Senator John Marty

They had a study which is getting better, which got better along the way because a lot of people objected to it. But it was a health care affordability board. And in the health department, others were going to calculate For entities, they defined them as entities. They didn't define them, but they basically meant health systems or insurance plans or whatever.

They had a study which is getting better, which got better along the way because a lot of people objected to it. But it was a health care affordability board. And in the health department, others were going to calculate For entities, they defined them as entities. They didn't define them, but they basically meant health systems or insurance plans or whatever.

That these entities, they were going to analyze how much, not only how much they're spending now, but how much their costs should be growing per year and what should be the expected growth and are they keeping above it or below it.

That these entities, they were going to analyze how much, not only how much they're spending now, but how much their costs should be growing per year and what should be the expected growth and are they keeping above it or below it.

Everybody wants to get rid of unproductive stuff, but much of the stuff they're doing is adding to bureaucratic stuff. The bill originally had a thing in there that They would estimate what these were. And if the plans, if the entities, which are, again, bureaucratic entities who are part of the cause of this, were giving them a taste of their own medicine.

Everybody wants to get rid of unproductive stuff, but much of the stuff they're doing is adding to bureaucratic stuff. The bill originally had a thing in there that They would estimate what these were. And if the plans, if the entities, which are, again, bureaucratic entities who are part of the cause of this, were giving them a taste of their own medicine.

But if they didn't meet the cost stuff, they would have to come in with a corrective plan. And if not, they could be fined.

But if they didn't meet the cost stuff, they would have to come in with a corrective plan. And if not, they could be fined.

um fines of up to i think half million dollars which is not substantial in terms of multi-billion dollar entities but you know it's a fine and i that was supposed to do something my question is first of all how is the health department able to calculate what costs are and what they should be because they can say hey i got sicker patients than i had in the past we have sicker patients in your hospital severity it's it's all severity adjustment yeah

um fines of up to i think half million dollars which is not substantial in terms of multi-billion dollar entities but you know it's a fine and i that was supposed to do something my question is first of all how is the health department able to calculate what costs are and what they should be because they can say hey i got sicker patients than i had in the past we have sicker patients in your hospital severity it's it's all severity adjustment yeah

And trying to analyze that, again, it's the grading. We're going to spend 10 times as much on grading as we're going to improve anything out of it. But so they were going to do that. And what would the impact be? How would that bring down affordability? If I'm, say, I'm mega health system, I can name any of them.

And trying to analyze that, again, it's the grading. We're going to spend 10 times as much on grading as we're going to improve anything out of it. But so they were going to do that. And what would the impact be? How would that bring down affordability? If I'm, say, I'm mega health system, I can name any of them.

But if I'm a mega health system and I'm being told our costs went faster up than they should, what am I going to do? I'm going to hire more people to figure out to write a corrective plan, which we have to write a corrective plan. I'm going to make sure it is the best corrective plan you've ever seen.

But if I'm a mega health system and I'm being told our costs went faster up than they should, what am I going to do? I'm going to hire more people to figure out to write a corrective plan, which we have to write a corrective plan. I'm going to make sure it is the best corrective plan you've ever seen.

And it's going to cost us thousands and thousands of bucks of time of very high paid executives to figure out this clever plan. That doesn't save any money. That's more paperwork. Where are we going to save money then? Well, we're going to cut back on the number of people staffing our clinics, going to have your hold times on the phone be longer, your wait time for appointments longer.

And it's going to cost us thousands and thousands of bucks of time of very high paid executives to figure out this clever plan. That doesn't save any money. That's more paperwork. Where are we going to save money then? Well, we're going to cut back on the number of people staffing our clinics, going to have your hold times on the phone be longer, your wait time for appointments longer.

We're going to tighten up the health care. spending and increase the bureaucratic spending to bring down the cost. So to me, that's a very more data is good. So I don't have a gripe about what we've changed it to that we're going to try and measure it. But I'm afraid this is going to be used in a way that doesn't get to the big problem. We're all concerned about it.

We're going to tighten up the health care. spending and increase the bureaucratic spending to bring down the cost. So to me, that's a very more data is good. So I don't have a gripe about what we've changed it to that we're going to try and measure it. But I'm afraid this is going to be used in a way that doesn't get to the big problem. We're all concerned about it.

Right. The prevention aspects are critically important. And unfortunately, it's always a sort of a stepchild or an afterthought in terms of dealing with prevention. And the trouble is, if we're going to put money into that, oh, we've got to take money for other things because we don't have the money to do this.

Right. The prevention aspects are critically important. And unfortunately, it's always a sort of a stepchild or an afterthought in terms of dealing with prevention. And the trouble is, if we're going to put money into that, oh, we've got to take money for other things because we don't have the money to do this.