35 Burst results for "ACO"
"aco" Discussed on WCPT 820
"The American association of retired persons. They don't want to call themselves that. It's now AARP. But that's what they used to call themselves. And while Medicare advantage is a ripoff of you and me, it caused our government more than $7 billion a year more than normal Medicare would. And most of that money goes right into the pockets much of that money goes right into the pockets of the CEOs and stockholders of these giant insurance companies, specifically $814 million a year in profits. But AARP is openly promoting Medicare advantage. By the way, their CEO made $1.3 million last year in 2020 before he has in 2020. They have 38 million members, and this is interesting. Quote, throughout the current public health emergency, we have supported the expansion of supplemental benefits in Medicare advantage to help alleviate the unprecedented healthcare crisis brought on by the COVID-19 pandemic, right? Letter from AARP. Starting the Medicare advantage part was added by the lever, but if you look at the context, that was what they were talking about. The lever notes, starting in 2021, AARP also launched a lucrative partnership with a major Medicare outsourcing form, oak street health, which is a participant in the ACO realizing equity access and community health program, also known as the ACO reach program that privatizes Medicare benefits for seniors without their consent. AARP or an 814 million in royalties at figure is double what they collect in dues, their motto is to serve not be served, but what they're serving is apparently Medicare advantage. Susan Rogers, the president of physicians for national health program, P and HP pointed out that AARP's website contained essentially no information, no independent information on Medicare advantage. Quote, if you go to their website and search for Medicare, the first information up there is Medicare advantage. She said, nothing about traditional Medicare. Nothing. And the ACO reach program, of course, will throw you into a Medicare advantage program without you even knowing it if you're a doctor has hooked up with one of these groups. So rough stuff. A clearance called truck driver called a little earlier and said, what's in the inflation reduction act for average consumers. And so I said, I'll do a little homework here over the break. Number one, the expanded tax credits for energy efficient commercial buildings, energy efficient homes and electric vehicles will include bonus credits for businesses that pay prevailing wages. And higher registered apprentices ensuring local wages are not undercut by low road contractors. In other words, it will increase wages across the country. It stops companies from ripping off workers. It penalizes companies that promise to pay prevailing wages, but don't follow through. For the first time ever, the inflation reduction act establishes make it in America provisions for the use of American made equipment, the law provides expanded clean energy tax credits for wind solar nuclear clean energy, clean hydrogen, clean fuels, and carbon capture. It makes the tax code fairer by cracking down on multi millionaires, billionaires and corporations that evade their taxes, no family making less than $400,000 a year will see a tax increase, the inflation reduction act will actually raise revenue for the federal government by going after-tax Dodgers, particularly wealthy individuals and giant corporations. Imposes
"aco" Discussed on Mental Illness Happy Hour
"I was 25, my fiance of almost 9 years suddenly passed away. For financial reasons I had to move back in with my not so nice father. Is that an age where he's going to start needing help? And now I feel trapped. I'll be 30 next year and he's still treats me like I'm 16. I would get a place in my own, but I do not believe I would be able to afford an apartment by myself and all of my Friends are married with children. And again he is starting to need help and players the guilt card. He does not have any friends or really any hobbies and just relies on me. He does not want me to have my own life and if I talk to men, it's like I am 16 again. He relies on me for companionship and gets upset if I have plans away from home. He talks down to me and doesn't think he's doing anything wrong. You know he expects me to be there whenever he needs it because I live here and I'm his daughter. Any advice on how to deal with this predicament and or him, thanks so much. First of all, I'm sorry that you're dealing. With that. And he sounds like a real gaslighter. And it is so hard to unwire the wiring installed by a gaslighting parent or caregiver. And I think a really great place to start would be for you to get into therapy or support group for people who grew up in dysfunctional families. I know there are some great 12 step support groups for children of dysfunctional families. ACO a, which is a adult children of alcoholics or dysfunction is a great support group to learn boundaries and practice self care and begin to be the parent that we never were to ourselves. I hear I hear great things about it. So that might be worth checking out, but as far as one thing I would not suggest is trying to get your dad to see things your way. And hoping for him to change. It is so important for you to take care of yourself. And just because your dad needs help, doesn't mean he has the right to treat you like shit. And your part in it is deciding whether or not you're going to stand around and let him treat you like shit. And that can be a really hard thing when we have believed their gaslighting our whole lives that guilt gets buried so deep in us and it feels so real. And, you know, there's a saying, nobody can push your buttons like your parents because they installed them. But thank you for sharing that. And I really hope you get some help and some support around that because that is too big of a thing to try to handle on our own. This is from the shame and secret survey filled out by a woman who calls herself difficult child. She identifies his straight. She's in her 30s, was raised in a pretty dysfunctional environment. She was the victim of sexual abuse and one of them she reported and the other one she's not sure. She's been physically and emotionally abused. Really, really. She categorizes her childhood as pretty dysfunctional. It's way more than that in my opinion, should really verbally abusive. Mother and, you know, for example, I'm just going to kind of condense this, but completely emotionally banded by her parents and the thing that she sought comfort in were these scraps of material that she would give names and they were soothing to her. And her parents would throw them out and her mom. Even laughed. About throwing one of them out when she mentioned it later as a teenager. She writes, it was then that she finally admitted that she had burnt it with the rubbish. She said, sorry, but then laughed it off with one of those mocking how ridiculous laughs. Yep, just ripped my heart out and stomp on it again, why don't you? Sometimes I say I was born with a broken heart and I know that's an exaggeration, exaggeration, but the pervasive feeling of my living memory is that of having my heart broken, and there being only a great big black hole left in its place. Any positive experiences with the abusers. And this is the reason I wanted to read this. Seeing my primary abuser was my mother, my feelings have always been terribly complicated. She died two years ago in the middle of the night, and as soon as I found out, I rushed to the hospital because I wanted to get there before her body went cold. For the first time in my life, I was able to hold her for as long as I wanted, and she couldn't push me away. The softest and warmest my mother ever felt to me was when she was dead. I'm still dealing with these complicated feelings, and I'm sure I will be for.
"aco" Discussed on What Bitcoin Did
"Aco is better to do a private fundraiser. If you're doing private fundraiser. How do you avoid having a massive fda and like retail investors buying top. Do you never go public. How do you even reach. product market fit. If part market fit requires your blockchain be public and therefore having a unit of account on the blockchain so like i totally understand where coming from by think there's as much nuance and bitcoin of how this immaculate conception where no one knew anything about like you know the industry. It wasn't like bitcoin hadn't like bubbled up in these huge price increases As it has now because it didn't exist it was brand new those this Beautiful moment not only. Bitcoin could have done a now. You can't do if you try and do what. Bitcoin did this fair launch. It doesn't work anymore because you have massive capital allocate is that hoover up all the clients. fell cannot happen anymore. It's it's like a complete fiction that you can do a fail alameda. A multi line. We'll just put their three billion dollars into the single sided staking and with the supply. Anyway and you just gave it to them for free. That was just a beautiful explanation of how the establishment took the one glimmering hopeful possibility of innovation. Here and just squeezed it out and figured out how to like reasserted dominance. I just thought that was brilliant. Well i think you make a really good point that kobe. I don't think you can ever do fell launch like bitcoin again. It's i think it's very difficult If you are about what i do. Now what i do think you can do as an unfair launch and what what. My concern is this. Flip in the incentive model companies like six extinct z. Can invest in projects and Very significant returns on things that will ultimately fail. There's no incentive to find the projects that will will work. They don't have to work. They fundamentally see a return. Whatever because it doesn't work and that that's semi like just digits dancer always questioned. What what we do know is try to convince people to build on bitcoin. And why why do you think they're unconvinced. That's that's well. yeah that's time prevent. I don't think there is a single answer to that. But i do tend to agree with you. There are there are better and worst ways to convince them. Let's let's say they convinced right. Let's say you're building a building unicef wealth on bitcoin building a decentralized lending call on bitcoin and your.
"aco" Discussed on Burn It All Down
"Gonna burn Metaphorically the bolivian football federation this week. They cancelled a friendly between the dominican republic and bolivia they were going to travel to bolivia. It's the women's team and they cancelled at the last minute. They were already convoked. They had already travelled taken off work etc and at the last minute cancelled due to budgetary issues. This is the same federation whose president the last president. was arrested mid match for corruption by the blooming government because he refused to leave his job as the president of the faa and so this is a disaster and they all signed a letter the members of the team the all the women and officially sent it. The federation common ball said nothing fever so far has said nothing and it may seem small to people you know you just cancelled a match. We'll just reschedule it or something like that. But it's on the spectrum as we've discussed on this show of sexism where people like. What does it have to be. I mean this is the same past that you're going to give them for graver things and do you think they're not doing that do you think. Do you think that they're like total neglect in dismissal of women in football isn't having other effects in other places in other teams. That are more serious. And even if it's not why should they put up with this bullshit anyway the bolivian. Fa was perfectly fine to fund the men's team just last week to play three different matches. So whatever about that. And where did your full forward development money go. Where are you mao. aco macrey the ex president of argentina. who's one of the most corrupt acts officials in the world. And i'm sure about to get a position at the harvard kennedy school any day. Now this is some serious bullshit and like you only into lake go to jail for corruption and first sexism. It's the same thing in its growth. And i wanna burn it. So burn firm and jess. Yeah so content. Note that i'm about to talk about sexual assault and sexual abuse child sexual abuse. I'm wednesday for gymnast. Simone biles michaela maroney maggie nicols and allie race men said before the senate judiciary committee on capitol hill here in the us and once again told their stories of abuse at the hands of larry nassar and also the myriad of ways that usa gymnastics the us olympic impair olympic committee and specifically the fbi. Let them down once. They reported those crimes. Here's a part of allie race. Men's opening statement over the past few years. It has become painfully clear. How a survivors healing is affected by the handling of their abuse.
"aco" Discussed on MasterMindSet
"In oh we need technology to augment us even more than us to a mantis technology's not the to replace humans diagnoses there to own mentors and so this is about that and actually stopped with the sentence That says science without conscience is death of the soul soul. Sorry who's the frenchaccent. As well which is from french philosopher back in fourteen hundreds or something like that and he says of course we have new technology but we also have responsibilities because of these new technologies and that the book is all about that. It's very easy to to read Have feedback from kids. Seven eight nine years old feedback from people eighty ninety years old a very positive on my on the amazon conservative bolton amazon and And it was fun. It was a lot of work because it's available in french in english. So i did it in in both languages. Love work but it was fun. I'm gonna get my data copy of this. Because kim and i have been talking to my dad for few weeks. He's had all sorts tech problems. And the major issue. The icy is actually. They're marginalized groups like people really can't get on with technology people never ever used it all and it's in it's virtually impossible for them to actually get access to to the internet ryan. This morning was transformation muslim because he actually yuzu with me for the first time and he looked happy because he actually managed to officer resume coal on his own. It's mac right and this is. This is just an incredible thing that without the internet would not connect with anyone anymore. This is just a crazy crazy about holded. Thirty twenty years ago You would have been totally different story. And it would've been a complete disaster for the welcoming and everything. I mean you know you. I know all that is everything. And i'm not gonna share that obviously budding nine autumn months digital it is a real digital transformation example. What giving what. You're giving us here because the three of us a uneven on the late we've we've lived with internet. We have lived with all these new technologies. Only like i tell my kids today. They call in the car. We use ways Twenty five and twenty two. We use ways everything i say you know. I was at the beginning of Everybody has it all right that but i mean my father knows eighty four. A what's half coal is difficult for him because he it's not like the normal call so it's changing the mindset and that's what it's all about digital transformation is not only about digital Tried to all my customers. Do not put the words together sense that digital transformation is about changing mindset and working differently so i remember before many. Aco's that would advise or would say. Yeah but you know working from home. It's like taking a holiday. Had that so many times. That can no way. As long does unsealed. Nobody from company is going to work from home. And you know i The two people. I would love to call today. I will not do. One of them is one is still ceo..
"aco" Discussed on College Football Live
"Nothing better than your mental makeup. I quit after five holes yesterday. I'm not proud but it is true. I got so mad. Does listen clinton's got. The atlantic grabbed up previously. They dominated for the past few years. Who wins the acc. Coastal this year. Say like those guys went to charles barkley school of golf but anyway i did get in their king back off the aco reports coming out coral gables. He's one hundred percent. But i think the biggest change is going to be. Many deers. many days is now going to take over full duties as a defensive coordinator. So i think that's going to be extremely important coming out with that game against alabama neutral site game in atlanta. We're going to learn a lot about miami. But harry i gotta go with the canes yet. There's know popular pick. Everybody right now is north carolina. Obviously everybody loves sam howell. They're returning inexperienced offensive line but man. He lost a lot of weapons. That are getting some preseason. Nfl reps right now. So i'm with you right here. I'm going with miami. Dear kings finally healthy not just from physical standpoint from a financial standpoint as well. I think that as long as they're able to replace some of their pass rushers that they lost the nfl. That miami should have a pretty good year this year. Obviously we're going to find out early what they're made of. Well you're right sam. How lost his top four targets from last year. That can make a big difference. We'll see again. We'll see soon with all of these teams college. Football draws closer. We got a kickoff weekend. We call it week zero.
"aco" Discussed on The Pat McAfee Show 2.0
"Well. I feel like a child now at there with you to you. I swear to. God zina's just googling michael cole hurt. I believe we got mentioned about saturday. We shouldn't forget prize becky. Lynn unbelievable back. What happened there. She came back that thing fascinating. That was a fascinating that was huge. Obviously i've been massive effect for a long time as is my wife. My wife started watching because of me the first time. Yeah it was great right behind sri punch their little. Ho- how do how do you do. I think it was a good interaction right. Good one yeah. Great great interaction. You don't have those with a lot of people by the way. You are showing all these people i mean. Michael call me so inbetween matches right at summer slam. Okay you're out. You're you're glad handing people colin coward given a big like your as best body in the world role of the is. You're sitting down with like while. Lay all these big ramp stars. You're hanging out playing music. You listen to music you're signing autographs. You're take pictures in matches patch. I actually have to get ready to call them. Research getting ready to go to work. Glad handing everybody knows. What am i supposed to do some homework. Okay well listen. What i think is the amount of information on gift from all those people. I'm talking too much more valuable than i could learn. What piece of information show. So when wally told me like hey listen. He's actually wanted to told me that. Brock lasers back in ww right. Hey if this happens. Yeah you're right. None of it was good to see people. That was a hell. There was a lot of people. That logan paul is there. Aco slater was and tiffany. Haddish was air scott united states championship. The national championship said. He's accused exciting. Yeah as she should have been cracker. We corrected very quickly. It was all she crushed it Colin coward bill. Simmons was also there. Thanks for giving him no credit alright orange in that big journalist bill but he's white and that's a call. Sorry i wasn't i wasn't looking at the fans. I was doing my job watching the right. Go ahead cool for events like this. Are you jumping right on the coal train afterwards. He just getting all banged up and boozed up. When it's super late you gotta get out of their normally yes. I had read though. So i write speidel. Ruby's diner at the las vegas airport for a couple of years but Yeah i mean. Of course i just i'm like pad i'd stay out of vegas. There's nothing that can nothing good can happen to me. Las vegas so that's why i had to the airplane at home. Well the i saw him in sweats sweat. I way first time i've ever seen him. Redeye flight makes sense talk. Trampled day was much quicker option nor there. Yeah there was. There's a lot of people at private jets of them. I think we're going to texas so but you know whatever. Listen this long. I gotta get my marshall. Airline points jets that we can use every week. Sometimes we have to use miles actually go on vacation and i understand i understand it does give you a few more beers layovers to call but when cross did come out you gave a holy and i was hoping for the shit see in pay per view for you guys to be able to drop some of those borderline cuss words or even just like a bleep button even holy closest that i that i've come. That was the closest. I've ever come to do that because that was the legitimate. Like oh my god this. This can't be happening. I for one. Never thought i'd see brock back here again. I mean broncos. Just you know. He didn't have anything to prove right so when i saw him i couldn't believe it That was legit. And then your buddy. There's egging me on to say it. And i i was. My almost did what i can't do it now. He forced me too much peer pressure. Because i kind of puppeteer in their polish would accidentally said peacock wrong. That was kind of let that slip there. When i said i can't say.
"aco" Discussed on The Tech Guy
"Oh i gotta warn you about something though. A bigger monitor doesn't make the text bigger. It makes you know in a way it makes it smaller so the size of your text is tied to the resolution of the monitor. The number of dots in the monitor monitor monitors are actually high resolution. So you could take that old dell and and are you on windows mac. What do you use windows ten. Okay you can change. The dots sprints in windows tan to make The text bigger and actually all of it bigger and more legible. I would certainly look at that. Ten year old dell is just fine probably i don't i don't think it's it's i mean it's working for you right but when i try to increasing dp resolution. Yeah i only up with two or three or four calms my friendship. That's now you're making it too. Big so i see what you're saying. Yeah so you've got a spreadsheet with lots of roads and a lot of columns the problem with making texts bigger is you won't be able to see as many so. That's a good argument for a larger monitor but at a lower. Dpi in other words you can get a new dell in fact they have much bigger monitors. My wife who does a lot of spread sheeting actually uses a forty nine inch wide monitor. That is huge. It's basically two of your twenty-seven side-by-side great for spreadsheets. Because you can you know you can have many many more. Columns doesn't change the number of rows changes the number columns and you can change the dpi to be more legible for you. you know. Increase the size of the text and still have enough room to fit that spreadsheet. And so i. I think you're right now. I understand the issue. You're right to look at a larger monitor. I would i would look at dell's And look at some of their bigger size monitors bigger than twenty-seven a really big is is obviously forty nine inches. They those things they just look like a giant bar across your desk. You have to have a lot of room. But i think it works quite well especially for spreadsheets. That's my wife uses. you'll have quickbooks open on a f- a quarter of the screen and then have a spreadsheet the mico across a one and a half screens just to get all of that all of those columns and it's really fantastic. You make sure. I that your your resolution would be supported by your computer. How old is the computer. It's two years old cheap. Em so here on free to windows. Eleven we'll see what happens when the when the rubber hits the road on that one. Yeah two years old computer does have. Pm they just may not have enabled it so there's probably waste turn it on in the bios Is from is it. An amd processor. Aco's is intel or amd the cpu in Well there's a teepee you on there almost certainly but i don't..
"aco" Discussed on The Young Turks
"Back to. Ty t. anna casts burian. And charles coleman jr. with you we were just talking about this town hall meeting That aco hudson governor of arkansas was holding to encourage his constituents to get vaccinated. He got some pushback. There's more video. I wanted to share with the audience. So why don't we get right to that. So well as hutchinson was trying to encourage his constituents to get vaccinated. He had one person after the next stand up and basically push back. The next video is another good example of the type of misinformation that some people have unfortunately bought into and the arguments that they used against a hutchinson. Let's watch so explain to me why there are so many that have the vaccine that are getting the virus name. I think that we all know what the truth is. And it is time to start accepting what the truth is. We know that this is the emperor has no clothes and we need to accept that we know what the survival rate is of course did. Do we really want to go back to where we were. Do we really want to go back. And lockdown what the back seen just curious. This backseats actually have patents. Now actually get rid.
"aco" Discussed on MAD MONEY W/ JIM CRAMER
"This is really only happening now and like you said a lot of the incentives right. Now that are. I think are gonna really jumpstart this whole process or being debated right now as we speak in congress so i wouldn't at all be surprised to see that development eventually but it's not quite ready for primetime yet so you're saying you said something very important if less you have cheap electricity. It doesn't work unless you have. Green are renewable generated electricity. It doesn't work. You also have to have cheap electricity to so. I mean kobe system. We wanted people see feel. There's still too much colder system. We don't want to create more of pollution when we try to create less pollution. Right really gonna make this thing work. That's the reason you wanted two things either. You have to make the hydrogen in a way that doesn't generate carbon dioxide co two or you have to sequester that co two in one of those processes. That i just mentioned ccs or ccus all right so last question for you. I really rusty. This is the toughest thing. Gino i spoke to andy. Marsh aco plug. I read him. What lindy said now. Linde has a vested interest in hydrogen selling fast. And they're saying it's three five years away plug power saying it's now this is glean hydrogen. Now which is it now. Three five years all of the above him so for for plug power for what they are doing. They got the there are there. Are building five plants right now. That are green hydrogen and they are going to those are liquid liquefied hydrogen plants. Those plants are gonna come on and they're gonna go straight into their operations so from plug powers perspective. It's now for the industrial gas companies again. They've been doing great hydrogen for decades now in terms of making the transition between gray and blue. It's gonna take a few years in order to do that. But i'm not talking about five years. I'm talking about two years three years four years sort of thing. That would drive us then. We gotta stay on this rusty. Because that's much sooner than i ever thought it could happen. And it's a major development for our country and i want to thank you for telling a strip is your have a vested interest. You're not talking your book. You have no book which is why it was so you rusty brazil rbm energy and founder and ed executive chair of our and it's my favorite site to in the morning. Thank you so much rusty. I appreciate being on absolute okay guys. We stayed on this and you know what this power. I spoke this morning. Wow needed up three today. Maybe can go har- everybody's back after the break coming off..
"aco" Discussed on The Dan Bongino Show
"Joe's feel a little better today. Do i'll say yeah yes. I don't know what it was so bizarre. That went onto radio show. And i told everybody the beginning of the radio shows you listen boat opening segments the longest radio program. I was like guys. That's just sucked. I'm really sorry that was just really terrible. Jeopardy's just like it was fine. I did right joe. You never job in the radio business. You never supposed to do that but things you've ever supposed to do. I do although i'll look. It's america's worst republican governor on fox news. Ace ace hutchinson. This guy's disgrace. Get this guy out of the republican party immediately. Aco hutchinson supposed- republican pushing for a renewed mask mandy. Here we go on fox right now. This guy one of the worst republican governors the grace to the party with that dopey face on fox right. Now come on the show. I dare you ask you to produce your evidence about a mask mandate put and the whole. That's right hip. So i'm hearing rumors of another lock down. The biden administration is very seriously considering this folks here. We go again. The rumors i'm hearing are from credible people. They are strongly considering it. No decision from what i'm hearing has been made yet but we're now in a race against the peak and insane media hysteria. What do i mean by that. But because this locked down for you i'll go through. What will happen in. The second will be absolutely devastating. I think you understand the catastrophe. That wouldn't sue if the biden administration decides to destroy our economy yet again with no scientific basis to back it up. But here's race against if you look at the data from india about the delta variants of the corona virus. Right you'll see. It hits a peak once it hits this peak and they reached some mild form of herd immunity. You'll see excuse me the cases start to drop almost immediately. He's the only question is are we at that peak now or is it a couple of weeks from now. I have no doubt looking at the data analyzing it from you. Don't have to be an epidemiologist but analyzing from a data perspective and comparing it to other places around the world that we are very very close to hitting this. How close. I'm not sure two weeks four weeks but we're in a race against time now because every day you have outlets like drudge. Report drudge is the i mean this. This website is now. The king of media driven panic and hysteria. You have the white house and others trying to play both sides. They want a bunch of panic so they can get their bills passed but not too much panic. That impacts Joe biden and proven. I'm you're seeing this poll approval numbers go down now. They're starting to change their mind again. I said no panicked. And they said panic and now the starting to change your mind. Taking the panic may be hurting them. If we hit this peak in cases start to drop quickly after that the media hysteria will have to die down because they won't have anything to report on right. now they're.
"aco" Discussed on The Pat McAfee Show 2.0
"There's a lot of people in suits like. Aj walking around not to mention. There's a green tea shortage in the city at the moment. Not good at fuck me up. This morning what starbucks. They didn't have your gigantic ice cream. Teas nope not any of them. We went to one they said. Hey try this place went to the other said. Hey by the way. No starbucks have green tea in the city. We don't got any of it. We had to find the thompson. Green tea fucking. Find him in town long enough. But what i'm saying is i don't know enough about houston haven't been able to learn enough since getting here because we have really run into anybody. My only reference point is jackie's. So i hope i run into him or he's gonna get quite a pop tonight hopefully in that arena. I don't know how they feel about them. We're gonna learn quick. A you know when jack easterby is walking all over the place giving his his beautiful sermons he looks like. I don't know if you've ever had an mc l. situation pat but we. We just caught news. The tom brady played last season with a torn mc l. End up getting surgery to fix this after the year. Do you have any experience with this with is. I think people get confused between. Mci acl all stuff. Doing the acl is really what gets talked about the most. What does this with the idea. Okay so aj. I'm happy we're going to talk about this. Because we're dudes who probably have eight to nine knee surgeries combined between us. I don't know how many how many i think five or six. Jesus so i had four so we got ten knee surgeries between the two of us. So we happened in a little bit about the need. The good thing for me is none of the ligaments. Ever were damaged for me. And that's what the elves are at the end of the mc l. l. All this shit. Right so i never. I'd meniscus issues. Patella issues in the meniscus is like a surgery where they go in. And it's what's arthur scott mic. Is that what it's called. Yeah scope is what it's called. It's just quick though they go in they kind of clean it up and then they go out. It's like it could be anywhere from four weeks to six weeks recovery because there isn't really any structural damage when the ligaments are damaged like the acl. That's a big fucking deal the mc l. i think is the easiest to kind of get around. I'm not harm sent show. I don't know it well. Enough in there are some people that don't need their. Aco's there's some people in the nhl. That don't even have an acl and then there somebody's that most bodies assumes acl is gone. You can't do anything so. The ligaments are much different than everything else aj. Do you have any ligaments. Structural damage or was yours. Mostly meniscus cleanup chipping and everything like that. It was all of that but it started with my my senior year in high school. That's what goes like front and back. I guess and help stabilized. So i i think told us in the show ran a fake punt my first game my senior year playing in my right leg right at the first down marker dude went low blast of my niece straight back. Torment hold on j. What other positions did you play. I played running back. Linebacker punter kicked off a little bit but kickoff. Once after a touchdown run. I was dead tired. I yanked thing about twelve yards but it went sixty rows deep out of bounds. That's going to happen and that's bad field position. That's not what you want it all but did you get injured in any of those other positions. No i don't think i did. Yes and my injury was when i was the punter. You're right. What a grueling grueling position. I got hurt playing partner to. Hey listen it happens the best of us but go on. I'm sorry interrupted you. There is a position you can't get got it's got about but the l. front the back mc l. was lateral than the acl's through the middle. Is that what it is. Yeah i think. I don't know exactly how the the mc l. is inside the l. sales outside lateral. Obviously yeah aco is the big one that you really need the most i that you have to usually get fixed. You hear stories about people playing with tornadoes and for some some reason some people can handle it more than others. But with tom i guess you can do. I've seen it. I'm sure you've been around guys that play with torn mc l. They do a tape job. There's some special tape job to try to stabilize your knee as much as you possibly can. Then tom wear knee. Brace on top of that the stabilization also. I think there is a i. Think the stabili stabilization also takes away from the pain that potentially happens from a little bit of a bob will not just like physical performance ability with the stabilization. But also i think keeping it tight is also getting from some of the pain. He had to have a painful season. Let's not this is not something. I do not wanna undersell. This is not cool to have anything torn in any part of your body. Rob minka vich. I think you mentioned this early. Robin vici talks about how the l. Like this is something that you can get around. He was more impressed with Whenever he busted open was that in the day before the afc championship when rexburg was taken a hand off. he busted open his thumb. He had to get stitches. There was happening thrown handy. He still wants place. I'm not saying that. Tom brady is an incredibly tough. And he's forty plus years old dealing with all of this makes which makes it even more impressive but there have been people in the past that have gone through full seasons. I think with torn. Mc it is not cool the amount of management that has to be involved with that especially with being a quarterback being. Tom brady learning a new system. Insane more more power to them but that was wild here and then he wins the fucking super bowl ouster herrero. Ashby la plop. Plop them win super bowls and stuff. New offenses new homes covert. What don't give a damn give us a torn mc l. We don't carry avocado ice cream. You goddamn superbowl. That's pretty much. What happened area. Aj digs what about you know big game tomorrow any worry that you may stretch one of those. Mctl's it's almost guarantee. I'm not going to stretch it all. Because i figured that's not gonna do anything ain't never seen secretary of stretch say that you think those guys are greatest generation when they're running across normandy. They're worried about porn fucking hamstrings absolutely. Not brown's digs honestly that where's your head at where we won't spend a bunch of time on. I don't wanna freak you out. The weather is going to be fine. Don't worry it's not going to be rain out. I know you're you're quietly hoping for that. Maybe take some bp and then just call it a day. That's what you may hope. Where's your head at have you have you been sleeping at night. Yeah i feel really good. I feel like probably going to get team. Mvp if i had to take a guess really good about the gamage aj guess. There's no chances games played really bad here. No it's raining now. You can see it on my jacket. Some of the rain take a sixty percent chance of rain. Oh good forty percent is not so you know. We're all don't have an option you look at it. Like a percent is a high percentage so did say he's gonna be team. Mvp is this a whole new digs that you go to sleep last night and have a full trains. Because i thought he was saying that because he knew it was going to get rained out so then he could do his whole thing. There's a chances game happens. And he thinks he's going to be team. Mvp let's go this much different digs today. We will you know me. I have to get every single side possible out into the air so that if one of them does happen i can say told you so realized why the hammered down record is the way it is..
"aco" Discussed on Outcomes Rocket
"Then even just through tools like even something as simple as the apple watch or acid monitors or ev or eighty defeats. And all that stuff. You bring it all together. I mean one example. Something as simple as someone just had knee surgery elderly person who live on a third floor walk. Eddie capture that right and at risk. Because they're going to have difficulty getting up and down those stairs so we were able to get that information and we add all into the risk profile and then we provide the workflows and the automation and the interventions that need to be taken at the correct time by correct individual. So that's how we do it. And it really is about getting payers providers. The member themselves caregivers community resources all working together in the same ecosystem. If we have to do that through integrating with other great tools out there we do that in other places you know. It's just what we provide to our to our customers. So they can do using our blah blah the great examples there adam and you know in your view the last few years i mean it sounds like things are improving as far as Value based care you know because at the beginning it was a buzzword. Even when the foldable care act chemo. Right i mean and then we've slowly started seeing aco's and other efforts to get better. But i feel like we've gotten better. But i want to hear from you like what's your perspective on. It's it's funny because there's probably very few people know how little tracking base care was getting more more than i have simply because everybody was talking about it and it was a hot topic and everyone's writing stories about it and go to some of these conferences. Nobody's talking about it but nobody was doing anything about it. Yes and some of the earlier models they fail then things like the co ops right in the early days. Those things didn't work out very well and it really took kind of it really is it just speaks to the innovation of some of these startups. They're popping up. I mean we came in. We ended up on the payer side right because there's wants to care management organizations the ceo's they're managing risks and it was very natural for the nations that are best suited to be doing effective proactive care management of providers because they're the ones who have relationships with the individuals. They're not looking at numbers. You're looking at humans but then what the drivers did is they immediately saw this. Aco model in the old jumped into that. But not recognizing that in order to take actually provide outcomes as i mentioned earlier. So much of it is outside of their their purview. Right and all in the community and they don't have the technology to succeed in a situation like that so a lot of them even have the technology or they didn't have staff and it takes a lot of staff to run a model like this and so you know they weren't exactly effective but i think what we're seeing now and this is kind of the perfect storm. Waiting for is is the unification of payer provider. Pay right these organizations to kind of sit between it. Take on risk do care. Management behalf of multiple provider groups or health system and ensured that share the upside and shared the gains with the providers. So you have a really is the payers of providers working together you know. And in some cases the payers taking bigger lifting sometimes providers taking a bigger lift. And sometimes you have organizations like community care of north carolina that sits in the middle and facilitates from sides. We're seeing more and more of that and that's really a model that we invasion when we started with the organization. So i'm excited because we've never been busier than we are today and this year looks like the year that.
DeFi 101, Yield Farming, and Building Crypto Communities
"First of all i want to say thank you to all of our listeners. Or making crypto one and one podcast part of your weekly routine and also driving us up the charts bryce. I don't know if you even know this. But we are now in the top twenty cripple podcasts. All united states business ahead of some things even like jim cramer's mad money. Know what what. Your time misspoke. We're not the top. Twenty of the crypto podcasts. In the us for the top twenty business pod guests in the us. That's right that's right so that's a new hole for us. We're official people are paying attention to what we say. We have to be careful well. I think it has anything to do with us. It's about the market in about the kick ass guests that all come on like our guest. Today they are the real stars of the show. And i'm really happy that we've got someone else who goes by a moniker. By pseudonym we have read from the harvest finance community the community manager. Welcome to the crypto one-to-one podcast. Hey thanks for having me. Now that we've got The world watching us. We're gonna talk about some degen stuff. Really get people what they need to know to be successful in this world. But we're not gonna talk about doj we're not gonna talk about The latest Cute coin that's we're gonna talk about some of this actually delivering real value. Some honest work. If you will Give us the origin story of yield farming. What is this who came up with it and then a high level. What's actually going on here. Why i don't know exactly who invented you'll farming per se. I think it was really popularized by andrea kranji when he learned Launched the the wiron in product which is basically kind of like under this a fair launch paradigm. Wear instead of an aco an initial coin offering. Where maybe a project was trying to say. Hey here's our project will sell you a bunch of tokens with andrea crown. Jewels project. you could just deposit some liquidity at that project. And then over time they would reward you With ownership tokens or the governance tokens of the wire and platform without actually having to exchange like your valuable theory him For with potentially could be a worthless token right. So you're essentially gaining these tokens for free by simply providing liquidity to their system.
"aco" Discussed on The Agostinho Zinga Show
"With equal partner the button creek occidente. The stuns acquired are interested. Prompting twenty seven three thousand seven and have been running since acquainted travers central appraisal district properties on the second foreclosure likely sustained damage due to the winter storm. We know it's been a long time coming from again to finally bite. I club and he. So here's what we was over. The years swamp size had been planning to start a club for months. Now lay here. Assign show you after the rookie announced. She's kind of exit exit. The story rugged sat down for who twenty twenty poker comedian jay bilas by the fracking and effects. Us had an environmental the coast. And how it was one of the reasons he wanted to leave. Irresponsive moved the as rogin if he plans to accommodate a couple as he breaks. Crisis is likely. I'm going to do a comedy club in austin. It will be for fun for all of us and of course He's been keeping company with funds pitcher here rogan and few love comedians. but bob the the economic losses performed that dozens of shows austin since. He's made his move reagan's frequence venues like stops. Bbq aco live in. Mediator recently appeared series. A comedy shows alongside fellow comedian. Dave chapelle and also have been seen performing with run. Y dunno rowling's and michelle wolf regionals cokes. Friends like the follow his path. Down to austin happening. I think he's still in new. Jersey is his longtime staple of the comedy. La story here in la. So yeah. let's see what happens to him. I mean he's looking to make money. Also see the bombay here. He's exterior money with the podcast worth up. One hundred million dollars reagan's focus on line hoops. Get off a screen Line aligned Focus in the september dec- time with White rogan said that he was on the lookout for raj comedy copying austin.
South Dakota gov. to sign ban on transgender girls from female sports
"South dakota's republican governor christie. Gnomes said monday. She's excited to sign a bill. Barring transgender women and girls from competing in high school and college sports mississippi republican governor tate reeves has promised to sign similar legislation in mississippi south. Dakota's aco you chapter responded quote the danger this legislation creates is real. The potential harm to south dakota is significant and the stakes for transgender students. Are high kids are
"aco" Discussed on Whispering Huntys
"Just left it black and white so it just kinda was a bit like goal. Yeah well thanks for. Thanks for exactly what we thought we were going to get from bank who in. Aco's versus h. m. conversation and rupaul and joe black. Who's the winner fight. Who's the loser. There was no one in my opinion. I have one. And i do a lot of things from a sauce. i've won stuff from amazon high west from Never because only god forbid alley expresses they would say in thailand. I've never done that. I don't think that they don't think that they have market share in places that we've been in but obviously in holland the aco and the would be the alley express but the thing to me is either find a product on the site that not everyone's wearing or at the productivity there is nothing wrong wearing. I mean drag is sometimes it making transforming it. You know making the thing. If you if i go to a drag show and i paid ten dollars to get in and i'm wearing the same outfit as the person on stage i personally would have been a little bit annoyed if i pay ten dollars to get in and i. I was wearing the same outfit as the person on stage but that passionate added fringe a couple of ruffles. They'd taken a sleeve off. I probably would've gone. Why didn't i do that with my That's my like by h. Now make it look different. Yeah yeah styling. It's all his co. This the whole thing for esteem has based off coat is had to explain this to a couple of people. It doesn't not a coat was from aitzaz because a tina meant it to look like it was from a yeah she was. She was being like chicken shop. Chicken shop is famous. And there's like three thousand of them in london. I used to own reality tv. Show the watch the customers that would go in between the two. Am and for him. And we've seen this person. I remember remember going up. There was a tv show called three non blondes these three black british women and they were also funny and they like that out what they would wear when they wanted to act like someone by something. Yeah it wasn't it wasn't she wasn't trying to pass it off as something that wasn't from sauce. It was supposed to pay for me now. I mean it was so. I think i think if anything i think ayso swan because at least the avons look good byron. Them didn't look like it was from hatred. Looked like it used to be a cushion. Yeah and i think. I think that okay obviously getting mad. But i do think that rupaul came back and if you if no one noticed other than me we may have lost ten to fifteen pounds in between the filming of last episode. And this came back looking like slim as looking like rupaul charles. Like paul charles has been reborn and came back with a fire to make this the best situation ever so. I think that i do believe in that like we was like. Oh actually. I'm being really hard on them. And i understand that i understand where it was coming from. I think it came out in the wrong way and executive that she was she was saying thing that a lot of people do kind of agree with she just said it said how rupaul would say back to right back. Quarantines obviously been hard on me. Yeah i thought. I loved that. She's like i've been losing my mind. Here we go. Okay well god okay so anyway. So do black went home. We knew that she was going home. Rupaul still love you and hey you at the same time because you're human and we are. We are contradictions of ourselves. And deeper co we'll see you next. We'll see you next year if she does if she just do it she should. She really hopes she should take. She should because she just. She just hit one hundred k. Followers celebrate on instagram. I'm like go back. Do it again more followers and just use it to get your career to the next stage. This is more and more as the show went on. We have to appreciate for what it is launching pad bumble. Yeah so she has. She will lose nothing by going back even if she gets eliminated episode one. She loses nothing which they probably will broke. They broke your rica's knee. Her first season she was top three. Stop war or whatever. I don't worry that so good one who can take the crown. As of today many bamboo i agree hundred percent i think. Yeah i'm still gonna say lawrence for now did honestly. It's a taylor dragon. We know which lawrence. I'm gonna get on episode. I know i know but but for her to struggle and then pull it out in this one and also the whole team. But i was most impressed by her and Dinnie the because they just surprised me the most and they have the most futuristic gender inclusive like lyrics and looks great now now just for me. Just as i was leaving just as i was leaving the u. k. The east end was kind of taking over and there was this whole new. Transformation of drag and Binney and tastes represent the most the closest ever gonna get to that currently on drag race. They currently represent the most likely. Uk drag Where it is currently going. In my opinion this season season was like more camp. You k was coming from. This season is about where drag is and. I think that we do need to. We do need to let we do need to let the british queens be british. Queens.
"aco" Discussed on ChupaCast
"Was pajamas. Commiserated final fallen off to pardon. But in his co. go. Listen i you up at the rocky thinks we told you ever seen over the abyss. Gene aco yeses. Sonia the fbi. Give revenge only clinician alabama over nikki leaps. Equality's leaky surprising to processing edgy. Cinch don't bother gino. Saint out cock your saliba. Kelsey got upset thomas. Oboe ups acquired brincola. You know who. Yeah year facilitate commun- winkle the fuzzy governor default on coming days me new. If bundle revolted bothering me to see starbucks shoddily dude lawyers defunding feed will see me. Bush amal mary mugging auto but is it by. They're not on wasilla. I'll be by now. I see commuted signal to both of us. So tells komo triple. W what you know if you to our keep it oversees the list on your out. Some copies of our kraken really needs the crock and to do this from release the crock. Talamona nautica sold thought occupied. Two two-thirds three the is of cows lonzo with multiple video game of yellow button cash. They pitch tone for bill squanders disease. They're alive they'll play dogwood magara. Change limos judah as much cochlear velika visit i jordan what sites who think that a caucus it taste will be far more keenum on ups. Couple oregon is inside those eat. Fish shop shelves main campus overseas odd. Almost saw among so budget. Chief is muncie. Somebody may budge was located a cpo cockpit. Gonna sit saying from yemen homeless setubal taping. Give someone will say who suitable elliott level. Which is of joe game long about to my do not the league that he got booed by from salon classical mice. Serta's do because this mood. Kamu a money live. Oh feud video game but arguments and on drug suck guessing omarosa corpora through few dishes. Cogedim bash the upper leverage origin. Now provide kumana my in. Somebody should basel marketing. Fewing cover ma the veteran and outside nickel few we book choices and come up with a few modernizer. Talk to say young. Sing was icy. Been bugging him as a original goal probably will show me 'cause you can say agw got to mess apple coleen rookie cologne measuring for mao future playstation womb. Nominees call a partition. Live fewing border. Chuma lacking heavy. Japan's otros lace caller. Sin god i wish it was scott always taught. Show me esi shit. Goi in those. Few solid days gets dejected. Jack ma. I won't keep this so soyuz cicada at another couch. Thing a celebrity the thing that would be good iphone casual muscles weinstock as his success. Kaushal seven cars skip yard says inch inch photograph own cash. Councils might suffolk nevada that. We've liveable suburb. They subsequent by debatable data is what if you said you see incorporate those does also itchiness. Does that would you sleep with with your father. age say stopping invasion..
"aco" Discussed on The Face Radio
"Aco flex remix of fable Usual of got this is well. Don't need leave. word is one. He som- don't see how it goes. Should we face you doing here. Jim faced in berlin between north across borders without sold muslim. Let's run released an album last year to room. The view them promptly followed it.
Australian coal exports reportedly banned by China
"Chinese state. Media is reporting today. That china has made official severe restrictions on the import of coal leaving hundreds of millions of tons of the stuff parked haplessly off the chinese coast in ships. That won't be talking. It is a severe and clearly symbolic expression of china's accelerating annoyance with australia. The two countries had long been profitably bound by china's fullness of australia's mineral resources the current episode of monocle. Twenty fours the foreign desk takes a broader look at the china. Australia spat in it. I speak to former australian. Prime minister and former australian diplomat to china kevin rudd. I began by asking him. Just how bad things are got most of us who have been but analysts said -ticipant in its relationship of the last several decades would site that in the near fifty year period since diplomatic relations were established in nineteen seventy two. This is the worst stage that the relationship is raised beds against all measures political diplomatic economic security human rights united. It's all gone right down. The too many contributing factors to this but indirect to question. It's a fifty year low. I think the way to analyze what's unfolding in. The of china relationship is to see it in terms of the normal outworkings all a great cow on the rise in this case but abnormally in this case the rise of a pow which is a one party state with an authoritarian political system. Fewing somewhat mckendall is taken on ole sees as well as seeking to adjust boundaries with its nighters maritime and land by his boundaries that is part of the reality but it does impact not just a straight but other american allies like japan the republic of korea in south southeast asia those in central asia even the russian federation bubble miata hand. What you've had is. An australian government said somewhat incapable differentiating between what i would describe as the operational characteristics of effective china's strategy and confusing that deliberately or otherwise on a continuing basis with a declaratory strategy which ends up being driven by domestic political imperatives. So it is. In fact the call these factors. In imprecise kerr relation with each other which actually produces the net result and frankly. It's an ungodly miss. The time for circuit breaker has well and truly come to prison. The mood for such circuit breaker has not yet arrived. But if you are not just necessarily this australian government but an australian government is there no grounds at all for concern about sinister designs. China may have on australia at this point. In recent months and years we've seen detention of australian journalists in china. There's been varies. Influence peddling scandals strode in michael burgess the director general of aco claims. There's more espionage. Dwayne australia right now than there was during the cold war. The key point here is what we conclude domestically in australia as constituting real threats to try national security by giving janis actions whether it's in state basis cyber cyber-attacks influence operations against his train. Politicians will the media or other such activities in dealing effectively. With each of those challenges it is not necessarily mandated that she didn't take out a mega fan every second day and proclaimed that from the rooftops is the constant differential i seek to explain between an operational strategy as opposed to a declaratory strategy. My advice to premise morrison repeatedly has been do more. Silas do more is in fact. A series of concrete measures enhancing on national security pows enhancing now intelligence assets enhancing fundamental economic cow enhancing out calculation growth in strengthening our alliances and relationships with countries. Around the world of just the united states but in southeast asia and beyond as well and that is gonna separate matter from proclaiming. I said every second tuesday morning. The original There's about two landing bondi beach by the chinese amphibious force. It's quite a different matter. Intelligent mature national strategy. Understand the difference between the two and the owners say practical example. The difference between the two look for example japan on a daily basis weekly bi assists in the last several years handled its relationship with china relatively stable notwithstanding the fact that japan is a annella. United states. Big is a liberal. Democracy see has tonners single loudest economic D has american military bases on its soil and e as a rolling territorial dispute with china chinese china sea of caucus data yet. Despite that the japan china economic relationship prestige relatively unmolested. Why because by the albay and supersonic plaisted looney eternal shall we say eastern virtue of shutting up from time to time as opposed to simply proclaiming everything from the rooftops that's effective strategy as opposed to opening your mouth full of time which is primarily driven ministries case by range of domestic political imperatives. Which in turn complicate the foreign policy agenda is saving to prosecute.
Bengals' Burrow has knee surgery, complete recovery expected
"Bengals rookie quarterback joe burrow officially starting as recovery process underwent knee surgery a wednesday after tearing the aco and mc l. and his left knee the bengals say that procedure went as planned is expected to make a full recovery
ACC schedule includes Notre Dame, 10 conference games
"We're pleased to be joined. Now by our colleague NAP Fortuna nobody's more plugged in AC and also Notre Dame who is now at least for one football season a member of the ACC we were just talking a little bit offline map, but it's been kind of a whirlwind where this meeting of the president's for for Wednesday we knew about it for. A while and they were gonNA have poor. I. Was they're gonNa vote on one of few schedule models and then the day before it became no, they're not ready to vote. It's GonNa get pushed back a week and then all of a sudden band with almost no warning there was a full press release with the whole schedule model on everything. What happened. Like everything else when it comes to college football news amid pandemic I think everyone is learning things from anyone other than the primary source. So to speak I mean this was a rare case where a reported him break this story that the League was able to put this story out on its own terms and I think. Being that this was a president driven decision that probably shouldn't be too surprising because those guys are the ultimate. Shock collars when it comes to weather there will there won't be football. This fall but. Athletic Directors were not on that Board of Governors meeting call today they had. Kept them abreast of what they were talking about him models and so forth. But. As you said, I mean I was told as recently as yesterday. Tuesday that. The eighties were not ready to present a model that they were ready to go with just in light of the MARLINS fiasco with the. MLB. On Monday the evergreen situation going on there they still wanted to to to flesh things out and. figure out what the best approaches and I do think it's the irony of all ironies that as soon as the ACC puts out this press release, our friend Ross Stellar over sports illustrated has a report in the SEC is going to go conference only which. In many ways I can't help but think contradicts what the ACO is trying to accomplish right when they want to keep that one non-conference late open. Matt. Let me ask you this. So, as part of this deal Notre Dame is gonNA share the TV revenue from its home games with the rest of the members. How how big of a concession is that for them and was you? had been a stumbling block before and what do you think was in jacks bricks mind when when this kind of deal was presented to him I think operating under the assumption here for the sake of this conversation that there will be a season. I. I think that's a pretty big concession Notre Dame that's a deal as a private school that. Is Not public. We don't know the details I mean we. A. Very strong. I guess if you will that it's in the range of fifty million dollars or so and that it's significantly less than what they would be getting. From TV rubbing new distribution standpoint if they had joined the conference fully but I don't think that's a small matter that Notre Dame is is all in on the ACC at least for this year that they will be sharing that revenue in that they'll be you know. Frankly the big picture first time in one, hundred, Fifty, eight years of Notre, dame football they're going to interest season competing for a conference championship I mean that's that's very very. Big Ding even say finishing third place right they don't even come close to qualifying for they see if the season goes on just the fact that we're saying that that Notre Dame fans are reading that in hearing that and learning that about their school today I. think that is a very, very big headline when you talk about the Notre Dame, not just as program Business Itution, it's extraordinary I don't think you can understate how I mean they're they're the it's one of those issues or or griping points that. For my whole career I mean it's just been a constant. Why won't they join a conference? Somebody should force them to join a conference and then a permanent obviously but something finally. Put them in a position where they. Had to join a conference and I don't know the giving away the TV money. You know I don't I don't have the numbers, but that could end up being awash because they don't make that much from NBC and if they also get to now get a bigger share a full share of the you know the larger. ACC, ESPN deal I mean for all we know. They're making more money out of it. I don't know but the fact that they. So how how you know the Notre Dame fan base like how are they going to be feeling about this? There's the independence is such a point of pride obviously. But also if they didn't do this, there was a decent chance they were gonNA, end up with like a six game schedule. I think the initial reaction will be surprised in disappointment. Now, those feelings may linger throughout the course of this twenty twenty football season or they could be gone Tuesday when the Board of Governors of the NCAA makes a ruling on. How if and how the season will proceed and I can't help but think I may sound cynical here. But part of me wonders if it in the back of the decision makers minds at Notre Dame, they know what? Like the silent part is out loud. So to speak, they just don't think that season it's going to be feasible and if it makes everyone happy. Everything copacetic to just say, yes and concede to have everyone move forward in as unified of a front as possible under one umbrella as the ACC. then. They were willing to do that and maybe could. Bank that goodwill on the back end, I don't know that. That's me kind of theorizing here digging out loud. But I do think that headlined just seeing the press release seeing Notre Dame eligible for a conference title game I think that is a not insignificant. It's just like you said it's a conversation it's a question. I it's taken up. You know a chapter of your book God knows how many hours of our time on twitter at a mailbags and so forth t to hear the words Notre Dame, and let's say, Hey, you know they do play Clemson on their schedule and it's No divisions US here. So the top. Winning percentage teams go hypothetically. They could lose the CLEMSON and beat Clemson or be Clemson lose clemson. For the ACC title, I'm just picturing right now they're hockey team is currently the back to back big ten champions I'm trying to picture a big time championship. A banner. Compton. Ice Pavilion. A right down the road from an ACC championship banner at Notre Dame Stadium if the season out there, and if they were to to win the League because that would be pretty pretty funny. It would seem like it would make them more likely though for this to at some point, be permanent because I the argument I've always heard is nor named loves the aspect of of the uniqueness of not being. like everybody else, and at least for this year with all the craziness that's going on, they're going to be like everybody else to a large degree and find out they really. Like, Hey, this is cool. Seriously
I Live In A Slaveocracy
"Nicole Hannah Jones is a certified genius a spiritual warrior and a journalist. Who's trying to change America? She's the spirit behind the sixteen nineteen project at the New York Times which was a takeover of the New York Times magazine as well as an incredible podcast series as well as an upcoming series of books and Articles. All of which are meant to help us further. Understand the way that slavery and it's a long lingering effects have shaped so many aspects of America so widely so deeply that she calls America a slave. Crecy Nicole's also done extraordinary work exploring education and racism. She's an intellectual bad ass. Who's got a MacArthur genius? Grant and a job at the New York Times and a mind full of brilliant ideas. I mean I listened to her and she just blows me away. She's awesome and I'm so honored to have had her on the show. It's the Great Nicole. Hannah Jones on tour ACO when the sixteen nineteen printed project came out. There was this thrill among black people like walking around like caring and cling to it holding onto it and like is like so important. Did you feel that excitement when like people were finally getting their hands on it? And like this is so great. Yeah it was like most amazing thing my life really. I I mean I. I hope we were making something powerful. I knew it was important. But as you know that doesn't mean that people will respond to it in that way and The response far exceeded exceeded any expectation. We we had. What was the pitch that I made to the Times this because this came from you not somebody saying. Hey imagine something but you said No. Let's do something no I I I've been thinking about sixty nine thousand four very long time and I'd been on booklet for about a year and a half and The first thing I pitch when I got back from book leave in January. It was the project and The pitch was very simple We have I I I talked to my editor about it. And then we have a weekly ideas meeting For the magazine and I just brought it up at the meeting and I said that This August will mark the four hundred aniversary of the first enslaved Africans being sold into Virginia and that most Americans have never heard of that date and that I wanted to dedicate an entire issue the magazine to assess as the ongoing legacy whole issue. It's not an article now the whole thing because what I said was that the argument of the magazine would be that you can look across all of these aspects of American life capitalism democracy. Why would only western industrialized country without universal health? Care our culture our legal system that almost nothing has been left untouched by the legacy and I wanted the magazine to look at a modern modern phenomenon across America life and then trace it back to the legacy of slavery and that we were going to be able to make these connections in a way that they hadn't been made and really Do a project place slavery. Actually at the center of the American story and immediately Jake Silverstein. The editor in Chief of the magazine was Ike. Let's do it. That was it and I mean that has been took off from there. I mean what this specific project but it has been part of your genius at getting major media institutions to say yes. Let's do a major project on a very specific deep issue of racism. Right I I came to know your work with you to two major pieces of segregation for this American Life. Yeah and now this major multimedia project for the New York Times just for those of us who are in those spaces or entering those bases. How do we get a room? Full of white folks say yes. We will dedicate a ton of space to segregation or a ton of space to the Slovak crecy of America. When they know a lot of the audience will be like. This makes me uncomfortable. Yeah I think to be clear. It wasn't that big organizations always wanted to say. Yes sir working on these issues for almost twenty years and There were certainly times in my career. Where with a struggle to get my news organization to allow me to do. The work wanted to do. But I think what What I has the benefit of. I've been studying this for twenty five years. I'm obsessed with it. I read widely on the history of raise on the sociology of raise. I have always treated it as an investigative story. And Not Simply. Let me show you how black people are at the bottom of this indicator. Let me show you this Segregation exists because that's not interesting. People know that anything you measure black people suffer the most from it but I always make them. I'm GONNA show you the architecture of it. I'm GONNA show you the intention of it and it's going to be investigative and it's GonNa be surprising to people and I think that's what once you have success doing that. Of course it becomes easier to convince people to let you do it but I think what? My work is always surprising to. People like people are not surprised segregation exist but when? I show them actually. There was a thirty year decision by the Federal Government. Not Enforce Fair housing laws. You know when I can say actually. We don't have universal healthcare because we have fought back against social programs because we thought black people would benefit them for more than one hundred and fifty years. I think it's that of surprise but also really the rigor of the scholarship Racist one of those things because everybody has a race that everybody thinks they know dislike covering education. Everybody thinks they understand how public education should work. Because they've gone to school and when you can approach them With the argument that they never thought they never knew is shocking to them surprising to them. I've been able to to sell those arguments and then you also have to actually be able to deliver compelling narrative rigors scholarship Get people to talk to you. All of those kind of normal reporting things as well.
Gini Dietrich talks PESO and Spin Sucks
"Good Morning Welcome to marketing over coffee. I'm John Wall Today. We're GONNA be talking about PR marketing measuring everything. The peso model and the person behind peso is ginny dietrich. She's the founder and CEO of Spin Sucks and hosted. The sprint sucks podcast. She's run grown an agency over the past fourteen years and also co author of marketing in the Round Ginny. Dietrich thanks for joining us today. I wish people could see you because your hands are like I do. Oh that's a whole new thing to we're doing squad. Cast is a new tool that I've tried and we were on caster forever and then caster is like good most of the time. The thing squad cat has been a little bit better like the sounds a little bit better. But it's also been wonky. I'd had one or two fail so the backup recorder the bet. Yes we live and die by the backup and people are like to teach the batteries on the yes. We need to change the batteries. Let's start though for people who don't know you. I. It's funny too. I was thinking I was like. Why hasn't she been on so much earlier? Funny you're like. Would you like to be gassed? And it was like cheese John. I thought you'd never ask. I mean it's only been like fifteen years Bamut it's been for at least came up with the reason. I figured out what the deal was. So much of what you do is groundbreaking and cutting edge stuff in measurement and stats and we have a guy who's I will tell the story really quickly. I was on a conference call yesterday with web in. Its but they told me that they are data scientists like Oh really. We'll tell me more. I started to ask questions so then I said we'll do you know Christopher Penn and they're like no no who that is. I'll just you that we're done. We're out here. No data scientists. Y'All know Christopher pen was going with that we gotta get back on measurement arm. Okay so tell us about what you do for sprint. Sucks though you have a picture. What's your what's your your pitch. Oh okay so it's been sucks. You know it started as a blog in two thousand six in. It was a complete and utter disaster. And Truth be told. I have zero idea why we kept going because for the first three years it was a whole but I think there wasn't anything to compare it to an so we just kept going and it literally took three years before we started to go. Well I get how this digital marketing thing works in how blogging fits into it and so from there. It became a book. I did a ton of speaking in marketing. The book traveling the world and Blah Blah Blah Blah. And then. I had a small one and decided I needed to stay home at not needed to wanted to. So we looked at how we could take the things that we teach at a theoretical level on spin sucks and dignity into a practical level and do that professional development so today we had this been six academy which does online courses coaching. And so you you've been able to transition from agency running this for everybody to giving people the you know the teaching a man how to fish kind of thing. Yeah A. N. we've really gone from the agency. Side Does B. Two B. Manufacturing communication since we've gone from that and we still do that but more into teaching communicators that just the theory that the practice. Okay and then the cornerstone of this. Well I say it's the cornerstone but you could tell me otherwise there but peso the whole idea behind being the measure. What's going on and kind of your pr? And you're all the way across all your digital marketing tells more about that based on model is this is sort of like the blog like it just came out of something and became something that. I didn't anticipate it was the process that we used internally at the agency and we were using paid earned. Sheridan owned media. But we were calling it that we were certainly doing content in social end some search engine marketing and of course media relations reputation in thought leadership and all that kind of stuff and we had a process but we named it and so when. I wrote the book. The publisher said to me He. Can you put a name to this and create a diagram so we sat in a conference room when we just started putting things up on the whiteboard to see what we could come up with and we went back and forth because we we believe that you should start with content with owned media and go to earned or shared and then paid and so you know but that acronym work all ESPN OS EP? It just didn't work and finally were like wait a works so one of the arguments get from communicators as we never start with paid media and I agree. We don't so you don't have to start paid media because of the acronym is in that order but what that's what we did so I named the peso model at that time the ACO model existed. You know people were talking about insured on but they hadn't added that the pay pieces especially in our industry and then I had a designer design a graphic and it just went. I mean took off if I had realized that it was going to do that. I would've put some more strategic into it but I didn't I mean it was literally because my publisher said. Can you put a name to this? End Critic right right and bundled up. That's the thing that everybody misses. I mean is that it's so easy to create these models and and do all this analysis but if you can't bundle it up into something easy to remember you know it's your. It's it's only going to be adopted by the people that exercise and eat right. They're the only ones that have the discipline to like. Dig It all this whereas you can throw peso at anybody and they now. Suddenly you've unlocked their world for them. Yeah and the end. They use it as a planning tool. They use it as a measurement tool they use it. You know it presentations. They use it with clients to say. Hey listen we can use this model to demonstrate results and it's it has changed the world for PR industry for Short
The End of the Paper Chart
"So I a few definitions. You'll hear people using the terms. Electronic medical record and electric health record interchangeably. Heck I do that. But they're not exactly the same in. Mr Is a chart that is used within one specific clinic. It can't be accessed by anyone outside that clinic whereas an e HR electronic health record is usually system-wide or multi multi system wide providers from different clinics within the same health system or ACO can all access the record yes but for the purposes of this talk either Emr or E. H.. which are will do? I'm going to use 'em are okay me too now on when we say the. Mr We mean both Emr and EHR either one so moving on Comores are basically all the health records notes. Labs diagnostic studies insurance. People work demographic data for every patient and Mars have actually been around for decades in in fact the VA hospital system was one of the early adopters of Mars. Remember the Martha Audie Murphy and Mess Cooling. God that thing was the most user unfriendly no-frills eum are ever. Yeah but it was still pretty cool. I Love I would be taking care of a patient in San Antonio Audie Murphy and I could see what had happened to him when he was ed another. Va in the country. Green Flash Her sir okay to understand how cool that is. We have to talk about the battle days so back before. EMR's there were paper charts. It's yeah and they were often illegible. I mean doctors notes were hand written and most people's handwriting isn't what it should be and doctors have notoriously bad the handwriting. I don't I do. I still do horrible. Also data was often out of order. There were reams of unnecessary papers. Redundant paper someone else's papers burs and the chart and you can find charts when you need them. Someone else had them or they were just flat out. Lost or parts of the chart were lost. Yeah usually it was very important diagnostic success that was missing and also in residency. You could lose your privileges if you didn't dictate so you had to go through. I don't know if you had this. But we had to dictate the charts our own and are attending 's and they would our records of stack up down stairs in the basement and we'd have to go down there and get all these paper charts and dictate all this crap. It was horrible God too so awful. An on top of all of that hospitals and clinic seeded huge rooms to store these charts charts like the entire basement of a hospital medical records. Yeah so happily. Most of these problems disappeared with the arrival of electron ICK medical record. Right and wants wants. Things have been digitized. You can really do a lot of different things with them. You can actually find the data and read it for one. Yeah People's notes are now suddenly legible and charge. Don't get lost and the chart can be accessed remotely. You don't have to be in the radiology reading room to look at someone's x Ray for example you can which makes me a little sad but I always loved that and you can call it. Data and look at trends and that data can be sent electronically to and from other physicians clinics labs insurance companies anywhere. You needed to be sent as as as long as you will be patient privacy. Of course you should say that. Yeah anyway as with all technological advances there were a lot of promises in this case the promise was that. Mr would make make physicians better doctors. There'd be more accurate diagnoses. More timely therapies fewer mistakes streamlined billing practices and most importantly improved efficiency all this intimately physicians would have more time to spend with their patients exactly the pot of gold at the end of the rainbow more time with patients. and has this happened the the more time with patients part. I mean you know it. Hasn't there have been several studies showing that Dr Spent about twice as much time on the computer as they spend with their patient and tons of anecdotal evidence. Well Yeah Heck. I can confirm that just based on my own practice. And here's the thing. Physicians are spending more time on the computer when they're both with and away from their patients. Just look at what happened when my mom went to the pulmonologist so what is happening. Partly because of the increasingly complex regulatory environment in medicine Medicare Medicaid and insurance companies are demanding documentation for every bill submitted and the documentation must meet criteria. Set Out by Medicare Medicaid before or the physician will be reimbursed for their services so this documentation happens on. The computer is in submitted with the bill to the pair and the primary person. Who Does the documenting is? Is the physician right. Here's an example of typical day for a physician. Prior to seeing the patient will review the medical record mostly so they know what brings a patient in for the day the and also to remind them what meds the patient is on pertinent parts of the past medical history now then. The physician sits down with the patient in the exam. We're there as he gets another computer so while talking to the patient the physician enter data into the Mr about this current visit then after the visitors over the physician will finish documenting with the assessment and plan. Once the notice complete. The physician will then bill for the visit. Sometimes documenting takes so long. That notes aren't completed until the patients have been seen in. The clinic is closed for the day. That's also in. The physicians will correct any notes that need correctly so in my practice there is a person who was hired solely to review physicians knows and make sure her they meet Medicare criteria for the bill. They submitted at the notes. Don't meet criteria. They get sent back to the physician to cracked. And here's a very important point not all. EMR's ours are created equal Semimar. Great they're designed with doctors in mind the allow you to pull data Ford from previous notes. Limit the number of clicks needed to complete the relevant portions of the now they're customizable demise able in the end. Product is easy to read but most Mars have a primary function other than communication. And fortunately this is true. The primary function of many Mars uses billing. And when that's the case for the Mr for doctors will be inefficient and awkward US right. We can't customize it to our needs. We ended up doing a lot of data entry and the end product. Arctic is not something that's easy for other providers to read or understand so the physician spends more and more hours out of the working day with their face in front of a screen instead of making eye contact with her patience chance. Yeah so just a quick aside for second if there are any residents out there listening especially residents who are near the end of training interviewing for jobs. Make sure you talked to. Physicians is in the practice. You're considering and ask them about the Mar- they use exactly. Are they happy with it. Did they spend time at home documenting because they don't have time at work is is the MR efficient or awkward user friendly or the friend of the billing office if the docs you talk to your unhappy with their Mr. Then it's pretty likely you'll be too so move on so so I work with an Mr. Everyday I never look at a computer when I'm with a patient I don't have computers in the room and I don't bring my laptop into the room I had. I decided to make that time sacred without a computer to distract me. I can make eye contact with my patients Cedar subtle reactions to questions conversations. About feelings hopes expectations careers are more likely to come up although squishy subjective things. Your mom didn't get a chance to talk about exactly and I listened better my agenda doesn't dominate the visit. And I'm more likely to see the patient as a human being not a diagnosis our list of diagnoses. Some physicians might think you're no computer. Stance is a bit extreme. So be it. The time I spend with my patients is what makes my job worthwhile and meaningful and joyful and I suspect this is. This is the same for most physicians. Why would I want to compromise that the end result would be a miserable me an unhappy patient? But here's the thing you work in practice that allows you to do that. This is not a luxury Minna. Physicians can afford so what to do when the MR takes over your relationship with the patient first. We need to acknowledge that. This regulatory environment in which we practice is at the heart of the problem so we should all be you proactive about healthcare reform. Okay but short of ideology. What should doctors do? Well look at your Emr and see if it's the problem F it is lobby for a new EMR car or change practices if need be if you're Mars decent than there are a few things physician can do on a daily basis. That might improve things. Yeah so first position position computer in such a way that your back is not to. The patient also involve the the patient with a computer. Show them what you're looking at. Ask them to help update the record. Let them know what you're typing while you're doing it and make sure you spend time away from the keyboard during every visit for some doc sits at the beginning for some. It's in the middle. Whatever you feel comfortable with but at some point you should step away from the computer? Make eye contact with your patient so some practices have hired scribes to document for the physician. Yeah that's a luxury to adding additional staff as an expensive way to solve a problem. Yes it's true and it's kind of awkward to bring a third person into the examining room is so here's the thing. Technology Technology often promises to bring us together as human beings to give us more time to spend doing the things we love with the people. We love just look at the facebook motto. Bring the world closer together together. I thought it was making the world more open and connected or maybe move fast and break things. I think those are previous mottos but whatever my point is we don't always use use technology in a way that maximizes promise and the same is true for. EMR'S DO I want to go back to the paper charts absolutely not but neither do I wanna rule where I no longer remember my interactions with others because my head was buried in some form of technology. You know whether that's at home or at work amen to that so I suggest we take extreme steps to keep this from happening like keeping electronics out of the examining room or demanding a better. Mr Or as patients requesting that doctors move away from the screen. Yeah I think that's really good. Just interjecting here. Yeah as a patient. That's your time to. You can stand up for what you need in that moment with your doctor ask the doctor. Could we talk face to face for a moment if that's what you need and if a doctor has a problem with that you know maybe it's time look
Trump administration moves to end protections for asylum seekers
"Comes at the trump administration announced today that it is trying to an asylum protections for nearly everyone who tries to enter the US to the southern border under the new rule any immigrant crossing into the United States from Mexico seeking asylum we need to first apply for asylum in at least one other country that is not their native country are you comfortable are you being well taken care of the changes come after vice president pence senator Graham and other members of Congress visited a crowded border detention facility Friday the ministration argues that it needs to stem the flow of asylum seekers entering the US in a statement the ACO you call the trump administration's move quote patently unlawful and bow to quote sue swiftly climate in this country led by the president of the United States of America because his fear the country had braced Sunday for stepped up immigration rates last week the president publicly announced he would deport thousands of people the rates have so far fallen short of that scale but are slated to last into the coming
Looking Back: Toronto Raptors Win Game 6 in NBA Finals
"So now we're past the NBA finals. Congratulations. At around raptors there, the champions of the basketball world. Now, the real fun begins involving that team Golden State Indian BA. Let's bring on Howard Beck was a terrific, terrific senior NBA writer for Bleacher report. He said, thanks to shell Pennzoil performance line. I'm going to go back to the finals Toronto Winston six. What word or words would use to describe that series? And what we all experienced and what we also with all due respect to the raptors 'cause they don't want their championship. I don't use the tip of their, their championship because their championship deserves all the plot. It's all the praise that, that they've earned that you're asking me just to describe the series weird. I mean. You know, and that was from the beginning, by the way, we roll back to clock McAllister a couple of weeks here. I said, even we're going into the series that this was going to be possibly the strangest or these the most unique final. Dive of are covered up covered eighteen or nineteen of them now. And the reason is we've never had a final start where the superstar each team was both in both cases possibly leaving. Kawhi Leonard, Kevin Durant that was unprecedented tone that these guys were so much in play remain. So, but then bigger than that was just the, the fact that Kevin Durant was not starting the series but was not necessarily out either. He was this spectre looming over the whole thing. And so even as the raptors one game one even as the warriors sweet out game to the real question was not. Well, how's it going, how matchups going to go? What's the moves and counter moves? And who's the better team? It was no Wayne is Kevin Durant coming back. And if he does that change the entire complexion of the series, and that alone made this series this finals, absolutely unique, and then all the other layers on top of it, the intrigue over, what he comes back the frustrations that have been reported about the with the warriors team. It's about not knowing when he was gonna come back is coming back Klay. Thompson misses a game on looney misses the game. Dread does come back. And of course goes down with that terrible achilles. And they somehow manage to, to be a game in a game six where they could have extended this thing. And Klay Thompson goes down with the ACO. We've just never ever ever seen anything quite like this NBA finals. I'm always a big believer that even if it's something is not a positive even if it's a negative is going to help sell it's going to get a lot of attention. How much do you think with all that going on really not only help the NBA, but further the NBA going into the future going into the offseason with free agency from the NBA is not having any trouble getting attention? These days ratings are generally great, tennis, great their credibly popular period. I think the NBA is fine regardless what I do. Think is positive coming out of the series. I mean, let's, let's go just the fact that we've got free agency coming up first NBA free agency, NBA transactions have become like its own season in its own its own category of story. So there's the basketball in the NBA is very proud of the quality about four knows. I think they should be there's all the other stuff in the NBA is more than happy to have all the other stuff the transactions in the rumors. They're they're fine with all of that. It's, it's, you know, teams may not like speculation about their player and the player may not always like a is kind of sitting there going, you know, it's fine. You know, people are talking about a lot the tweeting about us, and they're speculating, and it's fine. But in terms of the finals, and how it impacts NBA popularity I think it can only be good for the league to have the raining. Super team. Not just lose as the warriors did. But all of a sudden very moral because Kevin Durant is probably not gonna play next season even if he stays. And I don't think he's staying Klay. Thompson may not play all next season if he stays, and I think he will stay, but the warriors won't be the warriors next season. So after all, these years of people saying it's a fatal complete the season is meaningless. We're just waiting for the warriors coronation. Well, that's not going to be the case anymore. There's no you know, we have warriors Cavs for four straight years. And then we had warriors Toronto next season next June. We're going to have a completely different finals, Leonard leaves, the raptors will have a different entrance from the east also. So if you if you're a fan of restoring some equilibrium, or not wanting a super team that just dominates too extreme measure than we're gonna good place where things stand right now because there's gonna be
Kay Ivey, Bama And Roe discussed on Dave Ramsey
"Planned Parenthood and the ACO you suing for Alabama's ban. Bama's law was signed by governor Kay Ivey last week. It perhaps, is the most restrictive abortion law since the Roe v. Wade ruling criminalising doctors who perform pregnancy terminations at any point during a woman's
US, Wrongful Death Claim And Texas discussed on Morning Edition
"The a C L U of Texas is suing on behalf of the family of Guatemalan woman who was killed after crossing the US Mexico border illegally last year. As Maria Martin reports the woman was shot to death by US border patrol agent near Laredo, twenty will cloudy. Patrice Combes was killed by a shotgun moon. While trying to cross the Texas border border patrol accounts. Differ from those of a witness who took a video around the time of the shooting, the ACO use wrongful death claim accuses US government agencies of negligence and reckless conduct. The porter patrol says it doesn't come it on pending
Harold Miller Discusses Improving Medicare's Alternative Payment Models
"To the healthcare policy podcast again on the host, David intra Cosso during this podcast, discuss Medicare's, alternative payment, models, APM's or more. Specifically, how APM's can be improved with Munis gust? The topic is president and CEO of the center for healthcare quality and payment reform herald Miller herald, welcome back to the program. Thank you. David vigor listeners may recall, I spoke with Mr Miller in September twenty fifteen moreover about bundled payments. Mr Miller's bio is of course, posted on the podcast website on background that twenty fifteen. Macro law created Medicare's advanced payment models again APM's these are otherwise term pay for performance reimbursement models where the provider assumes financial risk based on historical on regional spending in quality measurement performance. There are currently a dozen APM's although this year Medicare Advantage could qualify almost all of these are demonstration and the flagship of APM's or the one of currency give against is the as Medicare should savings program. More commonly termed ACO's because the vast majority of EPSN beneficiaries are over ten million are assigned to it. Or again, ACO's the ACO program just to note is currently. In its eighth year is unclear to what extent ACO's have reduced Medicare spending growth largely because CMS does not formally evaluate the program. If Medicare program, however to remain financially saw build fee for service APM's must produce meaningful. Savings results since the Medicare Advantage program that currently enrolls over thirty three Medicare beneficiaries and his rapidly growing does not in federal financial accounting terms score savings with me again to discuss APM's the flaws in their current design. And moreover how they can be better designed or generate meaningful savings is Harold Miller. So that is back on her. Let me start by asking we just celebrated or some did the nine year anniversary of the Affordable Care Act. So if I could begin by asking what's your overall Sussman of efforts moreover under the ACA to reduce Medicare spending growth over almost now ah decades time. Well, I think it was called the Affordable Care Act, but most of the law and most of the attention has really been about improving access to insurance and the the law has clearly done that. But I think that the track record in terms of actually making healthcare more affordable as much weaker. There really were weren't that many provisions in the law designed to deal with that. And the few that were there have had pretty slow implementation. I would say one of the things is you wanted to talk about alternative payment models today. One of the hopes was that the center for Medicare and Medicaid innovation. That was created under the Affordable Care Act would really spark a lot of innovation in terms of the way Medicare, and then hopefully other payers would pay for healthcare, but it's been pretty disappointing in terms of how. Much or how little is done to to do that in those nine years. Yes. Correct. I was going to follow up with your view of the Medicare cheered savings program December final rule, but let's we'll get to that. So let's move onto. Generally, you've written now numerous detailed reports regarding Medicare payment reform over the last several years, let's focus on your latest work. That is your January report titled the prom with Medicare's alternative payment models and how to fix them. Let me start by asking what would an idealized APM generally, look like. Well, I think in my opinion, if it were ideal model, and I know that there's written there's no one ideal model, but the the the elements of it would need to address the problems that exist in fee for service payment without taking away the strength of fee for service payment, and would actually and able physicians hospitals. Other health care providers to be able to deliver care to patients in in ways that would be both better for the patient and lower spending for Medicare or other payers. There are many many opportunities in to reduce spending without hurting patients in
U.S. government says it could take two years to identify families separated at border
"G why the federal government says it could take up to two years to identify thousands of children separated from their parents at the southern border. John Jeffries has details. It a court ruling Friday. The Trump administration said it plans to go over thousands of records federal judge last month expanded the number of children, the government will possibly have to reunite with their families from the initial twenty seven hundred noted in an ACO,
Federal judge ends North Carolina ban on abortions after 20 weeks
"White. A federal court has struck down North Carolina's ban on abortion after twenty weeks. The decision came down this morning from a district court in Greensboro, W exi- says it struck down state law that prohibits abortions after twenty weeks of pregnancy unless there's a medical emergency the ACO you the center for reproductive rights and Planned Parenthood had
California to become first state to eliminate bail for suspects awaiting trial
"SP ten governor. Brown signed it. Eliminates the requirement it's really interesting you. Gotta read the detail in this you are not going to be required to pay bail to get. Out of jail after your arrested it's up to the judge to determine what kind of a, risk you are to the community and then the judge will, set it because up until now let's Be blunt there. Is no way of getting. Around this if you. Commit a crime. And you're wealthy us pay the bail. And off yo l bond industry makes money and if you're rich you just get to wander the. Streets and even if you get convicted your club fed anyway we have definitely a two-tier Justice, system on the criminal Justice system when it comes to that, topic So. If you were wealthy you just paid off you win if you're not wealthy you can't come up with the money you're stuck in jail you lose your job even if you're. Falsely accused that's where it becomes punishment before you've been convicted, of, anything you're a convicted but you're punishing can't maintain a? Job maybe, now you can't pay child support maybe can't pay you can't pay rent you're getting Vic did. Because you didn't have the. Money in the first place to pay bail. Because maybe you were in the wrong place at the wrong time and got, arrested maybe you are guilty that's. Up to the judge, to say hey what kind of a. Risk are you to our community you know if it, was really violent crime may be still leaves a ten million dollar bail the judge he or she So SP ten was? Signed this, was pushed by the state's judicial council in many others it's now actually opposed by a lot. Of people though A lot of people ACO you is against it saying SP ten cannot guarantee a substantial reduction in the. Number of Californians detained while. Awaiting trial nor does it sufficiently address racial bias in pre-trial. Decision making because it just leaves it up to
Chinese Goods May Face 25% Tariffs, Not 10%, as Trump's Anger Grows
"Dot or the warrant piece report I'm Amy Goodman President Donald Trump. Called Wednesday for his attorney general to immediately end special counsel. Robert Muller's investigation into Russian interference in the two thousand sixteen election prompting critics to charge the president is guilty of obstructing Justice, and a Wednesday morning tweets, storm Trump, wrote this, is a terrible situation in Terni general Jeff Sessions should stop this rigged. Witch hunt right now before it continues to stay in, our country, any further. Congressman Adam Schiff the ranking. Democrat on the house intelligence committee responded this. Is an attempt to obstruct Justice hiding in plain sight America must never accept it At the White House senior administration officials. Claimed Trump was merely expressing an opinion this is White House. Press secretary Sarah Huckabee Sanders Look the president is not obstructing he's fighting back the president is stating his opinion. He stating at. Clearly and he's certainly expressing the frustration that he has with the level of, corruption that we've seen from people like Jim Komi Peter Struck Andrew McCabe, President. Trump's call for an end, to the Muller, probe came on the second. Day of his former campaign manager's trial in Alexandria Virginia Paul Manafort. Faces eighteen charges including tax fraud Bank fraud and money laundering prosecutors told the jury Manafort hid much of the sixty million dollars. He earned from lobbying as an unregistered foreign agent on behalf, of pro, Russian Ukrainian, officials by stashing it in undisclosed overseas accounts witnesses, describe Manafort is spending lavishly from the accounts on cars, luxury goods home renovations even at fifteen thousand dollar ostrich skin leather jacket President Trump. Weighed in on the trial and a tweet suggesting Manafort. Is being treated worse, in jail, than the. Notorious Lobster Al Capone in south Texas the American immigration lawyers. Association says a. Migrant toddler who is separated from her family is part of the President Trump, zero tolerance border policy died shortly after being released from the Dili family, detention. Center he Houston-based lawyer Gani, tweeted the child, died following her stay at. An ice detention center as a result of possible negligent care and. A respiratory illness she contracted from one of the other children unquote last year lawyers with the ACO you and several other groups. Sued ice alleging it have been violating its own policy by, locking up, pregnant women, at Delhi and four other immigration jails the death, came as about seven hundred children forcibly separated from their, parents at the border have still not been reunited with them A federal court has declared. President Trump's executive order withholding funds from sanctuary cities in California unconstitutional however Wednesday's ruling by a three judge panel. On the ninth US circuit. Quarter of appeals will lift a nationwide injunction against Trump's crackdown on sanctuary cities a lower court is now slated to consider reimposing. That in Changcheng cities across California and then me and the other states, have passed sanctuary. City policies, barring local police from cooperating, with federal immigration agencies the New York Times reports that Trump. Administration's considering a plan to sharply. Reduce the number of refugees allowed to settle in the United States the plan which has the support of Trump's anti-immigrant senior policy. Adviser Stephen Miller would cap the number of refugees resettled next year to twenty five thousand forty percent drop. From the current cap the number of refugees allowed into the US by the Trump administration has slowed to a near trickle with The country already on pace to allow in the, fewest number of refugees since the federal refugee resettlement. Program was created in one thousand nine hundred eighty in Zimbabwe's capital Harare soldiers and police used tear gas water cannons and live ammunition Wednesday, to clear protesters who taken to the streets to allege Monday's presidential. And parliamentary vote was rigged at least three people were shot dead scores more left injured many of them film being beaten. By soldiers a spokesperson for the opposition party movement for democratic change called the violence and attack on democracy Deployment of tanks and fighting a fly munition on civilians porno apart in Greece Civilians are allowed to demand the specs of their rights, in an awful manner This order, may be dealt with by the police who are best trained for public quote Soldiers are trained to kill during war We. Are seriously to wonder what, this means are we in. War civilians the enemy of the state the deadly crackdown on protests came after election. Returns showed president Emmerson mnangagwa's ruling Zanu PF party. Is heading for a large parliamentary majority there's been no announcement, of a winner in the presidential race prompting international election observers to question the credibility of the vote in the Democratic Republic of Congo and new investigation by vice news bolsters evidence of. Ethnic cleansing of the. Haleema ethnic minority in the eastern province the violence began last December is hundreds of machete-wielding. Militiamen swept through areas west of lake Albert on Congo's border with Uganda about one hundred twenty communities were attacked with hundreds killed thousands. Of homes destroyed and. Some, three, hundred fifty thousand. People displaced investigative journalists Nick terse reports. The violence came after the US abruptly Support for peacekeeping. Efforts last year as part of President Trump's America first policies President Trump doubled down and his growing trade war with China Wednesday threatening. To increase tariffs on. A, range, of Chinese products. From ten percent to twenty five percent The tariffs would target some two hundred billion dollars of Chinese goods Trump launched a tit for tat series, of, tariffs, after talks with. Beijing broke down in may prompting what Chinese officials have called the largest trade war in economic history Google is preparing to launch a service in China that allow Chinese sensors to block. Search terms, about human rights democracy religion and peaceful protests that's, according to the intercept which reports the. Project codename Dragonfly was launched in the spring of last year and. Accelerated after Google CEO met with a top Chinese government official in December. In response Patrick, Poon of, Amnesty International told the intercept quote the biggest search engine in the world obeying the censorship in China is a victory for the Chinese government it sends. A signal that nobody, will bother to challenge the censorship anymore he said Amnesty International, says, hackers recently targeted one of its staffers and a sophisticated surveillance effort by a hostile government to Spy on the group's work the staffer who was working on a campaign calling for the release of jailed women's rights activists in Saudi Arabia received an anonymous message and our Beck and. WhatsApp smartphone, application the message was found to contain a link, that would install the malware program Pegasus. Developed by an Israeli cyber intelligence firm which allows a third party. To spy extensively on an encrypted phones calls photos and messages amnesty warns. The attack was, likely part, of a much broader effort to spy on activists in several countries across Asia Africa and Europe The Trump administration's. Cleared the way for insurance companies to expand their sales.
Syria, Starbucks and Camille Higham discussed on NPR News Now
"Launched on the opcw holding emergency meeting in the hague today on the suspected chemical attack chemical attack outside damascus inspectors from the organization arrived in syria over the weekend to investigate whether banned substances were reuse us britain and france targeted three alleged chemical weapons facilities in response philadelphia protesters expected to show up again outside a starbucks this morning then peers jeff brady reports at demonstrators briefly occupied the coffee shop yesterday after a video of two black men getting arrested there was viewed by millions police say starbucks employees called officers after the men wanted to use the bathroom without buying something they were arrested for trespassing but no charges were filed and they were released organizer aco khalif wants accountability the manager of five colle also once the officers who arrested the men fired but police say they didn't do anything wrong starbucks regional vice president camille higham says the company is investigating this incident does not reflect the spirit of our brand it was an unfortunate incident and we'll be sure to make it right organizers say protests this morning or aimed at shutting down the starbucks where the arrest took place last thursday jeff brady npr news philadelphia and this is npr news former first lady barbara bush is said to be in failing health family spokesman says mrs bush has decided not to seek additional medical treatment and instead focus on comfort care barbara bush is ninety two years old kentucky governor matt bevin is apologizing for saying last week that the teacher walkout in his state led to children being sexually assaulted and others to using drugs for the first time the governor has posted a nearly four minute video on lying saying it was not his intent.