this is hosted by the robert wood johnson foundation on friday. it's an hour and 20 minutes. >>> good morning and welcome to our robert wood johnson foundation spons earned health reporters roundtable. today our topic is where are we now. the state of health insurance exchanges and enrollment. i'm susan dentzer. i want to introduce some of my foundation colleagues who are here today. cathy hem stead in the front row here. her colleague brett thompson who runs communication for our coverage team. and both of them will be available at the end of the briefing today also to answer any questions. today marks the end of the first full month, the 123rd day to be exact, not that anybody's counting, of the health insurance marketplaces or the exchanges. as we all know, the start-up phase was very rocky for the federal marketplace. healthcare.gov. and for some of the state marketplaces. on the other hand, other state marketplaces fared much better. and in the aggregate of course the big picture is it now appears that millions of people have successfully sign

and thank you to the robert wood johnson foundation for your work on extended coverage and for bringing us together to talk about early lessons from exchange implementation. i have a few slides to talk about some of the key takeaways. so what are we seeing? despite the rocky start. we've seen that enrollment in state marketplaces is generally outpacing enrollment in the federally facilitied states. that's because most of the glitches have been work out relatively quickly in those state base marketplaces. it's also because we have far more robust consumer marketing in those places. really seamless eligibility between the marketplace and medicaid. there's a success story in five states and this is just early on that have been doing what we call fast track, food stamp beneficiaries. so oregon for example, despite their ongoing implementation challenges have been able to enroll 121,000 people into medicaid through that fast track enrollment. what else are we seeing? we're seeing that plan choice vary by state level across the state based exchanges. and we'll hear about what it looks like in

>> guest: 1993, through that fellowship, the robert wood johnson health policy... c-span: how long did you do that? >> guest: that was about a year i worked with senator nancy kassebaum. c-span: on her staff? >> guest: yeah. on her committee staff. she was the ranking member on the health and human services--labor and human services staff. c-span: had you been political before you got to this situation, or do you consider yourself political today? >> guest: no, i'd never been political at all. i never voted until '92. and--no, i never was... c-span: because you're using your--the title of your book, "pc, m.d. ," "politically correct, m.d." >> guest: yeah. no, i understand. and when i--in fact, when i went to work for senator kassebaum, i went to work with her because the robert wood johnson fellowship the fellows in that fellowship--it had been going on since the '70s--had so routinely worked for democrats so they just begged somebody to go with a republican, and i thought, 'well, ok. i will.' it turned out to be the most magnificent experience. and i guess i did b

including from a non-prove it, the robert wood johnson -- a non-profit robert woods johnson organizationt comes under health and human services. is it illegal for them to do this? >> there is a law called the anti-deficiency act that prevents this kind of thing. if a federal regulatory agency is asking a business that it regulates for money, i think the conflict is obvious. the robert wood johnson foundation is the biggest ... $14 million. that's no small sum of money to do this. there are laws that prevent this. what we saw last time this was in the news, republicans in the house issued a lot of questions to hhs. didn't feel like they were completely answered. so we'll see that all again. we'll see darrell issa and other republicans asked more questions of hhs. it stands to reason given all the problems we have had with the rollout that they would be asking for money. jamie: you say it's against the law so hopefully your petition to get answers will move forward. byron york from the washington "examiner." bill: workers at a volkswagen plant in tennessee voting down a proposal to join th

this was hosted by the robert wood johnson foundation. it's about an hour and 15 minutes. >> good morning and welcome to our robert wood johnson sponsored roundtable. where are we now with state and roman? i am the policy adviser to the foundation. i also want to briefly introduce some of my foundation colleagues here today. kathy hempstead in the front row who hosts the coverage with the foundation. her colleague, brad thompson, who runs can indication for the team. both of them will be available at the end of the briefing to answer any questions. today marks the end of the fourth month for the held extremists -- health insurance exchange. it was a rocky start. on the other hand, other state for -- state marketplaces fared much better. in the aggregate, the big picture is that it now appears that millions of people have successfully signed up, either for private health insurance coverage, medicaid, or the still -- the children's health insurance program through the exchanges. today we have gathered five people who have worked closely with

and president and ceo of the robert wood johnson foundation joins us here in washington. dr. schrod er, is this a symbolic move? >> it's an important symbol, but my hope as said by dr. winder is it will cause some people who might not have thought of quitting to actually quit now. the fact that you might not see as many advertisements in cvs stores may dissuade some young people from starting smoking. >> you've done research and written a paper on it, what did you find? was there an effect from geographical proximity to whether or not you'll pick up a pack of cigarettes or not. >> what we found working as health providers as well as working at a store that sells products that will kill them. we researched stores that sold cigarettes. inside stores mainly did not and chain pharmacies did. since then is about independent stories have begun vanishing, the denser of concentrations selling cigarettes, the more likely people are to be smokers. >> you have already heard a couple of times about that conflict of missions between a company that wants to position itself as a healthcare

now that discussion on state healthcare exchanges hosted by the robert wood johnson foundation. >> goodreporters round table. today m our topic is where are h now, the state of health reporters roundtable. today our topic is where enrollment. i'm susan denser senior policy advisor to the foundation. i wantnc to brieflyrç introdue today. her colleague brett thompson who runs communication, both of them will be available at the end of the briefing today ton answer questions. today marks the end of the fourth full month, the 123rd day to be exact, not that counting, of the health insurance marketplaces or exchanges created under the affordable care act. as we all know the start up phase was very yrvox for the i federal marketplace, healthcare.gov. on the other hand, other state marketplaces faired muchn/@obmr and in the aggregate, the big picture is, it now appears that millions of people have successfully signed up. either for private health insurance coverage, for medicail or the children's health s insurance program through the exchanges. today we've gathered five people who worked

and the president and ceo of the robert wood johnson foundation, joins us here in washington. dr. schroeder, is this a symbolic move or one that results in the end of the process with fewer people smoking cigarettes and. >> it's clearly an important symbol. but my hope as said by dr. winder, is that it will cause some people who thought about quitting to quit now, and the fact that you're not going to see as many advertisements in the cvs stores, may stop young people from starting smoking. >> you've done actual research on this and written a paper on it. and what did you find? was there an effect from geographical proximity to whether or not you pick up a pack of buds or not? >> . >> we found in 1976, was that pharmacists really chafe from selling healthcare products and selling cigarettes. we found that independent stores mainly did not, and the chain pharmacies d since that time, the independence started vanishing, and almost all pharmacies are run by chains, and this is critical. research shows that the denser the concentration of places selling cigarettes, the more likely peo

according to a study by the robert wood johnson foundation, 6.4 trillion fewer calories may be found on supermarket shelves---far exeeding the goal of the healthy weight commitment foundation, fighting obesity and three years ahead of schedule. "companies are listening to the customer. but if the taste isn't there, they're going to leave faster than you can say, 'low-cal.'" one of those customers is health and wellness author kathy freston. she's leading an online petition drive to convince mcdonald's to offer a vegetarian burger. "the argument they make is that it's good business. but you'll have to put in a lot of r&d before you can offer something healthy, tastes good and makes money at the sametime." but as for a mc-veggie, mcdonald's says " we have many menu items that can be customized without meat and still provide a source of protein." we'll continue to evolve our menu to meet the changing preferences of our customers." there was no mention of a veggie burger in the near or distant future. but a trend spotted by food industry research firm technomic might indicate otherwise.

you have had a chance for your team to look at and analysis from the urban institute and the robert wood johnson foundation that found that 1.5 million americans might start new businesses. because of the freedom under the affordable care act. have you looked at that report? >> i think my colleagues have that i have not had the chance myself to talk about it. >> i found it interesting that here's an opportunity to actually increase employment, and it would appreciate at some point getting some feedback whether the folks at the robert wood johnson and the urban institute were off in the ozone or if s. is usually the case it's pretty good and analysis, that would be very valuable to hear that from you experts if you have had a chance to look at it. >> i want to just focus for a moment on this notion that my friend talked about on the tax levels being high, higher than if i understood them correctly and that if we haven't seen this era of high deficits such as we have experienced and maybe looking at the future. looking at the chart that you provided that shows that the long-term average for the re

you have had a chance for your team to look at and analysis from the urban institute and the robert wood johnson foundation that found that 1.5 million americans might start new businesses. because of the freedom under the affordable care act. have you looked at that report? >> i think my colleagues have that i have not had the chance myself to talk about it. >> i found it interesting that here's an opportunity to actually increase employment, and it would appreciate at some point getting some feedback whether the folks at the robert wood johnson and the urban institute were off in the ozone or if s. is usually the case it's pretty good and analysis, that would be very valuable to hear that from you experts if you have had a chance to look at it. >> i want to just focus for a moment on this notion that my friend talked about on the tax levels being high, higher than if i understood them correctly and that if we haven't seen this era of high deficits such as we have experienced and maybe looking at the future. looking at the chart that you provided that shows that the long-term average for the re

you have had a chance for your team to look at and analysis from the urban institute and the robert wood johnson foundation that found that 1.5 million americans might start new businesses. because of the freedom under the affordable care act. have you looked at that report? >> i think my colleagues have that i have not had the chance myself to talk about it. >> i found it interesting that here's an opportunity to actually increase employment, and it would appreciate at some point getting some feedback whether the folks at the robert wood johnson and the urban institute were off in the ozone or if s. is usually the case it's pretty good and analysis, that would be very valuable to hear that from you experts if you have had a chance to look at it. >> i want to just focus for a moment on this notion that my friend talked about on the tax levels being high, higher than if i understood them correctly and that if we haven't seen this era of high deficits such as we have experienced and maybe looking at the future. looking at the chart that you provided that shows that the long-term average for the re

employment and it would appreciate at some point getting some feedback whether the folks at robert wood johnsonand dearborn institute were off in the ozone or is usually the case is pretty good analysis? that would be very valuable to hear that from you experts if you had a chance to look at it. i wanted to just focus for a moment on this notion, my friend mr. woodall talked about tax levels being high, higher and if i understood it correctly we really haven't seen this era of really high deficits in our history such as we have experienced and maybe looking at in the future. minder standing and i'm just looking at the charge that you provided provided -- the chart that you provided it shows the long-term average was 17.4%. do you think that that's going to go up to 18.1% going forward as a percentage of gdp that on the same chart on page six of the documents provided to us it shows back when we were actually in surplus, the rs were higher than 19.1%. and i think my friend mr. van hollen alluded to that in his opening statement. no, we have seen revenues that were higher back when we were produc

>> she is soliciting funds from the robert wood johnson foundation. h and r block. johnson and johnson which the health and human services department regulate. and kaiser permanente, an insurance provider in california. >> all right. thanks so much for being with us. sebelius' alleged fundraising might be unethical, but you is it email. nicholas rosenkrantz joins us. all right. good evening, professor. >> let's start with the first question. is the fundraising by the seacketd of health and human services to raise money to promote a law that's by all accounts a disaster, is that unethical? is that allowed? >> well, the investigation into this issue is still ongoing there are congressional committees that are looking at this. the gao is looking at this. and these are actually fact specific questions. we probably shouldn't rejudge the results of those investigations as to the ethical or the legal questions. >> all right. well, let me ask you this: isn't it the case that johnson and johnson, it makes healthcare products, health and human services regulates johnson and j

we're urging and encouraging the -- at the federal level, the help that we're getting from the robert wood johnson foundation, and others is critical in making that wraparound happen. so that's essential. >> great. let's see i think there was a question here. let's get a mic over to him. >> thanks. know up leave very with the los angeles times. i wonder if you all could talk a little bit about what kind of feedback you're getting from the carriers on your various marketplaces about their plans for next year, potentially carriers who are not in your market place who may be expressing interest in joining or the converse if you're hearing anything. >> i can answer pretty quickly yes, yes, and yes. in kentucky we have a small group of carriers involved in the individual plans. we only have three in one of them, humana had a much more -- a smaller area to choose from. they're not completely statewide. anthem, on the other hand, they -- they made some adjustments to sort of narrow their provider network, and then we have a federally -- one of the co-ops in kentucky, and so we had a small -- a rather sma

we're urging and encouraging the -- at the federal level, the help that we're getting from the robert wood johnson foundation, and others is critical in making that wraparound happen. so that's essential. >> great. let's see i think there was a question here. let's get a mic over to him. >> thanks. know up leave very with the los angeles times. i wonder if you all could talk a little bit about what kind of feedback you're getting from the carriers on your various marketplaces about their plans for next year, potentially carriers who are not in your market place who may be expressing interest in joining or the converse if you're hearing anything. >> i can answer pretty quickly yes, yes, and yes. in kentucky we have a small group of carriers involved in the individual plans. we only have three in one of them, humana had a much more -- a smaller area to choose from. they're not completely statewide. anthem, on the other hand, they -- they made some adjustments to sort of narrow their provider network, and then we have a federally -- one of the co-ops in kentucky, and so we had a small -- a rather sma

. >> good morning and welcome to our robert wood johnson sponsored roundtable. today our topic is where are we now, the state of health insurance exchanges and enrollment. to briefly introduce some of my colleagues who were here today. kathy hempstead. thompsonague, brett who runs communication for our coverage. today marks the end of the fourth the full month. the 123rd day. this is the 123rd day of the markets created under the affordable health care act. it was very rocky for the federal marketplace and for some of the state marketplaces. on the other hand, other state fared much better. for medicaid or the children's health insurance program through the exchanges. today we've gathered five people who worked closely with some of the most successful state changes to report on their experience. now, none of these exchanges were without glitches. on the other hand, many things worked. and we're going to hear about both the challenges and the success. we've asked all of our speakers o bring us up to date on the enrollment who has signed up for coverage, what outr

robert woods and yolanda lewis >> commissioners this is just a presentation public utilities i know or knew the johnson company which was imploded they built some town houses and nearly 5 percent of the people got into the town houses. later on i ran into the john stuart company in san francisco. you know your soldier paid 3 or thousands or so, now they're paying 3 hundred thousands. i do some reach on the tenderloin and a treasure island. i'm wondering why this one property management copy should get so much of san francisco. and now, you can when you see this presentation it's a conceptual plan. now my definition of a conceptual plan is this it's like a dream you wake up and it would be our worse nightmare. so when they built a few of the unit at phase one and the mayor went and saw them it so happened there was some days it rained and we found the windows leaking the air conditioners not knowledge i'm trying to tell you that in 2008, we had the worst economic spiraling and the john stuart company got a lot of money from san francisco and built inferior housing. the process is to promise people one a