fo t ectn ppo pl tacunatal, s lieswe othll ndeook thpridt esotavto li t rulheashe e eraneoe clrl se aesgebo mseit eyaith wt e rkg geer s atotay thpridt nod e d entis. venu t ri aoscatohi. oucotienwatoe ar peapthul id tofemrsf t gth s. th w, edto unrsndomhi. ifrede omactth y ngssilac wereondengvaetof op t keo ste. prtis kehe atth wl t. e esenhasa, un h wl y eminalwi b go hitalre kns.ht-rmbuwh heno tiss t w spo wk, beus td hse. tt neyo tesrtle th pte tswtlcote oba'imgriomo. th pmia gh core. thto t psint prokg crs-ltal cris u n adorne e okatn li a h s foth exute ti >>oomoinevyby. amhour toe meerofe usdes prd o lde er asouno iavtan t using ats e meneng ein meercothtae. s t ostosath amic p evy uny coisr veit noon d he o e blth he se a he othtae inac otr mmte. reerpr bstdi i'noextlsu, e nkg mb othfinc mmte mmteonul. pers hseomtt o n wh . ohoe ucio mmteomanri. thjue mm mmfr t tefr iraruur coite. s coite vers fas. ndheomhecomi coite. iny diri isafrcio e au iinheex - ithmi arve th ou reestavei ved eyli a a deta t cllgean i ulta aotng aut burynef u u ow s, d aladabmee op o veeesein a vy ouofur me p

esen nocela nht i ntouo ck uon cmes outh js at uocendmmras kenhicotr es iceaiys ueha unthiz iigntcoor ppos. ty rkn vy gh proron tr- er ioular rc atmmrall enoc pa istes h he ghevs miatn theg a lel, iexemy iornt f at, nie counie af e uny oval haisecsee e a aivbo pulio a agg ciy. on pdu ama yoge wke cininhe nyorase d arererdsf r sty. mianomemthe opatn bngg yng wkfcentth uny. haha bn aiblov t sgeof ilgammraonheastw dedeor sha b a lge be ithlor sll pts ofheab mkeal i thhi sllar oth la mke o dcred asnougls enen a lerild skle a colenty. w, or mee e ei th cng tt mian a aua mongcrsheab mke mdlsklere, al ce,ornsncis a he aemp o imgrt bofoe see o iorntn seor thecom tt gwi a ve iornt. mgrtsre erely poaninhe cstctn dury pas tourysult haha gwn s sutaiayn e st 1to asee psie avy bau o iignt woern e nsucon dury se seic. pt aimrtt ndhaisd tt acomy, scar tt hvi imct bimgrt rks. ismmraonbo lalnd ilga a iorntaroft u lalhahaa vy poancomiosiv ouomfothcotras whe,ndo e yoreoe t cmuty pha 1 60 op imct bth psin's anunme lt gh caininroaronis chle fm llbe oou li f rubca. fm blaisn in r puics. ll:or,ouavfire an iueioth

amics e reof idck aturouryee rht nois cmopuos a gh ppo. mo arinsuprthe tys ror i tke outogh b indstd wi t dagemtselby nyf u he. miio ousmylf inud, bk netis inhicotr wh ceor o t t pnski wk bomcize. wdo le e ti anneig g arepa to amic cizsh i owomwoy miatn llhae e ryabc o a, te r bs orti itoide-as fali aa mehealad elhee tt aawea r er dad i arho cces,ut atnowh tsete uldo r sty d e ctsh th iigntara t us foouecomanou soet ani lie s poan th a ousavth dat wiouimgng chths arte beusfoalthba a foh whito wha t meerhath datis ousothg gg. s ouwhwere cnt anwhweantoe r tu gerio. e aatn atolat e poisof stewhe rks o ckurru a ma o bs veha a an tgerit thhe la orree naonhagi em cnctoakamds keesnsily,ndiv thr ds btefure e aatn atccts thcrltofipnghiren omhe pen as, e aatn atal fali a wksogheto ke tm geer e aatn atdute e rl bt d iges inurnirsieon t se tm meo ea siss icotrs at mpe ait , a wa ti tt coag tm st a catjo he, ea binsehe, ea instesig he amic ths athidetes l ou weeemo tn lics uawh icos imgrio nd asedthghul mpsiatdeteha foseonurop, t r fes. i owheolicofhi

and that runs the gamut of alphabet soup, we have hmo, aco, ppo, aco, we've got a limited scheme for taking first dollar on medicare advantage patients, and then of course we're pioneer for participants and happy to say we were one of your red dots up there where we've achieved significant savings, actually, in the first two years of payout with good quality outcomes. and we're very proud of that. i think on a high level what we'd like to see, you know, i think one of the things is, that i worried about from the beginning, is that if the payers' attitude is, what have you done for me lately, i think we're going to be in trouble. we're coming from double digit inflation in the health care space and now we're talking about actual savings. and there are a lot of inefficiencies, and there is a lot 6 of opportunity to raise the sea level but at some point, it's only going to go up so much. and we will have to i think, accept the fact that there will be some growth for inflation. also taking into account, again sean was actually quoting the exact figures. we know the baby boomers are reall

n ppo tha peanat oeglaon it is eecves ngs e esen iinffe d voes hisetn prece seonriits. dsot cngth unrlngawf nstuon sehe?abt rede s rexa- re paivth oerxeti orrs rrd cldit dn e adoromhi y digr wh. st tre sh inas rdsdtn eciv ecenhabiinefct suemcoecio o apalcot cion enhe, he unth pcentanen ent ifa o puic piebyhe veemr nsvavelo ifoureoredbo ei rpeed paissh sulotfft e pre ur owe n pcentl ton ecivorr. oy rkasonase thexute. -thpots cione s me t exci dcrio n t dideamie i n'thk yo dages thha hemn guntubca des at hisvetein hiporsecsehecaot hado.utae wt ho:e llisn tooh bon's aten a h retitbo 95. weilta o vwe le. "t wl re jrn" s pora ouncunt imgrts lel mian a sref tapolaony at t to15ta. vaumr e. tes,ewery,loda rtf e puti rchg asas7%n e at i thdaesre osarhetas th lel mianpoonmo imct bwh t psint anundasnit. nnlviareblanin go mni. d rng. wa tcorala psint iv rubca t pridcyn 17 ho:o u inth wl lpemraitan vorshoakgp ineang lger pti o thvongopatn? hp lilet t,utt llneizth heblan tthw moatev me. d n p aenono e ani esheil paatntn t nt e th. st wt ulbeou soti? ll: ngrn rdunl e s.neloenra gs wn

talent we've gone full circle now to where we move data kind of a tightly managed programs went to broad ppo networks >>preferred...? ...provider organizations >>okay. yeah see... >>the jargon in my business is is a lot of fun right sorry about that >>yeah right >>um and now what's happening i think in order to get ourselves kind of under control and do the things that they think will really be meaningful is we have to have the physicians and hospitals and ancillary providers you know truly clinically integrated with the patient in the center >>what does that mean? truly clinically integrated what does that actually mean? >>we have to share the data you know when it... >>give me a for instance >>so right now we have all this wonderful data all this clinical information that comes in on claims medical claims pharmacy claims you go to the pharmacy you go to the lab there's lab values this kind of paints a picture of what's going on with you clinically you also have populations like employers now that you understand what's driving the risk and the cost inside of an employer. what doesn't happen

i'stenat mys ce se ogemoys cld oueg stu m r rethmeth omifre tn udmae ffenges li maeut c s ppo, s unyrre weet diwhe anrel's r ak t imgrio aigntha s uny ats gatest country on earth. host: on our live for republicans, anthony in colorado springs, colorado. caller: one ronald reagan and bush passed those laws, they did not have mority opposition and they t tachieve hi paisanshipy ainotr su autecinheorder dowhaweavmari opsiono ssg imgrio dyobeevit yr'jo e mo bso higrd atth rt t a gakowes trnn n o mt wt- tonhaiv d o ovof- an tr. hehi a onpletm,utou .coer gubey rtonhe ecivorr,o eson outh. ha democticoeaes ato't nto e e esendohi osofs atavurd m too e keth e, wi e ubefingates e rtut binngo od meewctn t iuef miatn fo. e llf e op - the jotyav sketo t re ousave to keep qet--th iothe y moacwos erwaa mehethmari oth peleidotanthvina r d t onnued tpr onfosi yrs pele went agnsthwi o the people the s te t cil ghovenanpeleid t nto me tyand the viritsctn i coress fleto movfofi orixea othss. erisumou e llf eeoe a imrtant suinemracy. goelteiny dtrnd brg aterecveo ngss andh's at mes iseltingotf ur wk. wwe a

arin mmitury sohearn's,t ot kenydyanou psoby peon pelen paicar cmuty vidat v th t fer gerenus foalkis ppos derminevytngro vongisiciz t vee-arg ndof ogms ty e tite b ty e ryesmas. w me ppltu ufoa paicarroamhaisad avlae t lal lel, ata't ctrleby tt s th serayes o,utor plniurse ty e go da iavlae ywre ho: suldotor iserfoeromssnet e s.mmraonnd tuliti svi fm 93 unl 00 shhabe wki othe su f aonti. llisp xtjaso sth ronan r neor dendts caer gd rng,ndha yofotheroamf is moin itaseeve eigeng. ha aoue cmes i kd cio tfiut erbackba gs s ea thxeti oerpaedy na rgaangegeus sr arthsa tnghahes in its ndstdi tt at na rgadiangege shidasenri twh twhasomemta e ngssadasd d at eyidaso lplep rtofhemmraonaw nd w psey cgrs, ars aterno nesri efcte,o athediwa he canp teleslio habe pse gut: l mexaith beusits itinrein its rtnlthcan98 thonespaedhe miatn fo a, ic cledizleegizio prra t lge wha h inheouryp ti tt in atroamlledeoe geleltas,uthe we mbs tir filsho reotliblfothlel stusson eftma o thlelitiroam beusof sil i of da hdi fils geerthimrtce tt la oatnaw fali a filbad miatn, t psint lod r lihaece owasheamy irss li, erthe op

wh o cnt ndsrous ghnois cmoursea gh ppo mo arinsuprtheyp ofefms' tkeabt nit. ndstd e saeent ldy nyf u he. miio o u melinud, bk netis ts cotransts o p inheaitang wk bemeiten weo'ikthnoonha anneig g are ps cizehi meor tt miatn ll chgeheerfaicf o ar te obsr icit toide-asfali tn ey aea fl keh've enetngl r er dede i arho cces. th'nowh tsete wod . ouhior a tac h a ow tt mian a a n pl f o sie. beevi's poanth al ousav ts ba wiouimgng chth' chacr. acanh e shgt, he remr athidetes ou sothig. 'abt o a a a uny,ho wwa tbeor tu gerio. a wa tiha teres poisofheysm er rks w pk r ui me r dsev h cncto t ghwi t l? a wa nioth ges em cncto me ennd keesnsily d ve eiki aetr tu? -we nioth eep exptherutyf rpi chdr fmhe pen as a wa ti ttals miesndor tetr ke tm geer dutenaonha th bt d igesin o unerti oy sd tm me catbuneesn unieth cpe ain us orree naonha enureshetotaan crteober cat siss a iusie amic th'wh tsebe a abt. nd rehapoti a usl ent meto miatn. ndeane tugfu coasoneebe at cus o hesnoou ar i owheolicofhi ise eoubuete ll u y ha ce fl stng aut i erheas yrsi he en e teiniommra faerwh wke

otr t ippprte u ofntiocsn ims r e rpe gwts pod t ppo oreina cknil. y jt em weivomgrthyo ablulyava dge -i d't owxalyowhage anitd t r - buthe tanr tref opatgestae enou tt. thfdhaaladtan sps t tdini tt. th d tt stea acal. s e e opuiceah motong pvi tben feivwatora scic ugesta mic siatns >> ctalyhoits he choropstat tckg st festa a sa pplwhcon, rtul hpilshaha prle wh in leera d he. e own hpil, trki a ilaonm w ha aatnthahaa sianmiob ila tmndavstct otol autasngan anpuinonow a pti onlos. o a t te ma rodsn tits ovaw fmbo f a co a iavmoueio toomba tit peutllgynodyadt ene reid noits ry pvant doouoreeuranti orve tnauninhe re oth aer? e e rkg ts ry teivy. itites e tial stutofllgynd feio az' inctus deasreuc mo dmac datlyico u gerly intye th feio deas t d alrgasel peutllgys iornt tuio u e gh iisrongn mbs. aoi aondebl amntf sechndnef eppacs ttrto seiay denti cldn fo tevopheul ley. the b sdy gngn w s iyocaacal prenth ergcef an alrgin cldn. mtiedweou g onor cplof hrsut i y sk mp g t bt esonanmo kp mi in theba tbakas ghghd e ng oal sos ioudias. at bngheas wt y coenas ri

itncstutna ppos to erce per heimlfai hdo n he ha. teee derneto ,onhess ielve t arin op wiea natelohi iuehimntyndri beevthhe nt sp ifo cgrsoo eryinw n ttotndheto d th rht w,othe wng y. mrpridt, yldhe oo mrcr:r.rede? e esinofce t setofr tas cr:heorf cer weul revt,0 yrs lar pridtba,oou me teabungur paen? ho lgsha mne of urti tocs? wh ithe toendo thnbdl aacy o yrs yos agri autst ds n? doothe nht grd pce heorrdo nhe wahe pte touou t ci,oeothela ohe opndhenifll gd me a w, ds n t ecti tenfssblg e na i ts mt feib pce, othe ok a cntans ofhi verae dyer pse he y eec uou? do yoteeoula ar decd? doouot shar nsra i aea aesd denre pssy t owdgthveoner poess t? ats tre tt y d lt ghha t nht bor er itha y we? oas tre tt y smod mtou wt sis s thehi w apty y? thhi yhiha e i unacaied? amonhege a ios eene iwaf tse thgs th satee tm. d y tsanicte bis nndis pne,. heon en me io e sete ilotakar ihe puic dibatns amgs ery iivua anealntennd wen thkhaere dng o dy tepli i w kp o ofhe wf hreie tas. yo oht psintba, ng aavee l teft by yrwnisinorhe pele th dtrti wchouad b

arin mmitury sohearn's,t ot kenydyanou psoby peon pelen paicar cmuty vidat v th t fer gerenus foalkis pposerminevytngro vongisiciz t vee-arg ndof ogms

itncstut ppos t ee per heimlfai hdo n he ha. teee derneto ,onhess ielve t arin op ea natelohi esens outri iuehimntynd beevhe nt sp i fo cgrsoo eryin w n ttndheto d th rht w,othe wng y. mrt, yldhe oo mrcr:r.rede? e esinofce t setofr tas mrcr:heor cer weul rev,0 yrs lar enpridba,oou paen?gur ho lgsha mne of ur ts? wh itheoendo thnbdl aacy o yrs yos agri autt ds n? doot nhtrd pce onheorrdo nhe he pte touou t ci,oeothela ohe opndhenifll gd me a wen, d n t ecti tenfssblge na i ts mt fe pce, othe ok a cntans o verae dyer pse h y eec unou? do yoteehaoula ar dd? doouot sha yr nsra i aea aesd denreerssy owdgthveoner poess ats tret d lt er itha y we?r o tre tt y smod mtou wt s s thehi w apty y? thhi yhihany e i unaced? amonhege a ios inpl. eene iwaf tse thgs th satee t y tsanicte b sete en me io e ilotakar ihe puic dibatns gnes ery iivua amg u haere dng o dy tepli i w kp o ofhef hreie tas. yo oht psintba, ngavee l teft yrwnisinorhe pele th dtrti wchouad lg pttg gh tav yaln. athahoheene te psintbapey sius tesoy t stce ssowhe rubc? tealevue

erre l o ffen pce tt d eoy birtanuprt t thk ishe psint t pcent tthe esen ietng is vy daers bau i he ppos wav tsow,hi h evus sdnumou ocsiseidtav wt abtute psint wh autolie y a yot le,ve if yhi th i ptt gdde uayherede iryg aecse oiolyth is ctreral ahis ar'tovgasnoh,o li wtherede i in suos y sha we,us tnkbohe poibithaew yrs omowhewe he a elti, he n esen wtfha pridtay wl,rede am ppoedoxeis ts sse ecuve ahoty i ficefheitio a th ls, sue i co ,oo th i nhhe kdf lica stewean thotoo fhe amic ppl d n wt stenhi char wnhe hpeto benow teshe tn abin ecuveutri. d n wt tt. ouavhohthathe renoh ppl w le ts stutnno a t ute stesenendelvet h ndpeab ren o veme ttou s, wt, . esen d'to i, caeotnl-e m le anndunrod ty i nstuon ahe re at is aroialyladyot hoesfones ahe eciv buppeny erar f,f an fksnhe oeridof th alehoelvehaur adionduronitiol st oeglang isor prerngatea i ts stce we,'v ske atom lgt abt t pctal cseens trede'smnty b osonquce aoea reatginheyeofhe cotr nocedn wt th psintsoio noceonht. wenoroect eernc th t psin psint ulara amstwi bcounat t pelenth cntess a gn tt,'a cen. at wtapne whhe uncoandhire ,0 ohe ihi

and then the insurance industry is giving me the option of one ppo and everything else was hmo. hmo, in the past, i had such a horrible experience because of my heart, they botched it, unfortunately. i don't know at this point what i am going to do. i see the cost going up and up. host: what would you like to see done? what the would like gentleman said here. financial transparency. you have got to get into these and let the consumer and the reporters look at all the details. without the details, you cannot make a good decision. guest: let me first point out that under the prior system, it was sustainable. the caller would have faced medical underwriting from insurance companies and premiums that likely were even higher than those she now finds so distressing. and very possibly, she would have been denied coverage altogether or, if granted coverage, she could have been given some services and then the insurance company could have elected to cancel coverage altogether. federalw, through the exchanges and state exchanges, there is a menu of four grade levels of plans, ranging from

and then the insurance industry is giving me the option of one ppo and everything else was hmo. hmo, in the past, i had such a horrible experience because of my heart, they botched it, unfortunately. i don't know at this point what i am going to do. i see the cost going up and up. host: what would you like to see done? what the would like gentleman said here. financial transparency. you have got to get into these and let the consumer and the reporters look at all the details. without the details, you cannot make a good decision. guest: let me first point out that under the prior system, it was sustainable. the caller would have faced medical underwriting from insurance companies and premiums that likely were even higher than those she now finds so distressing. and very possibly, she would have been denied coverage altogether or, if granted coverage, she could have been given some services and then the insurance company could have elected to cancel coverage altogether. federalw, through the exchanges and state exchanges, there is a menu of four grade levels of plans, ranging from

and then the insurance industry is giving me the option of one ppo and everything else was hmo. hmo, in the past, i had such a horrible experience because of my heart, they botched it, unfortunately. i don't know at this point what i am going to do. i see the cost going up and up. host: what would you like to see done? what the would like gentleman said here. financial transparency. you have got to get into these and let the consumer and the reporters look at all the details. without the details, you cannot make a good decision. guest: let me first point out that under the prior system, it was sustainable. the caller would have faced medical underwriting from insurance companies and premiums that likely were even higher than those she now finds so distressing. and very possibly, she would have been denied coverage altogether or, if granted coverage, she could have been given some services and then the insurance company could have elected to cancel coverage altogether. federalw, through the exchanges and state exchanges, there is a menu of four grade levels of plans, ranging from