and the support from the foundation the robert wood johnson foundation for all of its work. what we learned in maximizing enrollment and reporting out is that states have been able to make tremendous strides forward. the focus in on three key areas that we saw progress in. first was harnessing technologtechnolog y to streamline the enrollment process and the second was focusing on strategies that work to streamline and make that enrollment process more efficient and the third was learning from the states about how to manage program change. i want to talk about each of them quickly and offer some lessons from that. first our states do tremendous work and use the technology to make the enrollment ross is simpler. how did they do that? they adopted and perfected on line applications long before the aca required them. they use notices, each chat and electronic's consumer accounts to improve their connections and communication with consumers. they used electronic management and other strategies like electronic case records to take the paper out of the process and make the rosat w

on behalf of the robert wood johnson foundation, i would like to welcome everyone to today's briefing. for more than 40 years the foundation has worked to expand access to coverage to all americans and to support programs that aim to reduce the number of people without health insurance. under the direction of the national academy of state health policy, the maximizing enrollment program worked hand in hand with eight states over the past four years to transform the elimination built systems poll cities and procedures for medicaid and children's health insurance program. these eight states, alabama, illinois, louisiana, massachusetts, new york, utah and virginia and wisconsin have identified, tested and implemented pioneering innovations to streamline and simplify eligibility, enrollment and retention in their states. they've revamped coupumbersome enrollment processes and changed business processes and procured new tools. in addition to tailorred technical assistance provided to grantees, the program offered a forum for peer to peer learning opportunities across states, enabling parti

i also want to say thanks to the robert wood johnson foundation and nash p. and urban for making this briefing possible and encourage you who want more information about these programs to consult the websites of those organizations. thanks to all of you. thanks again to those of you for joining us today, and have a great holiday. [ applause ]

i also want to say thanks to the robert wood johnson foundation and nash p. and urban for making this briefing possible and encourage you who want more information about these programs to consult the websites of those organizations. thanks to all of you. thanks again to those of you for joining us today, and have a great holiday. [ applause ] >> and so inside this year's $30 billion of stupid -- what i consider stupid or at least poor judgment when it comes to spending money in a time when we have very little money to spare and had the defense department and people in the other nondefense discretionary departments screaming about the cup board is bear, nothing to cut. the fact is that that just isn't true, and so the congress is going to probably pass this bill. the house already has and senate probably will today, but it shows you that the congress doesn't have its eye on the ball, and that we're not spending money in an inappropriate way. we still provided money to study romance novels. we provided money todd state departments to buy people with votes to li

i am part of the robert wood johnson policy fellowship. >> that is a years commitment. they said they can keep you for another year. how much time do you spend on capitol hill and who do you work with? >> right now i work with the congressional budget office as a staffer and advisor. >> how long do you spend there? >> typically, one of the things i do during the day, that is my day job if you will. my fellowship is coming to an end at the end of the year. >> any chance that you might stay on longer? >> unlikely. i'm going to take all that i learn and go and serve the needy. >> one thing that you might have passed on in policy that they are using? >> providing a clinical perspective. you almost appropriately segued into what my identity is. that is a physician. i had an opportunity through helping and individual who had a daughter who was interested in medicine, providing an opportunity for him to come see open-heart surgery. that led to some other opportunities to come together as well. the program that we have that in nova that is designed to give people the perspectiv

thank you to a foundation -- to the robert wood johnson foundation for making this presentation possible. if you want more information about these programs, consult the website of those organizations. you. you to all of thank you for joining us today. have a great holiday. [applause] [captions copyright national cable satellite corp. 2013] [captioning performed by national captioning institute] >> a look at the capital as the senate meet in session. a final vote on the budget agreement is expected tomorrow. the chamber cleared a procedural hurdle today to advance the bipartisan two-year deal. senator harry reid would like bedchamber to finish work on examinations -- nominations before the holiday break, including janet yellen to be the chairman of the federal reserve. released hisoburn -- here is what he said. >> inside the waste book is $30 billion of what i would considers due to bash stupid or poor judgment when it comes to spending money when we have little money to spare. people in the other non-defense discretionary department -- there is nothing else to cut. the fact is that this

just want to say we did try to get a physician on this, the chief medical officer from the robert wood johnson university hospital where i serve on the board to be in total honesty area because we have a lot of experience but he also had to take care of patients today. so he did share some thoughts and are there any physicians in the house? very good. so we have some physicians in the house that mean he would like to respond to that. but this notion that carol raised and then linda, too, about this tug of war and this includes nurse practitioners and physician's assistants to my understanding getting involved in this, too. we want to admit the person and we understand that this is great to be a financial burden and clinically this person should be in admission, but it's going to be challenged and there will be financial ramifications for the hospital and one of the things i will add and maybe a physician can say something about this that the physician payment is not effective. maybe it's like $5 less. whether you are an advocate patient or an observation patient. so there isn't any particular