"I think we need to have a coherent and consistent approach, I think an approach that involves accommodation as much as we can."
"It's not that small. I mean, when I went over to the old Executive Office building to read the super-classified opinions..."
"I think it's important that there be some credibility about this review that marks this as something different."
"If something is going to change, we in Congress have to change it. We need to do it now and we need to do it in a way that sticks."
"I could not agree with you more about that."
"The success of that Chronic Care Model is completely dependent upon payment reform."
"One is with a very bloody toolbox comprised of benefits cuts, throwing people off coverage, paying providers less, and raising taxes."
"if we do not get this solved through technology, through systems reform, through better quality care, through a more rational payment system, then we will get to the edge of that cliff."
"Those of us who have been watching this thing for a while have seen this number move."
"Now the model is Thelma and Louise, and we are all in the car, and the cliff is right in front of us."
"Take diabetes alone. I think that is probably a chronic illness for which having good tools for patients would clearly benefit patients and reduce costs and improve quality of life."