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We are holding our first hearing on stabilizing premiums and ensuring access to into intervals Health Insurance market for 2018. We have five state Insurance Commissioners. Thank you for coming from long distances to be with us to give your testimony on how to help the 18 million americans in individual Insurance Market. Manyve an idea of how people are interested in this, we invited senators who were not on our committee, which is about a quarter of the senate on this committee to come to a coffee with commissioners that we have completed for an hour and 31 senators were there. That is a rema...

Policies that fueled the riot in his city and republicans 202 7488001 and democrats call in on 202 on 8002 on [phone rings] lets begin with that piece written by the sheriff of milwaukee david clarke where he writes the failed progressive urban policy causes anger and resentment that simmers below the surface and the officerinvolved shooting was simply a catalyst that ignited he already vol tile mixture of inescapable poverty, failing k12 public schools, dysfunctional host that is what he wrote in the hill newspaper here in washington. And this is what was put together. They said milwaukee is ...

The Affordable Care act and then provide those to the people in the state of washington. They are holding down premiums, the next big factor to stabilize the private market. Immediate steps needed to be taken to a compass this to accomplish this. Weve got to address this second part. Stabilize the market. Thank you. Let me start with you, you said 18 increases . 13. 5. You said that was no surprise. You heard obama say his Health Care Plan would reduce remains by 2500 per family. Did you believe that . There were a number of claims that were made that i did not as a professional regulator nece...

Zrebl director of Population Health for Hackensack University health network. 234 that role i initiated and was assisted by the hospital in developing our aco. We were in the first group in 2012 for the mssp program. We looked at it a little bit differently. Our philosophy was we were going to use this as a clinical laboratory. We were jumping in to the valuebased reimbursement scheme and so we decided to limit to primary care physicians to mandate patientcentered medical homes for all of our primary care offices that we bore the cost of all of the training for the primary care for the patient...

The clinics have traditionally for 12 years worked on the care transformation and focused on that level. In february of 2012, we became an aco and we will have over 200,000 patients in and 1800 providers. We had rapid growth and thats a challenge to sustaining this. We have been successful and as an aco and surprisingly so. In the interim report, we did not save money for medicare and we did by a lot. So with that it kind of was the accumulation of a good year in the commercial and governmental setting and also with our own employers and employees. We have an initiative working direct low with...