they're coded differently but union patient we tend to pay a fixed amount, a grg-based payment. that payment will include adjustments for a possibly ime, for dish, could include a re-admissions penalty or hospital required condition penalty but tends to be a fixed payment for the type of patient and type of service being delivered. on the outpatient side it's more disaggregated where we tend to pay per service itch think you heard from the oig and i think it's similar to dat to we have that the magnitude of the difference in payment is quite substantial. the oig mentioned that the short stay inpatient pavements tended to be three times as costly to medicare as the short -- as the outpatient observation stays. that consistent with data we have seen at cms. that gives you a sense -- the tianimens for deriving the payments are different and the magnitudes are quite different. >> how do you address that and. >> i'm not entirely sure how we address it. one idea we received from stakeholders and that has some support in congress, is to create a payment system that splits that differen

customer orders and is bay calling for signatures for employees and patients. union workers rallied yesterday in oakland their present cells of social workers and their position on the union wants to improve security and staffing for patients with a history of violence. bricklayer the clit declares epidemic 76 attacks that a pilot last year spokesman for the on health systems said safety related incidents ashley decrease more than 20 percent between 2012 and 2013 and that security has been improved. >> : a manhunt continues its this morning for paul fire battalion chief could is suspected of setting his girlfriend and death inside the sec wont go home. tories are looking for a 55 year- old oral funding. evanish more the we go after the body of a 26 year-old sir douglas was found inside their home. what for funding is complicated because of extensive knowledge of the outdoors. clinton also has access to tell fire billings and fire roads. access with his call fire key is the access to look out. gazette access to footlockers he is the weapon on him that it has not been

patients. nursing assistant the muslim call it that have a history of abuse. through a public record request to the alameda health system. seiu local 1021, the union representing chatman and her co- learned that staff injuries as a result of patient assaults were up 81-percent from 2012 to 2013. seiu local 1021 says it is pushing the alameda health system to address workplace violence in their contract, including metal detectors, monitored security cameras and limiting access after visiting hours. but so far the union says the health system has refused all of their proposals. as for chatman, she says she is returning to school and is considering a new career. sot- shanatte chatman/certified nursing assistant i've been through a lot. another fun talking about again, reliving the all over again. in san leandro, philippe djegal, kron four news. healthcare workers from across the bay area. are holding a rally tomorrow morning to bring to light, what they are calling. an epidemic of hospital violence. the gathering is scheduled to take place in front of highland hospital in oakland at 11-30 - friday morning. president obama is in the bay area. and he w

the union claims that staffing issues at the hospitals is causing patient safety issues. pittmanbut the hospital says the at shortages, the exact number of nurses the city is short of is a matter in dispute during contract negotiations.cn2:sf: union claims city hospitals short staffed amid this just in. iran has just blocked the country from instagram over privacy concerns. the court order was given to get telecommunications to ban the site over a lawsuit. ted koppel between unborn social websites such as youtube, twitter and facebook have already been blocked by censors, appnew details coming in this morning of the incredible story of a mom.who survived for nearly a week in the car.after crashing over a here's what that car looked kristin hopkins. she crashed april 27th.on her way to pick up her. gethopkins survived with now injured.for a week. crash that caused it all. get a and the car. it was daylight. car had flipped over and i was in some sort of accident. because you know first the car was upside-down. and all the windows were smashed and broken. and i was kind of h

patients at fairmont hospital in san leandro. she says in her 23 years working here as a certified nursing assistant. she has been phsycially assaulted four times. the union representing chatman and her co-workers says that staff injuries as a result of patient assaults were up 81-percent from 2012 to 2013. they're pushing the alameda health system to address workplace violence in their contract, including metal detectors, monitored security cameras and limiting access after visiting hours. healthcare workers from across the bay area. are planning to hold a rally this morning to bring to light, what they are calling. an epidemic of hospital violence. the gathering is scheduled to take place in front of highland hospital in oakland at 11-30. the family of a fremont third grader is protesting the return to work of a a teacher this morning after allegedly slapping their son in the face. kron 4's mike pelton in live at patterson elementary school in fremont with details. with a third grade teacher will return to hospital this morning and when he doesn't find an apparent protest three that this comes after danny rivera jr. tells of his nine year-old son report

patients. they are waiting and dieing. >> those unions are supposedly -- >> -- they have stood in the way of everye patients out of v.a. hospitals to get quicker civilian care. >> they can't be fired and they trap veterans in the system? >> that's right. let's put a face on this. last night, i talked to richard wilson, 64 years old, two tours in vietnam. now he has blockages in his legs, preventing the blood flow to his legs and his feet. seven months ago doctors told him he was in danger of a serious heart attack or amputation. is he still waiting for the portland, oregon v.a. to treat him. he calls and emails every day. he has written to his members of congress, to his senators, no action. >> shocking. shocking. >> it is shocking and heart breaking. >> every veteran i have talked to not only inefficient but some of the people they deal with there are rude to them which is outrage. betsy mccoy thank you for actually reading the documents. we appreciate it too often politicians even the president end up in the news for personal problems. author web hubble to worked for bill clinton in arkansas. po

union. in that moment eastern europe tuesday don't use it to tony critical for patients with him. then beat up kiki is probably the most cynical when it is molding pm. but the ghost walk by a government buildings prussian corps could ultimately the courts but by other means moscow as well. a little more school dinners each moment is it because the wind when it came it was no point in dunedin you the polh team of soldiers with our precious when he sings a tensionha m these to the country. i hope the tumult of themhe tumult off disease to split it open and could prove to him dormant and because of the police showed it to the cryptic once been the target. i hope that the optical frustration movie up. going to the point in the houston crane is open for the national forces because promoted issues too costly for russia as well go all the keys to realize that ukraine is already. he should open a full room a little more. just looking and not to cut ethical countries applying for full membership a nice quiet calm and to understand is pushing to fast track that occupation is being supported

smoke inhalation or by jumping from windows the trade union alps located more than five hundred km from the troubled east odessa is not understood patient. on friday was the scene of bloody street fights. the clashes began earlier in the day. in fifteen hundred protesters many of them football fans to to the streets calling for unified ukraine. the rally quickly turned violent demonstrators clashed with hundreds of mass production militants and police trying to intervene. across the city russia militants sought refuge in the trade union house. it was instantly. we started are still unknown moscow said the clashes were disgraceful. local authorities had arrested more than a hundred people in the incident and called for residents to remain calm let's move on to other world news afghan officials have given up hope of finding any more survivors following a landslide in the remote northeast. it means an estimated two pence and one hundred people have perished in the catastrophe. the aid effort is now focused on more than four thousand people displaced and is concerned that the un stapled hillside in the typist and province maintain it again

california hospital association and its biggest union tonight announcing what they're calling a historic agreement to work together on improving patientach other on labor issues. feiu workers west creating a fund to help stabilize the state health care safety net. the lobby for reforms in the medical program for poor and lower income residents. >> we believe this will bring lower premium costs to tens of millions of people in the state. >> as part of the deal union will abandon efforts to place two hospital regulation initiatives before voters in november. >> the oakland zoo taking on a major role in the future health of california condors. the zoo treating a condor suffering from lead poisoning. this is the bird showing off her wingspan. she was captured at pinnacles national park. last week the oakland zoo opened a new center which will treat birds from the coast. the codor will stay in the lead drops to safe levels. >> well, it's dinner time this, will make you hungry. a restaurant has been named best in the country. slanted door on the water front was honored with the james beard award as the most outstanding restaurant for qualit

ambulances would have to take some patients to either berkeley or martinez. the nurses union is trying to get county supervisors to take over the hospital but john gioa says that won't happen. >> unfortunately, the county doesn't have $18 million to take over the hospital because what that would do is cause the county to have to cut its own health services. >> meanwhile, patients like janice worry about what's next. in san pablo, ryan takeo, kpix 5. >> county clinics will likely have to pick up the slack for patients who don't need emergency care. >>> an "oakland post" office is under fire for how it handled a messy bird problem. juliette goodrich shows us a bunch of baby birds took the fall. juliette. >> reporter: well, liz, those post office trucks are parked right under the trees. and those trees have birds and they make a mess. so when the post office hired a crew to trim the trees, some of the baby chicks fell 30 feet to the ground and witnesses fear eggs and nests may have landed in a wood chipper. five rescued chicks are now being cared for at the international bird re

california hospital association and its biggest union tonight announcing what they're calling a historic agreement to work together on improving patient other on labor issues. feiu workers west creating a fund to help stabilize the state health care safety net. the lobby for reforms in the medical program for poor and lower income residents. >> we believe this will bring lower premium costs to tens of millions of people in the state. >> as part of the deal union will abandon efforts to place two hospital regulation initiatives before voters in november. >> the oakland zoo taking on a major role in the future health of california condors. the zoo treating a condor suffering from lead poisoning. this is the bird showing off her wingspan. she was captured at pinnacles national park. last week the oakland zoo opened a new center which will treat birds from the coast. the codor will stay in the lead drops to safe levels. >> well, it's dinner time this, will make you hungry. a restaurant has been named best in the country. slanted door on the water front was honored with the james beard award as the most outstanding restaurant for quality a

social worker and now union rep tells nbc news back in 2011, fully three years before the current scandal surfaced, when helman was in charge there, records were falsified to make patient wait times appear shorter. >> this started when she was here and we're not surprised. it continues even after she has gone to arizona. >> reporter: she says employees were too afraid to speak up. >> there is a culture of fear of retaliation. employees don't speak up. they are very afraid. >> reporter: in washington state, at the va when helman was director there. kathryn was a psychiatric nurse who filed and settled a whistle blower retaliation complaint over wrongful termination. >> the level of intimidation among the staff was unbelievable. retaliation, intimidation was the name of the game. report in phoenix, nbc news attempted to reach helman but was turned away. she denied wrongdoing and declined to be interviewed. this retired doctor is a whistleblower who claims helman's personal ambition, claiming she orders the va to falsify patient appointment records to look good to higher ups in washington. >> i think it was career advancement for sharon helman our director. she was lookin

. >>: the union representing jack mann and her co-workers a staff of injuries are the result of patients 2012 to 2013. of system to address work place violence in their contracts if including metal detectors monetary security cameras and limiting access to after visiting hours. if health-care workers from across the bay area when the family of a fremont a third grader protest and a return to work of a teacher this morning after a bad teacher allegedly stepped slapped their son in the face. kron4's mike called live at patterson. >>: was a slap or a pat on the phase 3 that is the discrepancy this comes after danny engineers says his nine heroes on the reported side of his teacher with a slap him in the face twice after he put a decimal point in the wrong place while working on a math problem free rivera tells us up to the teacher taught his son was mocking him saddam burglar claims he patted his son on the face. rivera says a this is a case of abuse in the school district says they've finished their investigation. >>: based upon the witness statements the teacher will report back to work t

patients at fairmont hospital in san leandro. she says in her 23 years working here as a certified nursing assistant. she has been phsycially assaulted four times. the union representing chatman and her co-workers says that staff injuries as a result of patient assaults were up 81-percent from 2012 to 2013. they're pushing the alameda health system to address workplace violence in their contract, including metal detectors, monitored security cameras and limiting access after visiting hours. healthcare workers from across the bay area. are planning to hold a rally this morning to bring to light, what they are calling. an epidemic of hospital violence. the gathering is scheduled to take place in front of highland hospital in oakland at 11-30. students will be arriving soon at patterson elementary school in fremont. and the family of a third grader there is protesting because they are upset that a teacher is returning to work, after allegedly slapping their son in the face. kron 4's mike pelton is live now with more. mike? when the virus as a teacher the father says this is a case of abuse what school district said they completed their investigation and have

. >> : i love working with patients and taking care of them but i did not find the physically and >> : in the union represented her and her colleagues are pushing the army and how that system to have contracts standards addressing workplace violence does include metal detectors wanting my absurd security cameras and limiting access after visiting hours. you'll hear more about this tonight at 11 at including whether not she plans to contest continued to work as possible. tie at 11:00. happening now president about in the bay area touches down at the central airfield this afternoon before been whisked off to was settled at the present chicanas of the families of military members who greeted him out on view. >> : his upcoming visit to a wal- mart store to mount it on friday the is gunfire from labor unions say that the visit was set a terrible message to look to workers across america. >> : or the president is attending a fund-raiser in firm of hotel. >> : it's interesting and note that a majority of protesters who were out here are showing opposition to the keystone pipeline that since left and now p

union holds off on new sanctions. kyiv considers the referendum illegitimate. >> mers last been confirmed in a patient in florida.rrived earlier from saudi arabia where 473 cases have been reported. >>> and a view from the top here in washington, d.c. the washington monument has now reopened, after a strong earthquake magnitude 5.8 unlocked contraction in it. >> depending on where you might be in the country now, blanketed in a freak spring snow or are baking. this summer will bring another el nino with even more extreme weather all across the world. devastating wildfire in texas. while snow and hail blanket the midwest and tornadoes rip through the great plains. extreme weather nearly biblical in scope. and its impact on communities like fritch, texas where dry tinder helped spread the wildfire and firefighters struggle to stop the flames. hundreds of people forced into emergency shelter as the fire schooled 100 buildings, nearly everything in town. >> my home and the home next to mine was the only one standing in our block. >> at a nearby high school little to offer but temporary refuge. >> we're here to meet t

union. rehabilitation of young offenders and their reintegration into society it's a crucial aspect. it has come up with an old idea of supporting back and needs of patients in jordan and i think he gets the job that is deemed accurate and that he would ask the medicine and treatment they had been safe mining pits can be used to import chinese descent and so should they fail. the bombing in eastern spain distilled down nice and tight in the coming years. i'm off to collect the medicines to fifty two pleasant of the population. i get paid to compensating team it's well below the lives of john f kennedy's things for the nineteen sixties the european union wants to mobilize the energy of youth and the elderly as volunteers to build the skills they need to gain of one european parliament wants to add his proposed plan. the report proposes creation of a centralized eu portal to include a section on cross border volunteering. it encourages member states to adopt a voluntary measurement method approved by the international labour organization to provide a clear picture of voluntary work that's to insure against volunteerism turning into free labor undermining ex

union is launching a campaign to end the practice. >> exams are on many students minds as they walk to school, but others have more than grown up problems to think about. >> i wanted to convince my patients we should marry. >> but it's not marriage that the parents are insisting on. the chief tracked her down and ended her plans. they're part of a group of traditional leaders in zambia that's trying to end child marriages. he calls uncomfortable meetings like this. the husbands are often much older than the brides. she's in university. and he dropped out of school. >> all of the negative customs and traditions must be done away with. so the tradition, because the tradition that has been embraced now is to see the community in zambia. >> his early marriage was also ended by the chief, who often helps to pay for the girl's school fees. >> i was missing for four days with my husband. my family was looking for me. and when they found me, i was a bit scared of what my dad would do, so i resisted at first. >> reporter: he has spoken at the united nations about child marriage, spreading his message from the village to new york. >> they don't have the power to send them all back to school, or th

patients, so you can cover your overhead. i mean, this is -- this is not new, butcher shops in the soviet union and in the west are difference because if you have a steak in this, you are going to work harder. as a result, you are going to get these long delays. what's new here and probably criminal is the fact is that you then falsely report all this stuff that you have not done, which you have no incentive to do in the first place. it's a lesson about government-run health care. >> the republicans to abol lish -- >> if you would suggest that we go to a voucher system, where everybody will get a voucher for treatment in any hospital he or she chooses, and i were a vet, i would choose that. i would rather go to georgetown university hospital than to a va. >> it's clear there needs to be some sort of large scale reform here, even in the best of circumstances. president obama was saying, and the worst of circumstances is people potentially died as a result of these delays. it's more than just something that was annoying or, you know, a delay. it was something that actually resulted in a death, and so i think there needs to be

unions are worried. they have collectively bargained for good health care and they're going to be dumped into obamacare. >> some of the existing patients on company pay rolls who might have serious diseases and the like, a lot of those companies will have the freedom to jettison them onto exchanges. >> the people with employer-covered coverage are higher paid employees. >> doctor, thank you very much. in the meantime here's another thing we know as well. the law is not saving families $2500 a year as the president promised. a virginia republican congressman, morgan griffith, what are you seeing, congressman? >> well, what we're seeing is that rates are going up. i was talking with a broker today, and he said in the small shop, 2 to 50 employ is, they're looking at rates going up as high as 54%. that's in a rural part of virginia where there aren't that many providers out there and the competition is not that great, but we are seeing increases fairly significant in our area. >> these guys at fox, they dash this health care, whatever, the republicans don't find anything you like about it, averaging it all ought for those seeing increases

union pacific round out some of the top five stocks. dow transports on a decent sign for the bulls here to the upside, tyler. back over to you. >> thank you very much. >>> seema has been very patient. she's at the nasdaq. >> waiting my turn. >> waiting your turn. tech index 13 1/2-year high. hi, seema. >> that's right. technology staging a major comeback. 13.5-year high as you pointed out. and year to date, up about 3%. some of the big gainers in the index this year, the list might surprise you. electronics arts. fandis which recently acquired lsi logic. hewlett-packard, one of those old-school tech names that's benefited from this rotation we've seen over the past couple of months from new tech into old-school dividend-paying tech names. h.p. earnings due after the bell. another big winner is apple. it continues its bull run, trading at its highest level since october 2012 thanks to better than expected earnings, its expanded capital allocation program. also excitement of a potential iphone 6 release this summer. lastly, got to check out jd.com. chinese e-commerce firm going public up about 8% on the day. off its highs but raising roughly $1.8 billion in its offering, making it t

is the fiftieth state of the union says nine hundred fifty nine why is it that in one thousand nine hundred ninety three president bill clinton apologize for the user patient the original inhabitants of the archipelago with victims. to understand the situation let's do some history of why he is an archipelago formed by eight islands situated in the middle of the pacific ocean they were probably populated by immigrants from faraway lands they created a socially and politically advanced society. laid out why and so are polynesians they come from a land they call which is the homeland and many believe that to be to haiti or the market. and perhaps were here as early as one hundred b.c. perhaps a little bit later on to a voyage and continued for many centuries and by about the twelfth or thirteenth century winds were living here pretty much on their own and developing much more stress. fights aside. and that led to the development of different island kingdoms here amongst the chains you had i our regular kingdom a quite a kingdom. of mali old hawaii island to. me its founding team kamehameha the great unified the societies of the archipelago. their soil began

union building, went in and shot, raped, strangled -- host: i will let you tell us. caller guest: the callers use of the i think this is a terrible tour -- rhetorical 10 patient we have to say people we do not like our nazis. there is no nazi party in the ukraine. to say the nazis hold four ministries in the ukrainian government is simply not true. who i do notple actually care for myself, but -- theyresent a kind of are definitely right wing populist group that is very whatle to russia and russia has done in ukraine. no surprise. part of ukrainian politics. get over it and try to understand the way in which it affects ukrainian politics today. something awful happened in odessa and we do not know what it is. i do not wreck nice what the caller is describing, the raping and strangling part of his story. it is possible that what you had here was an explosion that took place with atook group in a single building. is an investigation going on as to what happened. it is a shocking event here at a great tragedy. it reflects how terrible ukrainian politics can get if the kind of sectarian violence we have seen in some places becomes widespread. is nazisay, this killing peo