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it was the first company we had seen that flattened out clinical data and matched it with administrative data.”

But one example he gives would be around transparency in hospital practices, identifying trends that would be used compare the costs of one hospital caring for a particular patient with another system in the context of the clinical stream to see what each one is doing differently.

Every health system is in the business of protecting their doctors,” said Miller.

“You lie!” in the middle of the president’s reassurances that unauthorized immigrants to the U.S. wouldn’t receive health benefits. It also included these fateful words: “The plan I’m proposing will cost around $900 billion over 10 years—less than we have spent on the Iraq and Afghanistan wars, and less than the tax cuts for the wealthiest few Americans that Congress passed at the beginning of the previous administration.”

The relatively small share of PDP enrollees who switched plans at some point between 2006 and 2010 were more likely than those who did not switch to end up in a plan that lowered their premiums.  Nearly half (46 percent) of enrollees who switched plans saw their premiums fall by at least 5 percent the following year, compared to 8 percent of those who did not switch plans.  But those who switched plans were only slightly more likely than those who did not switch to face lower out-of-pocket costs for drugs during the year