much noise. hunter, who was an activist for the transgender community says she was injured when officers arrest hder. frafl prosecutors later dropped charg

tonight i am calling on president trump to withdraw the nomination of representative marino for the on pcp. we can do better. senator mansion has made such a call, he's right. resident trump ought to withdraw senator marino's nomination and if the president presses forward, it will be another long the trail, long line of betrayals on issues near and dear to rural america. the presidents health care proposals would have been baggers into the heart of 's rural america, designating medicaid and rural hospitals. the president's tax plan set is the wealthy and the big corporations but does little to the working man or woman in rural america. president promised months ago to label the opioid crisis a national emergency and yet he still hasn't done it. he said this afternoon he will finally do it next week we will see. >> by now, the idea that the president is sticking up for the forgotten man and forgotten woman or the forgotten parts of america, rural america. president trump seems to have forgotten that those forgotten parts of america and the lack of action, we don't need talk, we need action

believe was likely domestic violence >> potite's lawyers asked for leniency saying he was hooked on pcp family and his own but denied he was responsible for her death. >>> developing news in the case against army sergeant bowberg da he plans to plead guilty that he deserted his post instead of going on trial. he's expected to enter the plea some time this month and will face sentencing. he faces up prison for the di desertion. >>> the winner is the international campaign to abolish nuclear weapons, a collusion of nongovernmental agencies. winning the peace prize sends a message to nuclear armed states. >>> making extortion a crime >> how new legislation aims to put stiffer penalties on people who obtain sexually explicit images and use them as bribes, more on that coming up. brody? >> reporter: it is game one of the nlds, nationals facing the defending champion cubs and i'm here with a special guest. he has a forecast now, it will rain here. we're hoping the nats rain begins tonight. >> i want to work w obvious. beautiful weather locally it will be are a great couple of days, by saturda

back then lsd, pcp. in my later years, it's been mostly -- it was coke for a while, but i went to other drugs, heroin, meth. i've been coming here for the last ten years consistently, and it's pretty sad that i know the deputies in this place more than my own family. i know this place more than my son, you know. >> this is the first time rivas' son has been deployed while she's been locked up. normally she would serve her time in prison, but a judge granted her request to stay at the orange county jail so she could be closer to her son when he returns from afghanistan. >> prison is a cakewalk, you know. it's so much easier. i've got it made up there. upstate is our house. this is their house. over here it's the deputies. this is their house. they run it as their home. it's very tight. nobody wants to do their time here. i've chosen to stay to see my boy. everyone thinks i'm crazy but, no, i want 45 minutes with him, because you never know if it's going to be the last. >>> coming up -- >> i drink and i ge

stall claims he was high on pcp when he and a co-defendant intercepted the employees on the way to the >> we picked them up, took them out to a wooded area, and they were killed. >> how did they die? >> they got shotgunned. they were shot. >> in their confessions, stall and his co-defendant claimed the other pulled the trigger. in the end they each received life sentences. but stall's sentence went beyond what was handed down by the judge. >> it's not really something i like to talk about a lot. i can talk about it more now, but it still bothers me a whole lot, even today. uh -- yeah. in fact, just talking about it, i don't know if i can. i don't know if i can do this. >> for me, lawrence stall was a rare experience doing "lockup." he truly and genuinely seemed remorseful about his crime. >> talking about it has me shaking already. >> he had such a difficult time talking about it that it was a little surprising to me. >> it's something that you never get over. i was the type -- i didn't even hunt. i didn't kill nothing. i was about -- i was john denver all the way. you know? i think ab

news 4 has learned that opal brown tested positive for pcp at least twice after being arrested. news 4's transportation reporter adam tuss was the first to report that. right now brown is in jail. >>> and we are g latest information for you on the day's big stories. we are waiting for that news conference to begin out in vegas. >> that's right. also an emotional reunion on the vegas strip. a survivor thanks his siechl yor, thanks to a little improvising and tough times. >> crisis in puerto rico, the devastated island gets a visit today from the president. did he step up as consoler in chief? >> plus in the hot seat, the tough questions here in washington over the security of your personal information. >> and we have seen a beautiful day today. temperatures into the mid 70s, 75 d.c., but look at the 80, back to the west. that is coming our way. guess what else could be coming our way? i'm tracking the tropics as well. i have got all that for you coming up in just a minute. that's right, theropics, a new t ralpand as a doctor, nobody ever asked if i'm a democrat or republican. the

news 4 has now learned that opal brown tested positive pofor pcp twice since her arrest. adam tuss broke this story. so brown ask now back in jail. she claimed she targeted that d.c. bus driver because she was rude. >>> we have some newly released records obtained by the i-team that shows the severe impact that new immigration policies are having here at home. >> one former judge telling us it's making the huge backlog even investigative reporter jody fiesher explains how. >> reporter: we heard it was happening, but now we've got the numbers to prove the impact. records shows from january to july of this year, immigration judges from around the country were forced to postpone nearly 25,000 cases because the judges weren't in their courtrooms to hear them. >> i think it's a misuse of resources. >> reporter: retired immigration judge paul wick ham schmidt says he's glad he left the bench last year because it allows him to speak about what he's seeing in the court system today. >> it's a disaster. i think it's moving toward implosion. >> reporter: he doesn't mince words when

. >> we broke the news this mornin driver tested positive for pcp.l tested positive twice, in fact, including once yester appeared in court august >>> today can you take part in a commun effort to remember the 59 people who died in las vegas there is a vigil and a moment of prayer happening at the religi leaders from many they'l also call for a national conver end gun violen now let's check your commute traffi jack, morning. it's a tough ride trying to move i district this and 50 westbound inside the southb you he on to the vw parkway avenue broken down vaek in new trouble onz dulles eastbound after 28. sun's up. mostly clear sky this morning. there' a little patchy fog in it won't last long either. temper mostly in the 40s center look at all that warm weather mid 80s thursday, friday, and saturd >>you, chuck. anothe local news update in 25 >>> we're back, now, 7:30, on this tuesday morning. some images from one of the emotional vigils, held in las vegas last night for victims of the deadliest mass shooting in modern u.s. history. i'm matt lauer, alo

the other doctor then what dow do i'm rating the doctors >> you just set the doctors use like as your pcpny doctors do you have? >> we have in california about 100 doctors. >> how old are they? are they mostly younger doctors? i can't imagine a guy in his 60s -- >> a couple of guys were older >> some are just tired of the rigors >> the misery. there's misery medicine. >> can i ask you why you are here big news on friday a tearover between cvs and ae a aetna. in your line of work, would that be a good thing or bad thing >> i think that's to me personally an interesting comment of how afraid the whole world is of amazon it is for us actually not that impactful directly because ultimately, we're where the rubber hits the road care starts with you and a caring doctor who is qualified and has the time to take care of you, and that's where heal starts, and then whether aetna is giving you your insurance or cvs is plging your pbm or a local pharmacy is delivering the pills, that is less relevant to heal >> do you see a day where -- you just talked about amazon maybe they do that and even buying

department only and mentors a five panel drug test for safety workers which includes marijuana, cocaine, pcp but doesn't include prescription painkillers and opioid misuse which has skyrocketed in the country in recent years. railroad engineers pilots, air traffic controllers and commercial bus and truck drivers are among those who are subject to federal drug and alcohol testing regulate. read more about this on the hill .com. coming up later today a hearing on usaid funding for africa, the 2018th state department budget calls for cuts in usaid funding and policy changes. live coverage starts at 2:00 p.m. eastern online at c-span .org or listen with the free c-span radio app. all this week, booktv has been prime time on c-span too. tonight at 8:00 p.m., a look at the 2016 election with hillary clinton in her book, what happened. donovan allen and amy par other of shattered and douglas shown in his book america in the age of trump. on thursday night at eight eastern, books made into movies featuring margo lee shetterly, author of hidden figures. this week watch tv in prime time on c-span2. up