services aimed at moving away from the fee for service system. medicare and medicaid services chief medical officer patrick conway was among the panelists who discussed the change at a talk hosted by the alliance for health reform and kaiser family foundation. this is an hour and a half. >> we're going to go head and get started. i'm marilyn serafini. i'm with the alliance for health reform. i would like to welcome you to today's briefing on payment and delivery system reforms in medicare. so today we're going to be looking at the evidence behind numerous experiments that are going on across the country to pay medical providers based on quality rather than the quantity of services. i would like to thank our supporter in this event, the kaiser family foundation and in particular our longtime partner, tricia neuman. i wanted to let everybody know that you can tweet with us live with this event. you can tweet your questions. you may tweet your comments. for both the people in the room and also those who are joining us live on c-span. the hash tag is medicare demos. if you would like to

next. ♪ approaching medicare eligibility? you may think you can put off checking out your medicare options until you're sixty-five, but now is a good time to get the ball rolling. keep in mind, medicare only covers about eighty percent of part b medical costs. the rest is up to you. that's where aarp medicare supplement insurance plans insured by unitedhealthcare insurance company come in. like all standardized medicare supplement insurance plans, they could help pay some of what medicare doesn't, saving you in out-of-pocket medical costs. you've learned that taking informed steps along the way really makes a difference later. that's what it means to go long™. call now and request this free decision guide. it's full of information on medicare and the range of aarp medicare supplement plans to choose from based on your needs and budget. all plans like these let you choose any doctor or hospital that accepts medicare patients, and there are no network restrictions. unitedhealthcare insurance company has over thirty years experience and the commitment to roll along with you, keeping

that. i think we should get a medicare supplement insurance plan. right now? whether you're new to medicare or not, you may know it only covers about 80% of your part b medical expenses. it's up to you to pay the difference. so think about an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, they help cover some of what medicare doesn't pay. i did a little research. with a medicare supplement plan, you'll be able to stay with your doctor... oh you know i love that guy. mmmmhmmm. these types of plans let you choose any doctor or hospital that accepts medicare patients. and, there are no networks. is this a one-size fits all kind of thing? it all depends on what we need. and how much we want to spend. call now to request your free [decision guide]. it could help you find an aarp medicare supplement plan that's right for you. what happens when we travel? the plans go with us. anywhere in the country. i like that. you know what else? unitedhealthcare insurance company has years and years of

conversation about new ways to pay for medicare. the speakers organized by the alliance for health reform. >> i'm going to introduce our speakers. we have cristina bacuti, associate director of medicare policy and she's held a number of positions at hhs, medicare payment advisory commission and the government accountability office. next to her is marilyn moon, she's analyzed medicare program in various capacities, also served as a public trusty for the social security and medicare trust funds in the 1990's. to my immediate right is patrick konway, medicare and medicaid services, and he's also the director of center for medicare and medicaid invasion, cmmi. you will hear that acronym a lot today. cmmi is approaches that we are going to be talking about today. eric young, next to me is trisha newman and her left is jerry young, director and cofounder of medstar medical center. eric will give us a glimpse and medstar expanding to other facilities. to my far right james, he leads rochester payment program and has a hand in aco like and risk base models. so we are going to start off at the far

questions. we will try to answer as many as we can. again, the hash tag is medicare demos. i will turn it over to eric de jonge who will talk about house calls, independence at home program. >> thank you. thank you. can you hear me? thank you very much. i'm going to start off with a disclosure, which i -- is on my front slide. i want everyone to know i will talk about home based primary care, a house call clinical model for elders and how that led to the independence at home. my disclosure is, my presentation does not involve cms sponsored analyses. it's my responsibility and no review or verification by them. hopefully, patrick will be okay with it. next slide. i'm going to talk first about the patients that we serve. i would like to do a brief survey of the room. how many people in this room have an elder in their life who is sick and has trouble getting to the doctor's office? raise your hand. looks like more than half the room. independence at home and home-based primary care is the model of care for those people. 17 years ago, dr. george toller and i came to d.c. and decided to set u

schedule, go to c-span.org. >> next a discussion about a new way to pay for medicare. the centers for medicare and medicaid services took a look at the plan at what it might mean for patients. the discussion was hosted by the alliance for health reform and the kaiser family foundation. >> we are going to go ahead and get started. i'm marilyn with the appliance for health reform and i would like to welcome to you today's briefing on payment and delivery systems reforms on medicare. today we will be looking at the evidence behind numerous experiments to pay medical providers based on quality rather than the quantity of services. i would like to thank our supporter in this event, the kaiser family foundation and in particular our long time partner, trisha newman. i wanted to let everybody know that you can tweet with us live with this event. you can tweet your questions and comments for both the people in the room and those joins us live on c-span. the hash tag is medicare demos. if you would like to access and you are not in the room with us, find them on our website at www.all health.o

by united health care. ♪ approaching medicare eligibility? you may think you can put off checking out your medicare options until you're sixty-five, but now is a good time to get the ball rolling. keep in mind, medicare only covers about eighty percent of part b medical costs. the rest is up to you. that's where aarp medicare supplement insurance plans like all standardized medicare supplement insurance plans, they could help pay some of what medicare doesn't, saving you in out-of-pocket medical costs. you've learned that taking informed steps along the way really makes a difference later. that's what it means to go long™. call now and request this free [decision guide]. it's full of information on medicare and the range of aarp medicare supplement plans to choose from based on your needs and budget. all plans like these let you choose any doctor or hospital that accepts medicare patients, and there are no network restrictions. unitedhealthcare insurance company has over thirty years experience and the commitment to roll along with you, keeping you on course. so call now and dis

my 60's. i've got a nice long life ahead. big plans. so when i found out medicare doesn't pay all my medical expenses, i got a medicare supplement insurance plan. [ male announcer ] if you're eligible for medicare, you may know it only covers about 80% of your part b medical expenses. the rest is up to you. call now and find out about an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, it could save you in out-of-pocket medical costs. call now to request your free decision guide. i've been with my doctor for 12 years. now i know i'll be able to stick with him. [ male announcer ] you'll be able to visit any doctor or hospital that accepts medicare patients. plus, there are no networks, and virtually no referrals needed. see why millions of people have already enrolled in the only medicare supplement insurance plans endorsed by aarp. don't wait. call now. >>> supreme court must now decide if president obama issues on the illegal immigration and deportation is legal. we get more this mornin

you're approaching 65, now's the time to get your ducks in a row. to learn about medicare, and the options you have. you see, medicare doesn't cover everything - only about 80% of your part b medical expenses. the rest is up to you. so if 65 is around the corner, think about an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, they help cover some of what medicare doesn't pay. and could save you in out-of-pocket medical costs. so don't wait. call to request your free decision guide. and gather the information now to help you choose a plan later. these types of plans let you pick any doctor or hospital that takes medicare patients. and there's a range of plans to choose from, depending on you needs and your budget. because the time to think about tomorrow...is today. xt >> it wasn't your typical call for firefighters in hoboken today. i will tell you that much. they helped rescue a dog from the ledge. the poor guy named skipper managed to break a screen and wandered out to a window. the

, guess what? you could apply for a medicare supplement insurance plan whenever you want. no enrollment window. no waiting to apply. that means now may be a great time to shop for an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. medicare doesn't cover everything. and like all standardized medicare supplement insurance plans, these help cover some of what medicare doesn't pay. so don't wait. call now to request your free decision guide. it could help you find the aarp medicare supplement plan that works for you. these types of plans have no networks, so you get to choose any doctor who accepts medicare patients. rates are competitive, and they're the only plans of their kind endorsed by aarp. remember - these plans let you apply all year round. so call today. because now's the perfect time to learn more. >>> well, it may be the next big thing in aviation at least on sunny days. a plane taking flight without fuel. this experimental plane is using the sun to charge its engine. it's called the solar impulse 2 and it took off from hawaii with a pilot

get your ducks in a row. to learn about medicare, and the options you have. you see, medicare doesn't cover everything - only about 80% of your part b medical expenses. the rest is up to you. so if 65 is around the corner, think about an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, they help cover some of what medicare doesn't pay. and could save you in out-of-pocket medical costs. so don't wait. call to request your free decision guide. and gather the information now to help you choose a plan later. or hospital that takes medicare patients. and there's a range of plans to choose from, depending on you needs and your budget. so if you're turning 65 soon, call now and get started. because the time to think about tomorrow...is today. go long. fios is not cable. we're wired differently. we guarantee to make switching easier. we'll show up on time. you're right on time. as promised. to install fios and set up the wi-fi that janet, jamie, jenny, jemma, and jasmine need on their birthday. t

life ahead. big plans. so when i found out medicare doesn't pay all my medical expenses, i looked at my options. then i got a medicare supplement insurance plan. [ male announcer ] if you're eligible for medicare, you may know it only covers about 80% of your part b medical expenses. the rest is up to you. call now and find out about an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, it helps pick up some of what medicare doesn't pay. and could save you in out-of-pocket medical costs. to me, relationships matter. i've been with my doctor for 12 years. now i know i'll be able to stick with him. [ male announcer ] with these types of plans, you'll be able to visit any doctor or hospital that accepts medicare patients. plus, there are no networks, and virtually no referrals needed. so don't wait. call now and request this free decision guide to help you better understand medicare... and which aarp medicare supplement plan might be best for you. there's a wide range to choose from. we love to

birthday? elizabeth. everybody a big sigh. how nice is that? meteorologist bill evans approaching medicare eligibility? you may think you can put off checking out your medicare options until you're sixty-five, but now is a good time to get the ball rolling. keep in mind, medicare only covers about eighty percent of part b medical costs. the rest is up to you. that's where aarp medicare supplement insurance plans insured by unitedhealthcare insurance company come in. like all standardized medicare supplement insurance plans, saving you in out-of-pocket medical costs. you've learned that taking informed steps along the way really makes a difference later. that's what it means to go long . call now and request this free decision guide. it's full of information on medicare and the range of aarp medicare supplement plans to choose from based on your needs and budget. all plans like these let you choose any doctor or hospital that accepts medicare patients, and there are no network restrictions. unitedhealthcare insurance company has over thirty years experience and the commitment to roll along

health care. the rest is up to you. that's where aarp medicare supplement insurance plans insured by unitedhealthcare insurance company come in. like all standardized medicare supplement insurance plans, they could help pay some of what medicare doesn't, saving you in out-of-pocket medical costs. the way really makes a difference later. that's what it means to go long™. call now and request this free decision guide. it's full of information on medicare and the range of aarp medicare supplement plans to choose from based on your needs and budget. all plans like these let you choose any doctor or hospital that accepts medicare patients, and there are no network restrictions. unitedhealthcare insurance company has over thirty years experience and the commitment to roll along with you, keeping you on course. so call now and discover how an aarp medicare supplement plan could go long™ for you. these are the only medicare supplement insurance plans endorsed by aarp, an organization serving the needs of people 50 and over for generations. plus, nine out of ten plan members surveyed say

. i think we should get a medicare supplement insurance plan. right now? [ male announcer ] whether you're new to medicare or not, you may know it only covers about 80% of your part b medical expenses. it's up to you to pay the difference. so think about an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, they help cover some of what medicare doesn't pay and could really save you in out-of-pocket medical costs. call now. with a medicare supplement plan, you'll be able to stay with your doctor. oh, you know, i love that guy. mm-hmm. [ male announcer ] these types of plans let you visit any doctor or hospital that accepts medicare patients. and there are no networks. you do your push-ups today? prepare to be amazed. [ male announcer ] don't wait. call today to request your free decision guide and find the aarp medicare supplement plan to go the distance with you. go long. >>> let me take this opportunity to thank the people of wisconsin for their strong support. with our victory tonight i

took the trash out. i know. and thank you so much for that. i think we should get a medicare supplement insurance plan. right now? [ male announcer ] whether you're new to medicare or not, you may know it only covers about 80% of your part b medical expenses. it's up to you to pay the difference. so think about an aarp medicare supplement insurance plan, insured by unitedhealthcare insurance company. like all standardized medicare supplement insurance plans, they help cover some of what medicare doesn't pay call now. with a medicare supplement plan, you'll be able to stay with your doctor. oh, you know, i love that guy. mm-hmm. [ male announcer ] these types of plans let you visit any doctor or hospital that accepts medicare patients. and there are no networks. you do your push-ups today? prepare to be amazed. [ male announcer ] don't wait. call today to request your free decision guide and find the a