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We actually have office of Tribal Affairs we have ongoing meetings with tribal leadership. When i came, i learned one of the Addiction Technology transfer centers that was specifically put in place to it assist tribal nations was going to end it. That has now been funded with a funding announcement out and we will choose a grantee, who will work with tribes and meet their cultural needs as well as their Substance Abuse needs. We also work as i mentioned with Indian Health service. We have our chief medical officers meeting with theirs and working with them around what kinds of Technical Assist...

The Senate Committee on Health Education labor and pensions book please come to order. This morning were holding a hearing entitled implementation of the 21st century act responding to Mental Health needs. Senators cassidy and murphy were the leaders in this committee on Mental Health form and in the senate. Those reforms were included in our 21st century act. Senator murray is not here today so she has asked senator murphy to fill in for her. Ive asked senator cassidy to chair most of this hearing or at least until 11 45. I will come back and attended but i think its appropriate that senators...

The Senate Committee on health, education, labor and pensions will please come to order. This morning were holding a hearing entitled implementation at the 41st century cures act responded to Mental Health needs. Senators cassidy and murphy were the leaders in this committee on Mental Health reform and in the senate. And those reforms included in our 21st century cures act. Senator murray is not here today so she asked senator murphy to fill in for her, and ive asked senator cassidy to chair most of this hearing, or at least until 11 45. I will come back and attended but but i think its approp...

To hospitals and Health Systems. The alliance for Health Policy is hosting this discussion. Particularly since i know tom, i think well have a very lively discussion this morning. So i am actually looking forward to hearing something today and im sure we will hear something quite interesting. So thank you and turn it over to sarah. So, welcome this morning to those who are joining us live on cspan2 and watching from home. Before we begin, i just want to make a quick note for the date for the next several breakfasts, well be doing them about once a month. The next will be march 29th and well ta...

What could we do, how could we work with Medicare Advantage plans and one way might be if a plan, if a beneficiary goes out of network, they have innetwork cost sharing but the plan reimbursing the out out of network hospital. Historically in particular providers have said no to Medicare Advantage because theyve been able to do so. Thank you. I saw three hands go up at once so we will go sarah and then down the road. Sarah with bloomberg law, can somebody comment on the idea that theres Cost Shifting from medicare to private plans . Seems to be assumed that there is but then there seems to be ...