-------------------------------------------
Lives Being Saved By An Obamacare Provision - Duration: 8:33.
So, Sheree, embedded in the Affordable Care Act ... I think people know the broad strokes,
and I would say I think America is far more conscious of the broad strokes of what the
Affordable Care Act … we should say the patient protection of the Affordable Care
Act because I think people are becoming more and more aware of the patient protections
involved in what we now call Obamacare.
Within the major pillars, the expansion of Medicaid, the regulations on what constitutes
actual health insurance, the baseline for these things, and then the subsidies involved
and the exchanges, there are a lot of different pilot programs, and that's the one that you
write about that is taking place in Missouri.
Welcome to the show.
Thank you.
Thank you, Sam.
I appreciate that.
Tell us about this story in Missouri.
The story in Missouri is actually a reflection of many things that started happening around
the country that were funded by the Affordable Care Act several years ago, actually.
2009, 2010, 2011.
This program was an integrated care experiment that was funded for Medicaid patients.
Patients that are often called the 5-50.
The five percent of patients who use 50% of medical care, and can cost in some communities
as much as $10,000 a year in ER costs and hospital costs.
In this case, people who also were struggling with various mental illness.
These types of innovations, these types of programs were a key part of the ACA.
This one, I believe, was done through the Social Security Administration.
There are others that were largely done through the Centers for Medicaid and Medicare Innovation
Center, which is still alive, but there is question about how long it may be.
There were efforts to reform payment models and give people better care.
All right.
Let's start with this 5-50 designation.
I've heard of that dynamic a lot more as of late.
For many years, we heard that basically 80% of health care costs are born by 20% of the
population.
This is, I guess, a subset of that 20% population, which bears an even greater percentage of
cost.
Let me ask you this, and then I want to go through what that profile of a person, what
would cause that person to be requiring so much care, but when we talk about the United
States as being much more expensive in terms of health care per capita, is it because that
five percent exists and doesn't exist in other situations?
Is it because the care for that five percent is that much more expensive?
Is it because we lack preventative care that would undercut that?
Does it, I guess, maybe speak to the success of this program as where the delta is between
that five percent in this country and that five percent in, say, Canada?
Yeah.
I would like to say in this case that five percent is usually defined by two or more
chronic health conditions.
Say they have heart disease, diabetes, and hypertension.
In the case of this program, they are also struggling with a serious mental illness.
That is even if it's depression, it's serious enough to require medication.
Washington Monthly Magazine specifically asked me to investigate and to look at programs
for that group.
That's how they're defined, but these people are, of course, all over the world.
The big answer is to why it costs too much, that is the billion dollar question.
I suspect that it is how we care for people in the United States, how we charge for care,
and the lack of a support network for people who really need it, which is what these programs
reveal, which is what the difference is in the health indicators and the health quality
and the life quality of these people when they do get that support.
But it's a very special kind of support.
It's very rare in the United States.
It might be that that support is more available in a country where there might be universal
care, or where social services might be easier to access.
In this particular case, all of these people are Medicaid patients.
It is a fascinating story.
You focused on a woman, Pat Powers, and her treatment at the Crider Health Center in St.
Charles, Missouri.
You really do get a sense of what can go wrong when you have a patient who is taking so many
different medications, but they're coming from so many different sources in some ways.
Yes.
She had a mental health provider who had no relationship with her primary care provider.
They didn't know each other.
She was initially trying to juggle several part time jobs to hold herself together, which
was making her anxiety disorder and depression and other psychological issues more difficult
to manage.
On top of that, she was trying to manage diabetes and weight and medication for her behavioral
disorders all on her own.
She eventually couldn't deal with the job, which meant not being able to keep up with
the insurance.
I think she might have briefly lost housing though she has housing now.
It just came apart.
It requires a great deal of attention.
One of the care providers that I interviewed, Nancy Gongaware, who was a nurse navigator
in this system said, 'Just think of how much it takes for a person whose life is completely
together to just manage diabetes.'
Right.
Not diabetes and hypertension and potentially obesity.
Which, by the way, weight gain is exacerbated by the kinds of medications that manage some
forms of mental illness.
It changes your body's ability to gain weight, and then you're managing anxiety, and then
you're managing depression, and you're trying to hold down a job.
I would imagine there are reactions between the medication, too.
If you don't have the same person who is prescribing them or isn't aware of what's being prescribed,
and you have a patient who is having a tough time maintaining the different medications
that they are supposed to be taking, or that they are taking, that I imagine these interactions
become a problem.
Yes.
This is a patient centered medical home demonstration, and they were carried out all over the country,
and hopefully they will continue to be.
One of the key aspects of a medical home is to make sure the providers caring for a person
interact with each other and share medication information, and share information about hospitalization
so that a behavioral health provider, for example, knows when someone ends up in an
ER.
So that they don't have this situation where a person is being overmedicated or having
interaction.
Okay.
We're going to take a break, and when we come back, I want to talk about the specifics of
this pilot program and this grant that Missouri got, and I want to talk about why they're
getting a pilot program for Medicaid when they didn't accept the expansion of Medicaid
in that state.
We've got to take a quick break.
We'll be right back.
We're talking to Sheree Crute.
She has written a piece for the Washington Monthly, "How an Obscure Obamacare Provision
Is Quietly Saving Lives, and Money, in Missouri."
I'm Sam Seder.
This is Ring of Fire.
We'll be right back after this.
-------------------------------------------
LaVar Ball Takes Shot at Kyrie Irving by Referencing Star's Late Mom - Duration: 5:03.
What's up, guys?
For Complex News, I'm Natasha Martinez.
LaVar Ball likes to speak his mind.
Sometimes, that can get him into trouble.
The latest LaVar Ball controversy comes from his Wednesday appearance on Undisputed.
When Skip Bayless, Shannon Sharpe, and Joy Taylor asked him about Kyrie Irving's comments
about him and his son Lonzo, he shot back by saying that Irving shouldn't be allowed
to criticize his parenting techniques since he doesn't have any kids.
This rubbed people the wrong way because Irving does have a kid.
His daughter, Azurie Elizabeth Irving, was born in November 2015.
She'll be turning two this year.
In the Instagram post of him sharing the news, he thanked his late mother who he named his
daughter after.
"Mommy, I gave her your name because I know you will bless her and our family the same
way you blessed me.
I love you."
https://www.instagram.com/p/-fa2jaMhO7/
But the worst was yet to come.
Elsewhere in the segment, Ball made some disrespectful comments about Kyrie's mom, trying to make
an argument that Lonzo's relationship with Lavar is different because he has two parents
and siblings.
Or something.
It only took a
few days before the internet showed their disgust:
TWITTER: I was really rooting for LaVar too after that Kristine thing.
But bringing upKyrie's deceased mother?
Lowest of the lows.
TWITTER: What Lavar Ball said about Kyrie wast asteless and deplorable.
I have been in his corner but speaking of his late mom is disgusting.
TWITTER: I was all for Lavar Ball.. but the comments about Kyrie's late mother, was way
out of line.
TWITTER: Kyrie should just put LaVar Ball on blast.
Totally inappropriate.
This isn't the first time Ball has been in hot water.
Ball made headlines during an appearance on Fox Sports 1 on the same day, where he got
into a tense on-air altercation with The Herd with Colin Cowherd co-host Kristine Leahy
over Big Baller Brand.
The
next day, Leahy said she has received death threats and offered her reaction
to what transpired:
It's probably safe to say that when Lavar speaks, he's going to send the basketball
world into a frenzy.
Has he hit a peak with his words on Kyrie Irving?
That's the news for now, but for more, subscribe to Complex News on YouTube today.
For Complex News, I'm Natasha Martinez.
-------------------------------------------
12 MONKEYS | Season 3: 'Mission: Missionary' | Syfy - Duration: 5:16.
- Sister.
[radio crackling]
You must really have taken me for a dim-witted schmoe.
- Huh?
Oh. Yeah.
- Had me fooled back in '44.
Different this time, though.
The way she looks at you.
The way you look at her.
[chuckles]
That story she told about you having
your giggle-stick shot off. You copping to that, too?
- Trust me.
If that had happened,
we wouldn't be in this situation.
[eerie music]
♪ ♪
[over radio] - Okay, I see him.
He's coming.
- Finally.
♪ ♪
- They tell us time heals all wounds.
♪ ♪
And I believe it creates them.
Tell me.
For whom do you grieve?
♪ ♪
- My husband.
He was killed inside the mine.
♪ ♪
[dramatic swell]
♪ ♪
- [whistling]
♪ ♪
[eerie tone]
- We were married for 15 years.
♪ ♪
He slaved away in that mine day in and day out.
We didn't have much...
♪ ♪
But we had each other.
♪ ♪
A perfect life.
♪ ♪
Or as perfect as it could be.
♪ ♪
- I've been to many services.
Encountered grief in many forms.
♪ ♪
Tears. Laughter.
And stony faces.
♪ ♪
But yours...
confounds me.
♪ ♪
- I don't understand.
- You wear the mask of loss, but you do not feel it.
At least not for your husband.
I'm afraid what I have to offer...
♪ ♪
Isn't for you.
♪ ♪
- We're gonna lose him. - Wait, wait, wait, wait.
♪ ♪
- You're right.
♪ ♪
I don't feel it.
♪ ♪
My husband died in the mine, but...
♪ ♪
I lost him long before.
Time was our enemy.
♪ ♪
We spent so much of it apart...
♪ ♪
But there was a moment...
♪ ♪
When it was just the two of us.
♪ ♪
About to be the three of us.
♪ ♪
And it felt like we were exactly where we were supposed to be.
♪ ♪
I've never been so happy.
♪ ♪
[gasps]
♪ ♪
But it had to end.
♪ ♪
And we ended up apart.
♪ ♪
And we lost our child.
♪ ♪
I guess I thought we would find our way back to each other...
♪ ♪
But I'm still stuck...
♪ ♪
In that moment.
♪ ♪
Every day, I wake up wondering...
♪ ♪
What our family would have been like...
if we had the chance to actually be one.
[solemn music]
♪ ♪
- Join us at the Wake.
We offer you a chance...
to live in that perfect moment...
♪ ♪
Forever.
-------------------------------------------
Las escaleras de granito derretido en el Templo de Hathor, Egipto - Duration: 2:05.
For more infomation >> Las escaleras de granito derretido en el Templo de Hathor, Egipto - Duration: 2:05. -------------------------------------------
Fine Grinding Wheel Polished Finish - MegaFino Cutlery - Duration: 4:34.
Hello, I am Cássio Eduardo the creator of MegaFino Cutlery
today this tutorial I want to present to you the wheels finish MegaFino
first, then talking about the grain 400 this grain 400 I have already given it to you
at other times, in other tutorials
he has no roughing force
but for anyone who is starting especially alicatinho cuticle
if you want to start and finish grinding it
is a fantastic grinding wheel is a strong grinding machine
I do all my wheels with half hole and 31.8 hole
but I can fabricate the extent that the customer want custom
this grinding wheel here has a great finish he has this green
all my wheels are colorful each corresponds to a grain corre
here is then that the grain 400 I have here the grain 600 it is beige
this grain does not already have thinning force none
no point in persisting with it why do not you'll be skating
he is already to finish, grain 600 I always say that my wheels they work
by rotating the grinding which is being used
if a grinding wheel with 3000rpm 3500rpm you will work with the grinding grain 200 or
grain 100 to thinning and will match very well
and you can use a 1200 for the finish if a motor with half of that rotation
ie 1600 or 1800rpm I already advise the use half the grain desirable to 3500rpm
ie, a grain to a grain 50 to 100 and grinding a grain 400, grain 600 or to one
even a 800 grit for finish so it's important you remember that
so you buy the appropriate wheel to your job
related to rotation of your engine or your emery
this one is the grain 600, only advisable finishing, a very good finish
here I have a grain 800, it is this green moss
green moss also just finishing
grain 800 You have many people who like to work
with 200 for roughing at low speed 100 for roughing at low speed
and finishing, grain 800
this setting is a very good setup
also waterproof
confecciono as the person needs and I'm ready to buy as 4 inches
6 inches and 8 inches straight and tapered
with straight or tapered edge lip and here I have what I really like to use
the chain Emery I like a combined
grain 200 for roughing at 3500rpm rotation in chain Emery
200 for roughing, 1200 to the finish
It is a very good finish it is extremely resistant
do not burn your tool It supports any type of soluble
soda you want to use very good even this grinding wheel in 1200
much use here in my cutlery then here they are presented to you
the wheels 400, 800, 600 and 1200 for finishing any questions please check our website
www.megafinocutelaria.com.br and also, we call on
DDD 11 5517 4561
Thank you and see you next time
-------------------------------------------
Tegernsee - Abwehr gegen festhalten am Revers - Duration: 1:53.
For more infomation >> Tegernsee - Abwehr gegen festhalten am Revers - Duration: 1:53. -------------------------------------------
Player Interview : Stimpy! Best French-speaking player! (eng cc) - Duration: 14:13.
Hey everyone! Today we have a special guest, Mr Stimpy, who's one of the best French speaking player from Morocco!
Hello guys! Thx for presenting. It's a pleasure to work with you guys.
Pleasure is shared! So first question, can you present yourself!? What's your age and what do you do at the moment?
Im Stimpy, 15 years old, I'm in highschool and I am from Morocco. I play Brawlhalla for about 1 year and a 4 months.
That's pretty much it
Okay! Speaking of Brawlhalla, how was it when you started playing and how long did it take to make yourself a name in this game?
I discovered the game on a youtuber's teamspeak, he was oraganizing a game night, and the game chosen that time was Brawlhalla.
I really liked the game and started playing it on a regular base since that night.
First time i got good results was back in June 2016, where Blackie and I got top 8 in a BCS 2v2 tournament.
For 1v1, my first really good placement was back in October where i placed top 4 in a BCS tourny.
Good! That escalated pretty quickly!
I really like this game alot, and i found myself playing it for hours without even noticing it.
Once i placed third in a Friday Nigth Brawl and i realised that i enjoyed playing competitive and i almost play every tournaments since then.
Cool stuff! Was Brawlhalla the first game that you invested yourself so much in or there'are others?
Brawlhalla is the only game where i won money from esport tournies.
I played Fifa and league of legends a bit, but always in a cusual minded approach. Brawlhalla gave me the eSport feaver!
Perfect! Talking about that, what do you find interesting in paying at a competitive level.
Hum, it's a self satisfying feeling, when you place well in a tournament, you're proud of yourself, and of course making some money out of it will help me in my real life goals aswell.
But the adrenaline rush, seeing good results on the leaderboard and being recognize for it are the best things about all of that!
I understand, and in the game, what are your favorite legends, and what is your main if you have one?
I don't really have a main, but surely do have some favorite legends. Ada for example is still my highest character in the game, I like Lucian, Hattori, Scarlet, Diana and Val!
Okay! Are there legends that you really dont like?
Characters, that I won't use in tounaments or that I just don't like to play?
That you don't like to play
I find, hum
I Don't like the way I have to play when I use Orion
There's also, hum
Sentinel, I don't like to play him either
To be honest, I play almost everything, I'm ready to play any legend
If I wanna play a certain legend I'll do it
I see!
I might like playing a character on a certain day and may hate him the next day
I agree! I find it hard to stick to only one legend in this game
Totally! Especially in a meta that changes so frequently
That's true, In Super Smash Bros for exemple, I never had trouble finding a main. But in Brawlhalla, I wanna change all the time
I can't compare to other games cause Brawlhalla is my firts fighting game
It's hard to believe! Wow
Okay,
What is your best experience in Brawlhalla so far?
Winning the Legend Series Tournament was my best moment
That was the first S tier Tournament. I won against Maltimum after coming back from the loser bracket
So far, it's definitely my best experience playing Brawlhalla.
I think alot of us saw that final and that was crazy gotta say!
And what would be the worst moment for in this game, an unexpected loss or anything else?
I don't really mind losing, but let me a second to think
Ah yeah! During Winter Championships
I don't remove any credits from my opponents
I had huge internet connection issues during that tournament
And it got on my nerves a bit
So I lost ealier than expected cause of that
And it's definitely one of my worst experience in a tourny
Having lag issues in big events must be painfull yeah
You're from Morocco. You're a French-speaker but you play for Morocco. I believe that you're already at the second spot for eSports earnings in your country?
Yes i am! The first one is a WoW player so it'll be hard to take his spot!
Yeah, I'm proud of that cause there are not many Moroccan players in the competitive scene
Appart of this wow player, I don't really know anyone else in the Moroccan community
So yeah i feel honored to play for my country, a be able to represent it at a top level in Brawlhalla
Agreed, we don't know alot of Moroccan players in the competitive scene
Yup
So that's is really cool
And what are your goals and objectives for this year and 2018?
For this year, i wanna be able to qualify for the open BCX
I blieve that I'm already 2nd or 3rd in the circuit leaderboard
Ang if i go, i aim for top 4 in 1v1 and top 3 in 2v2
Great, and who's your partner in 2v2?
Lanz
Lanz was playing for Reason gaming with Ephi
But he's playing with me now and we have been successful
We placed top 3 and then top 4 in the Spring series
We had some troubles in the Spring Championship, but we'll keep getting better, i hope
Yeah, i think you won't have any problems. And any chance to participate in the Combo Breaker next year?
Maybe, we'll see
You don't have a sponsorship at the moment, do you?
No, not for now. But I'm searching and i'll keep looking to find a sponsor.
If anyone watching this video wanna sponsor a Brawl player, this is the best Moroccan player in this game! Make him an offer!
Do you have any tips to everyone that wanna get better at this game and maybe want to play at a competitive level?
To fix themselves goals when playing! Don't play just to play
When you start a gaming session, say to yourself. "What do i wanna accomplish today?"
And study the game. It's not just about using attacks
Every decisions that you make will have am impact in the match you're playing
So by studying and knowing stuff, you'll be able to have a bigger move selections to chose from
it helps you win alot more
And stay calm and don't get frustated cause it'll nullify your development and your growth
cause you won't see mistakes that you made
when we are tilting, what's the best tip you can give us? Taking a break or just keep playing and try to change our mind set?
Try to work on your mind set. If you really get mad, yeah, little breaks are the way to go. They can help alot
Recently, you created a coaching program, if you wanna talk about it?
I did! For anyone who wanna improve their gameplay, who wants to become a top player
I offer coaching services
You'll be able to find infos somewhere in the video
You can get in touch with me via twitter or discord, that's pretty much it!
Great! I think we talked about everything we wanted to
If you want to say anything else to our viewers and the French community Stimpy, you can
I played with alot of French players and you guys seem to be a good community
I feel like you help each other. Friendly people too, that i meet during tournaments and on discord
Really cool community!
And you guys too, KoM, clan Knights of Marianne, where i have a really good experience playing with your members
French top players like Daz are nice too, and they have a good future in this game
Yeah we believe alot in Daz, he's the best player from France
Great! Thanks alot for your time and for your answers!
For everyone who wants to follow Stimpy, If you wanna share your twitter with us and your twitch channel
You can follow me on twitter : twitter.com/realstimpy
I dont really stream at the moment but i plan on doing it in the future
Thanks everyone for watching, it was Jowser and Stimpy, see you soon :)
-------------------------------------------
★ Nightcore - Lump Your Head | Best Nightcore 2017 | Live Stream | Sugu Music ★ - Duration: 3:12.
lump your head nightcore
sugu music
nightcore live
-------------------------------------------
ALMAS GEMELAS - La LEYENDA GRIEGA de los ANDRÓGINOS - [Leyendas #5] - Duration: 2:28.
For more infomation >> ALMAS GEMELAS - La LEYENDA GRIEGA de los ANDRÓGINOS - [Leyendas #5] - Duration: 2:28. -------------------------------------------
WWE Backlash 21 May 2017 HIGHLIGHTS HD || Fatal 4-Way WWE Title Match- Backlash 2007 Full Match - Duration: 16:47.
WWE Backlash 21 May 2017 HIGHLIGHTS HD || Fatal 4-Way WWE Title Match- Backlash 2007 Full Match
WWE Backlash 21 May 2017 HIGHLIGHTS HD || Fatal 4-Way WWE Title Match- Backlash 2007 Full Match
WWE Backlash 21 May 2017 HIGHLIGHTS HD || Fatal 4-Way WWE Title Match- Backlash 2007 Full Match
WWE Backlash 21 May 2017 HIGHLIGHTS HD || Fatal 4-Way WWE Title Match- Backlash 2007 Full Match
-------------------------------------------
How to Share Files Between PC and Android using wifi | without share it | techfaniciers | stark - Duration: 5:14.
Every one getting bored while copying files from computer to android phone.
Or You have to use external device like pen drive
and OTG to share file.
And in wireless method lot people fixed that We have one and only way to
Share files wirelessly between computer and your phone
Through Share it…
But we have some best solution.
//title intro// HI there it's stark from Techfanciers
In this tutorial we are going to see that how to share files between computer and android
Without any client server…
So let's get started…
Before going to the tutorial just connect both the computer and mobile
in same wifi network First we want one and only app called ES File
manager.
After downloading that just come to our Computer.
Open control panel.
In network and internet You can get the option Home group.
Go There and turn on Home group.
In my case I am already turned on that And if you already turned on means no problem.
Just leave it.
Also open the advanced sharing option.
In private profile just turn on and allow all the things.
Also in all networks.
Again come to mobile.
Open Es filemanager There just click three line menu,
There select Network And then LAN
After that scan.
Now you can find your computer in background and again just select your computer.
And type username and password of your computer.
But you know your computer's password but what about username.
Wait we have easy solution to find user name.
Just open my computer Then goto C:
There select users In that you can find your computer's user
name.
Just type that in your mobile.
Now both the devices are connected.
And again come to computer.
Just share what are all the partition you want.
Yes, The good part is you can copy paste the folders
also.
And of course This one is looking like complicated.
But these all are one time process…
You can use this methods again and again.
Just connect both the device in same wifi network.
That enough…
I hope you are all loved this tutorial.
If yes means smash the like button.
And if you have any doubts just comment in the section below.
With Hashtag RelateTech.
I will definitely do Q&A session as soon as possible.
And here I am signing of With the quotes of know one thing more than
others and thank you for watching…
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