instruction:
Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.
question:
Paragraph: As part of President Barack Obama’s healthcare reform law, the efforts center around more than 360 accountable care organizations (ACOs), which are networks of doctors, hospitals and other providers specially organized to help move Medicare away from traditional fee-for-service medicine. The U.S. Centers for Medicare and Medicaid Services (CMS) said preliminary data show that the ACOs produced $380 million in savings vis-a-vis traditional Medicare in 2012 by giving doctors and other healthcare providers the incentive to focus on improved outcomes for patients instead of fees from tests and services. Medicare, the $575 billion government healthcare system for 51 million elderly and disabled beneficiaries, faces growing financial pressures as a result of America’s aging population. A mainstay, the trust fund that pays for hospitalization, is expected to be exhausted in 2026. Deficit hawks view Medicare as a future driver of the federal debt and have called for major systemic reforms. But the Obama administration has pursued gradual changes including the reform of care delivery systems. So-called fee-for-service medicine is widely viewed as a cause of rising healthcare costs, because it calls for paying healthcare providers for tests and services that are sometimes unnecessary. Obamacare seeks to tackle costs by exploring ACOs and other new healthcare business models intended to find savings that do not jeopardize care. A main goal is to generate savings large enough to be shared between Medicare and providers. But some experts are skeptical, saying significant cost reductions could be hard to maintain over time. But CMS, an agency within the U.S. Department of Health and Human Services, runs two different ACO programs. In its largest, 54 of 114 ACO networks achieved lower than expected expenditures. But only 29 saw savings big enough to share with providers. All told, the program produced $128 million in net savings for Medicare’s trust funds. “Overall, the ACO program’s a net saver to the Medicare program,” CMS principal deputy administrator Jon Blum told reporters in a conference call. “It’s giving us great confidence that this is the right course for the Medicare program and we are confident that it will continue to show quality improvement and cost savings.”  Officials said the ACOs also achieved a wide range of quality goals. But CMS released no quality statistics. Thursday’s government release drew some cautious optimism from the healthcare industry. “Today’s report reflects important steps. More work is needed to modernize our antiquated Medicare payment system and base payment on evidence-based quality measures and proven patient outcomes,” said Dr. John Noseworthy, chief executive of the Mayo Clinic in Rochester, Minnesota, which is not part of the government’s program. “As results of the team-based care models are analyzed, those most effective in driving down health care costs without compromising safety and quality should become part of the healthcare system,” he said. Claim: U.S. says results encouraging for healthcare delivery reforms.
answer:
The Obama administration on Thursday reported what it called encouraging results from efforts to reduce healthcare costs and improve the quality of care for more than 5 million Medicare beneficiaries under Obamacare


question:
Paragraph: Gov. Brian Kemp said proposed changes to former President Barack Obama’s Affordable Care Act would give individuals and families less expensive coverage options, a particular benefit for those who don’t qualify for federal subsidies to cover premiums. “They’re going to work to reduce costs, make health care more accessible and have better quality in our state,” Kemp said in a statement. Critics say it would drive up insurance costs for older and sicker people. Kemp also wants to offer subsidized coverage to a fraction of Georgia’s uninsured poor if they worked or went to school for 80 or more hours a month. Kemp’s administration projects the expansion would cover 50,000 people, far less than the 400,000 uninsured Georgians who might be covered by the Medicaid expansion originally envisioned by the overhaul. This second proposal, aimed at people earning incomes of up to 100% of the federal poverty level, echoes those made by other states. Federal officials have rejected some similar partial expansions. But it’s the first plan, under which Georgia would take over the federal insurance marketplace and the associated funding that goes with it, that’s drawing national notice. The state would make those federal subsidies available to people who buy health plans that don’t provide the full array of benefits that the Affordable Care Act requires. Passed in 2010, Obama’s signature health care law extended insurance coverage to millions of Americans by expanding Medicaid and subsidizing premiums for individuals and families who make up to four times the federal poverty level. The law — also known as “Obamacare” — allows states to seek waivers from the federal government to change certain provisions, but only if they adhere to strict rules. The Trump administration has loosened those rules, and Kemp’s plan includes three approaches promoted by the federal Centers for Medicare and Medicaid Services in November 2018. Health policy experts say that change would drive up ACA premiums by drawing healthier people to less expensive, skimpier insurance plans. That would leave the ACA with a sicker patient pool. Under Kemp’s plan, Georgia residents would be required to bypass the central HealthCare.gov website to sign up for insurance. Instead, the state would redirect them to a list of approved brokers and insurers where consumers would be able to compare ACA-compliant plans side by side with plans that don’t meet ACA requirements. All plans would have to continue covering preexisting conditions. In addition to the current gold, silver and bronze level plans, Georgia would let insurers offer a new lower tier of benefits, called copper level, which would cover only about half the cost of projected expenses. The current lowest level of bronze covers about 60% of costs. The state says copper level premiums are expected to be 17% lower than bronze level premiums, on average. Georgia also would let insurers offer disease management plans aimed at helping patients manage a particular high-cost disease such as diabetes or HIV and AIDS. State officials would set an overall cap on its own subsidies at $255 million. There is no cap under the ACA, although the state doesn’t project its spending will come anywhere near the cap, even though it projects enrollment will increase by more than 37,000. The governor’s office estimates that the availability of subsidies for pared-down health plans would only increase “Obamacare” premiums by a little more than 1%. State officials say that amount would be more than offset by its intention to pay a portion of insurance companies’ costs to treat their sickest patients, a relatively small group that incurs the biggest bills. The so-called reinsurance program would allow the companies to lower monthly premiums for all customers. Twelve other states have received approval for reinsurance programs, according to data from the Kaiser Family Foundation. State officials expect to hear by August whether Georgia has permission to implement its plans. Claim: Georgia’s Kemp submits bid to remake health insurance market.
answer:
Georgia’s Republican governor on Monday submitted twin plans requesting that President Donald Trump’s administration allow changes to federal government subsidies for health insurance.


question:
Paragraph: There will be 50,000 more nurses going into the NHS. The government has committed to do this by 2024/25. Not all of these nurses will be ‘new’. The government have announced the end of hospital parking charges for patients. In December it was announced that hospitals in England will have to provide free car parking to frequent hospital visitors, blue badge holders and at certain times to staff and parents of child patients. The government will build 40 new hospitals. Six hospitals in England are getting the money to upgrade their buildings within the next five years. Up to 38 hospitals are getting money to develop plans for their hospitals between 2025 and 2030, but not to actually begin any building work. The government is putting 20,000 more police on the streets. The government has committed to do this. If this happens it will take the number of police in England and Wales to almost, but not quite the same level as it was at in 2010. The government gave the police much more use of Tasers to help deal with street crime. The Home Office announced police in England and Wales can bid for part of a fund to equip their force with more Tasers. Final funding allocations will be announced in February. The government are lifting the living wage by the biggest ever amount, up to £8.72, and it will go up to £10.50. The national living wage set by the government is set to rise to £8.72 in April, the largest rise since it was put in place in 2016. It was also announced at last year’s Conservative party conference that it would rise to £10.50 within the next five years. Claim 1 of 7 Claim: The government are lifting the living wage by the biggest ever amount, up to £8.72, and it will go up to £10.50.
answer:

The national living wage set by the government is set to rise to £8.72 in April, the largest rise since it was put in place in 2016. It was also announced at last year’s Conservative party conference that it would rise to £10.50 within the next five years.