secretary sibelius came to st. francis when we launched and we have had a meeting with the regional director and this is being watched closely by the nation to see how accountable care organizations can compete to improve care based on not just equality but cost. >> it is critically important that we have competitive aco's? >> absolutely. we had a health futurist and economist speak to us who said it we must keep competition post-health-care reform. health-care reform is pouring a lot of government money into coverage so every hospital system is trying to buy up their corner and increase their market share. i was reading a trade journal and one of the goals is to increase market share because when you increase market share, you eliminate competition. that is the only way we can keep costs down. supervisor chiu: >> it do you see challenges maintaining those here in san francisco? >> there is a challenge in terms of how the out of network costs will be attributed. on june 14, blue shield brought in their own network

the ara ofkekathleen sibelius clueless. don't have the pulse of the catholic community in your giving advice to the president of the united states. in the past might ha found a lot of bureaucratic bishops very ivd d hun voaky scl the scandal occurred between the 60s and 80s. these old cases are out there. we have a new crop of bishops today. when you he n cardina bo aarl li t backyard and the archbishop of philadelphia and cardinal world who i love and be involved in the catholiceague for their brilliant, eyon'terstd ths auton ths t f amendment to the constitution. was about contraception. they get it free for planned parenthood and walk down the d ot ants rates continue to climb. in any event that is how it is. yes? ile parochialism among secular peoplto not think about their values. they expect catholics through -- criticized and critique what we believe, why won't they do to tlindinec ghetto. i have never seen more insular community. you got to look at college professors. who did they associate with? what do thethinabout

received several awards during his international career including a grammy for his recording of the sibelius cantatas. ♪ jarvi will start his three-year contract from september 2015. he's currently the music director of the orchestre de paris and the frankfurt radio symphony orchestra. jarvi's ability to conduct any genre from classical to contemporary music led him to win a grammy in 2004. managers at the nhk symphony orchestra say they are eager to deepen relations with the artist who has performed nine times with the orchestra as guest conductor. jarvi already enjoys a high profile among japanese concertgoers. >>> the world's top football governing body, fifa, has reversed its stance on the use of headscarves for female players. members of fifa's rule-making panel revised a decision taken five years ago saying the headscarves poses no safety concerns. last year players on iran's football team refused to remove their scarves during a qualification round for the london olympics. fifa excluded them from the competition. critics said the old regulations effectively prevented muslim women from

this is the leadership of secretary sibelius and president obama saying they are going to reimburse things differently. they're going to pay for quality outcomes and they're looking specifically at things like patient readmission. if they get dismissed after 30 days, perhaps they were not sick enough to begin with or needed better planning. if you can reduce that, you are reducing the hospital cost. similarly, controlling emergency department visits, after-hours, we are working with organizations to establish urgent care hours. the only place where there are effective urgent care ours is that san francisco general. we should be proud of that but after 6:00, the doctor says go to the emergency room. then we are paying an emergency room visit cost which is more expensive than a doctor's visit. at kaiser, you don't go to the emergency room, you call the advisers. they very rarely sent you to the very expensive emergency room. we have ni

i think we have all talked to secretary sibelius and others of the need to do things in maintenance ofort and waivers in certain areas and the lack of flexibility that the states have an more abilities to have managed care and be creative and entrepreneurialism our states to save money and set the program the way it works for us. we have been denied that so i don't think that i can make a decision right now. i wrote a letter that went wednesday to the president and secretary and ask about 30 questions on exchanges and medicaid expansion. it is a 3000-page bill and people are still trying to figure it out. until we get more information from washington on some of these bags, it is hard to make a decision. there were two things that came out of the court's decision that were not fully expected. one was that the decision would be made on the fact that it was a tax. we thought it would be on the side of the commerce clause. secondly, the 7-2 ruling that the court would say that it is not proper to penalize states to refuse to expand the medicaid program, not only deprive them of that additi

casting sibelius' said, we cannot make the class act sustainable. they're not moving forward, but the gop will introduce a bill next week to repeal that class act. it is very important that it is repealed. don't know if the senate will vote to repeal or whether the president will veto. he did sign the bill to end the 1099 reporting requirement, but i hope the class act can be repealed. how do we achieve universal coverage? and these are the solutions. i believe that in 2012 when need a new congress, new president, and early in 2013 congress can repeal the patient protection and affordable character replace it with an agenda and the things that i is a hint. so what is there places and the? and our doctors and patients. support held savings accounts. that's one of the first. change the federal tax cut. the government that has into this mess in the first place. 60 percent of americans get their health care through their employer. we did it with pretax dollars. individuals, if you lose your job you have to buy your health insurance with after-tax dollar

congress needs to start holding hearings about kathleen sibelius and what she is doing to the americanf economy with all of this welfare and disability and food stamps. why would she be running a spot in mexico for them to sign up for food stamps? guest: i have absolutely no idea why she would be running spots in mexico. it is counter intuitive because we are short of funds already here. clearly, it is not my intention or republicans intention to go along the roads where washington has been going for a long time. to be able to bail you out at any point in your life like we did the big banks. if you go back in the history of your family, your genealogy, why people came over to the united states in the first place, they came over here for a new opportunity to create a new life for themselves, to try to establish farms and manufacturing, businesses, starting them and working for them, growing their families, and showing their ship that they could not create elsewhere. we need to instill that in this generation and the next so we can have people to be able to say that is how i got here and

secretary sibelius is offering a regulation that says religious affiliated institutions would have toprovide contraception to their patients under the category of free. much of this has yet to be written. we don't of the diagnoses but we're worried about the side effects. in many cases, congress will not have the ability to overturn anything unless you have the house and senate and white house to agree. host: next caller, welcome. caller: good morning, no one is talking about how the insurance rates went up. they will go up. everybody i have talked to has said that he did they might quit their jobs with free health care, free housing, food stamps or the have a better choice to go ahead and vote for democrats. i may be incorrect but - >> you are from tennessee. the ten-care plan as a model of how not to do things. it crippled the tennessee budget. it helps open up the broader picture when you talk about the cost of people quitting their jobs and being on the government time. half of americans have summer all of their income coming from the government, i get concerned that part of the a

. >> please join me in welcoming secretary sibelius. [applause] >> good afternoon, everyby. i am delighted to be back in george washington. i was telling people that i have had theleasure of being here at the school of public health and number of times and announcing a number of important new initiatives here in this auditorium. i think it is a perfect venue to discuss the affordable care act and the importance of the supreme court decision. the want to thank everyone for the hospitality. you are going to have of great treat. you will have a great treat. some colleagues i have worked with for a long time are members of the panel that you will hear from. certainly, the other keynote speakers. i will tell you a little something about them that may not be immediately obvious. we all have kansas connections. i am a former governor, former insurance commissioner. in kansas, my husband is a federal judge. tom married a kansan. sheila burke, longtime aide and assistant to senator bob dole, the senate majority leader from kansas. you may have thought we were here for our health care

i think we have all talked to secretary sibelius and others of the need to do things in maintenance of effort and waivers in certain areas and the lack of flexibility that the states have an more abilities to have managed care and be creative and entrepreneurialism our states to save money and set the program the way it works for us. we have been denied that so i don't think that i can make a decision right now. i wrote a letter that went wednesday to the president and secretary and ask about 30 questions on exchanges and medicaid expansion. it is a 3000-page bill and people are still trying to figure it out. until we get more information from washington on some of these bags, it is hard to make a decision. there were two things that came out of the court's decision that were not fully expected. one was that the decision would be made on the fact that it was a tax. we thought it would be on the side of the commerce clause. secondly, the 7-2 ruling that the court would say that it is not proper to penalize states to refuse to expand the medicaid program, not only deprive them of that ad