All right. I would like you before you leave today to get your names and affiliated titles to our secretary so it will at least be recorded in the minutes that you were here affiliated with this presentation. If you do that, i would greatly appreciate it. If you dont care to be recognized, thats okay too. We are public. Are there any other comments that you would like to share at this time . Commissioners, bob muss skat, chairman of the Public Employees committee and local 21. Good afternoon. Can you bring the microphone closer . I wanted to come by and thank the hss board and staff for their leadership vote on kaiser and blue shield, the work that you have done has been terrific. If you remember it seems like a week ago, but the last time we went around with the kaiser rate increase, i think it was a very intense time. It wasnt particularly comfortable for all of us and in the end it really took a leap of faith to believe kaisers position with us that Going Forward things would be dif
It is for people my age disorienting. For people, my children and grandchildrens age is the only america they have known and the most natural thing in the world. You can watch this and other programs online at booktv. Org. The wonderful thing about the gulf coast, is so underappreciate it and that is good because it gives us a lot to write about. If we were in new York San Francisco or chicago those cities and places are all so well known and new york is the literary capital but on the gulf coast we tend to think about from texas to the Florida Panhandle there really is instability, we have a similar environment, similar trees, long leaf pines, palm trees, sandy soil, salt in the air. The gulf of mexico and nourishes and supplies us with wonderful seafood, estuaries, wonderfully rich and tradition and culture. In and around these things for hundreds of years, it is an extraordinarily rich subject to take and of course along comes the oil spill in 2010 where all of a sudden we are in ce
Well, the United States, we have 350 Million People here. We have such a diverse we do not have a homogenous society, which is much more typical in many other countries around the world. I did want to make a point about life expect answery, and the w. H. O. Often says the United States ranked 37th out of 190 countries. As professor steven wolf in the institute of medicine study, which was really based on Life Expectancy, he said Life Expectancy and other noted Health Outcomes are determined by much more than health care. Here in america, when you look at our lifestyle choices, we have a huge obesity problem. We have homicides and car accident deaths at a much higher per capita rate than any other country in the world. When you look at the numbers for fiveyear survival rates for cancer, the United States ranks number one in the world on 13 of the 16 most popular cancers. You have to compare apples to apples. Thank you very much. My time is expired, mr. Chairman. Let me say before i ask
Chase this all day long and go from one extreme to the other and were going to find significant flaws in our ability to hold providers accountable and to support providers to do a better job. And what we havent done in this conversation, im as concerned as anyone else about getting it wrong and overpayments. Im also concerned your part a providers, large providers, and part b providers, hot spot providers, they cant afford go through the process. . That regard your data is skewed. For one group. And im not trying to vilify one group over another. But large hospital groups can afford wait a decade, potentially. Smaller hospitals, as pli colleague from californiafide, cannot. I want to get back to a couple of things. One, then yield back. Can you give us some recommendations you talked about the Predictive Modeling. You say we are identifying prescription practices that are clearly problematic. Is there a way to be targeting those areas. And is there a way it start targeting areas where
Smaller provider versus a larger one. There is different medical record request requirements to try to limit that burden that is being placed especially on the smaller provider. It would be very interesting now particularly i represent rural arizona and so i would like to see some type of movement to try to make that accountable. You know, when you said an overturn rate with part a what about part b . You know, im actually not aware of i dont have the figure in front of me. We can actually connect with your office if thats okay to get you a part b overturn rate. I think thats very important. Because those part b aspects are institutions and not individual providers. Would you agree . I think the part let me just make sure i heard you correct, sir. I believe the part a claims are the ones that tend to be more institutional, the hospitals. And then the part b claims can tend to be individual providers or groups of providers. Okay. Miss king, from your oversight aspect, do you see maybe a