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Hepatitis c, diabetes and oncology are the primary drivers of the spending growth. Prescription growth is 1. 2 for the year. That is a substantial reduction from last year. The primary effect is the rescheduling of hydrocodone to more restrictive schedule which cut that market by 30 . And also you have more chronic care prescriptions are 90day prescriptions. 75 is on specialists. You cant look at that market here or everywhere around the World Without talking specialty. And next year we expect crestor to go off. So these are whats driving spending growth. You can see hepatitis at the top follo...

Case is quite a limitation that you cant get the full picture of what the physician is doing. In doing. In the commercial, private sector we might find a physician expending a great deal of resources in the office, but if you look at total cost of care they are actually quite efficient. The reason is, you reason is, you wont see that without the ability to integrate a combined data source. The healthcare cost, that is why we thought it was so important to contribute data as a multiplayer effort to bring transparency to the private sector market. And that is an interesting example and a couple ...

Well, this is not a medicare ise because a medicare physician, i guess their very limited and cop strained about what constrained about what they can charge, so i guess its more of a question about private insurance. You want to talk that, lou . Yeah. The question reflects, again, the desire to have greater and Greater Transparency in all aspects of health care, including what providers charge. Two things. First, even though theres no national requirement, i know at least in massachusetts if theres anyone here from massachusetts, there is a new law that requires exactly what you suggest, which...

I think this will move it forward. If youre a patient, you care about your metric. Its wonderful were monitoring if doctors give quit smoking advice to patients. Im not a smoker so it doesnt matter to me. What you want to know is i know somebody whos about to have heart valve surgery. They want to know which doctor in their city performs the most heart valve cities and how many patients are alive a year after that. The fact we cannot answer that for that patient today or tomorrow or even next year, like, thats the question we want to answer. Its not like, do your diabetics have their a1c under...

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