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Transcripts For CSPAN Key Capitol Hill Hearings 20150327

These are the goals that the secretary announced. Really focus on the dark circle on the page. The dark circle is the percentage of medicare fee for Service Payments in the alternative payment models. In 2011, they were zero. No medicare payments in the model. In 2014, at the end of 2014, about 20 of the 362 billion of the medicare feeforService Payments, excluding Medicare Advantage. But the numbers are similar. 20 were alternative payment models. The goal is by the end of 2016 30 of the feeforService Payments will be in the new alternative payment models that work and 50 by the end of 2018. So this is the first time in the history of the Medicare Program that we have set Broad National goals, and what is critical to understand is its not just a medicare project. This past wednesday at the white house, you may have seen president obama picked up something called off something called for health care learning Action Network where we have convened a commercial payers medicare organizatio

Transcripts For CSPAN Key Capitol Hill Hearings 20150328

We are seeing both development and review times decreased significantly with exciting new therapies entering the marketplace much sooner for the patients who need them. Last year we approve the most new drugs in almost 20 years. And more orphan drugs than ever before. 41 of these new drugs were first in class products, resulting in a breathtaking array of truly Innovative New therapies for patients, and the majority of these new drugs were approved using some kind of expedited pathway. Today, contrary to what many would say, fda approved drugs faster on average than all other advanced nations, and the vast majority of the time, the u. S. Is the first country in the world to approve important and novel medicines. And substantial improvements are being made in the efficiency of medical devices used as well. Moreover, we have accomplished this while remaining the worlds Gold Standard for safety and effectiveness. Yet we all recognize that despite the successes, too many diseases still awa

Transcripts For CSPAN Key Capitol Hill Hearings 20150328

That we understand . Early onset disease is defined by the age of onset, but we have learned in recent years that it is probably the same underlying disease process. Having said that, a person who was affected with alzheimers disease in his armor 50s versus somebody in the 80s may have different contributions to the clinical picture. They look the same. They are forgetful and they develop problems with thinking and activities with daily living, but in the older person, there is that tangles and some other pathologies and vascular disease. In the younger onset person, it is more likely to be a few are a pure form of the disease i think both of them are comparable. Treatment that are likely to be used for onset early on can be used for later on. There might be a slight predilection toward a genetic as with most diseases. When they occur earlier in life they are more genetically noted that later in life. The biology of the disease is quite comparable with early onset and late onset. Senat

Transcripts For CSPAN Key Capitol Hill Hearings 20150330

In part, the food and medical products that American Consumers and patients use in their daily lives. Nearly 40 of finish drugs americans consume today are made elsewhere, and 80 of the active pharmaceuticals in those drugs are manufactured outside our borders. For the food supply, the numbers are equally startling. More than 85 of seafood that is eaten here comes from other countries. About 50 of our fresh food and 20 of our fresh vegetables, and these changing dynamics obviously introduce new complexities, new risks for American Consumers, as these products follow increasingly complex Global Supply chains to get to your table. And your kitchen cupboard. We can no longer rely on simple inspections at the border to track the products that are coming through. The volume has quadrupled over the last decade. We have introduced new hightech riskbased screening systems of the borders to allow us to target on the most vulnerable commodities, the ones with the highest risk. We really have to

Smart Ports: Piers of the Future 2023 Navigating the future of ports, cities, and innovation

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