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Organizations that accept the risk can save money by directing the price settings and providers. It seems clear that the results improved over time and it also seems the organizations do somewhat better. That is a generalization, s so m sure that there are some tremendous organizations but as a general rule it seems to be the case it helps if you are not a hospital. So, the other thing that is important to understand and i dont know why this is so hard to explain. If you save him by suspending you shared it and that is how sharing works and so if you look after a year you are never going to do as well but im understand the shared savings are the incentives to reduce the savings. If you could share you wouldnt have any savings. We have to worry about a system that is working in 2019 said to be clear i want it to work but im much more interested getting on a path where the Healthcare System will work in 25 and 30 and if we spend ....
Introducing each panelist in the then go on. So i will start with one of the nations most highly regarded economist. What distinguishes this model the brilliant on the theory and research of more than any other economist he understands how markets work. But he also said sits on the benefits committee where he learns firsthand why were not the least efficient. Is that fair to say . [laughter] he also serves on the panel of Health Advisers with the board of directors and vice chair of mudpack we have the good fortune to have him serve on the foundation and vice three board one of the pioneers of value based insurance design to evaluate medicare and private sector organizations please join me to welcome him to the panel. [applause] i am thrilled to be here they have done an incredible job it is great to see all of you here so i will talk broadly about benefit design because bob is going to talk about the budget i am not sure bob wou ....
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