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One of the Centers for Medicare Medicaid Services’ (CMS) top priorities is to foster an affordable, accessible healthcare system that puts patients first. To help achieve these goals, CMS has a powerful tool through the Innovation Center for testing ways to improve quality and reduce costs.


In September 2017, CMS released a Request for Information (RFI) to collect ideas on a new direction for the Innovation Center to promote patient-centered care and test market driven reforms that:

The Innovation Center is a central focus of the Administration’s efforts to accelerate the move from a healthcare system that pays for volume to one that pays for value and encourages provider innovation.

The Innovation Center received a robust response with approximately 1,000 responses from the public, including consumers and consumer groups, physicians and other healthcare providers, health systems, health plans, national and state associations, community-based providers, foundations, faith-based organizations, states and technology firms. The responses focused on a number of areas that are critical to improving the quality of care for beneficiaries and decreasing unnecessary cost, such as increased physician accountability for patient outcomes, improved patient choice and transparency, realigned incentives for the benefit of the patient, and a focus on chronically ill patients. In addition to the themes that emerged around the RFI’s guiding principles and eight model focus areas, the comments received in response to the RFI also reflected broad support for reducing burdensome requirements and unnecessary regulations.

Next Steps

CMS is sharing the feedback received to promote transparency and facilitate further discussion of how to move the Innovation Center in a new direction. The RFI was a critical step in the model design process to ensure stakeholder input was available to help shape new models. Over the coming year CMS will use the feedback as it works to develop new models, focusing on the eight focus areas outlined in the RFI.

CMS will continue engaging with stakeholders to help foster the design and successful testing of care delivery and payment models that put patients first, reduce unnecessary burden, increase efficiencies and improve the patient experience.

Public comments that were received by the Innovation Center in response to the RFI are available below:

Additional Information

Alternate Submission Comments (PDF)

On November 25th, The New York Times Salvatore Ferragamo Vara Pumps Gr US 8 BppDPO
published an article about YouTube reaction videos titled "Watching People Watching People Watching." On December 5th, 2014, YouTuber Tyler Oakley uploaded a video titled Jimmy choo Deedee 80 mules ox9mkJ
Reacts to Teens React to Tyler Oakley" (shown below, left). On April 16th, 2015, Father Roderick Vonhögen uploaded footage of himself reacting to a teaser trailer for the film Star Wars: The Force Awakens (shown below, right). Within one month, the video gained over 1.2 million views and 770 comments.

As of May, 2015, typing the keyword "Reaction Videos" on Youtube would yield more than 10.2 million results [5] .

Scary Prank Reaction Videos are a series of videos that shows an individual or a group of people reacting towards shock sites and screamers, including the "Scary Maze Game."

Scary Prank Reaction Videos

Reunion Videos (sometimes known as Homecoming Videos) are amateur footage of people meeting their loved ones after being separated for an extended period time, such as estranged family members, pets and soldiers returning home from deployment. The earliest known reunion video to spread online is a video clip a man hugging a lion named Christian from the 1971 Australian documentary Camper Mateo K100184001 Formal shoes men 6muBPYKdM
(shown below), which was first posted on a fan web site in 2002. [1]

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are video recordings of orchestrated events in which a person asks for their partner’s hand in marriage. The earliest known marriage proposal video was uploaded by YouTuber Dave11 on October 25th, 2005, which featured a woman rejecting a man’s proposal in the middle of a basketball court. The video has since been removed.

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are videos in which a person is tricked or persuaded into kissing while being secretly recorded without their knowledge. On October 26th, 2006, YouTuber i Felix uploaded a video titled “Kissing Test,” in which several young women are fooled into kissing chimpanzees for a lip balm commercial (shown below). In the first seven years, the video gained over 4.49 million views and 1,400 comments.

Cochlear Implant Activation Videos contain footage of deaf individuals having their hearing restored during the activation of a surgically implanted electronic device. The earliest known example was submitted to YouTube on January 5th, 2007 by user Kwilinski, featuring a six-month-old deaf child hearing for the first time following the activation of his cochlear implant device (shown below).

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Social Business for Education
Collaborating with communities to bolster local economies
Boat Ride and Local Tourism
Enhancing local tourism with boat ride and fishery attractions
School Improvement Program
Providing poverty- stricken children access to free, sustainable, mandatory and quality education
Construction Renovation of Schools
Bringing school environment back to normalcy after the devastating earthquake
Education Gives Freedom to Dream
Improving the learning environment in the public education system
Fishery for Poverty Alleviation
Encouraging local farmers to initiate fishery as their livelihood option
Star Reader Writer Program
Enhancing reading and writing skills of students
Local Governance and Service Delivery
Promoting community stability and transparency
School Improvement Program (SIP)

Improvements in the infrastructure, facilities, curriculum and extra-curricular activities are the primary focus of COMMITTED’s SIP. Program attempts to align with Nepal Government’s Department of Education’s School Improvement Plan requirement of every school.

Social Business for Education (SBE)

Social Business for Education (SBE) are agriculture-based, income-generating projects for both schools and members of the local community. Profits from the SBE are used to make the school self-sustainable as well as to support local community.

Local Governance Service Delivery (LGSD)

Local Governance and Service Delivery (LGSD) project aims to help set up local governments through tested planning, development process, and resource generation methods. The three core areas covered are service delivery, education, and economic development.

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This blog post features plans and visions of Bhimeshwor Municipality, one of the 22 municipalities that COMMITTED has been

As part of the Enhancement of Local Government Service Delivery and Economic Governance project, COMMITTED has produced

Monitoring and evaluation visit by SWC, one of the legal requirments, conducted at Taltuleshwori Primary School at its first

Annual Reports

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T estimonials

COMMITTED has been supporting Raithane Secondary School since 2006 (2062 BS). We are very thankful for this many years of continued support and guidance. The school was barren before without proper infrastructure, but with COMMITTED’s assistance we now have renovated school building, well equipped science computer laboratory and a furnished library. (more…)

Bir Bahadur Sapkota
Former Principal Current Primary English Teacher Raithane Secondary School, Sindhupalchowk District

We Are Committed

C ontact Us

400/41 Kamaladi Road, GPO Box 2547

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The essential programs should be in your PATH at the time configure is run: this will capture the full paths.

Those distributing binary versions of R may need to be aware of the licences of the external libraries it is linked to (including ‘useful’ libraries from the next section). The liblzma library is in the public domain and X11, libbzip2 , libcurl and zlib have MIT-style licences. PCRE has a BSD-style licence which requires distribution of the licence (included in R’s COPYRIGHTS file) in binary distributions. GNU readline is licensed under GPL (which version(s) depending on the readline version).

Next: Linear algebra , Previous: Essential programs and libraries , Up: Essential and useful other programs under a Unix-alike [ Contents ][ Index ]

The ability to use translated messages makes use of gettext and most likely needs gettext : you do need this to work with new translations, but otherwise the version contained in the R sources will be used if no suitable external gettext is found.

The ‘modern’ version of the X11() , jpeg() , png() and tiff() graphics devices uses the cairo and (optionally) Pango libraries. Cairo version 1.2.0 or later is required. Pango needs to be at least version 1.10, and 1.12 is the earliest version we have tested. (For Fedora users we believe the pango-devel RPM and its dependencies suffice.) R checks for pkg-config , and uses that to check first that the ‘ pangocairo ’ package is installed (and if not, ‘ cairo ’) and if additional flags are needed for the ‘ cairo-xlib ’ package, then if suitable code can be compiled. These tests will fail if pkg-config is not installed 53 , and are likely to fail if cairo was built statically (unusual). Most systems with Gtk+ 2.8 or later installed will have suitable libraries

For the best font experience with these devices you need suitable fonts installed: Linux users will want the urw-fonts package. On platforms which have it available, the msttcorefonts package Patricia Green Womens Pretty Pouf Slipper d8Hb1W
provides TrueType versions of Monotype fonts such as Arial and Times New Roman. Another useful set of fonts is the ‘liberation’ TrueType fonts available at Converse CHUCK TAYLOR ALL STAR FASHION Hightop trainers dolphin/black/white XlwqV8aZ
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which cover the Latin, Greek and Cyrillic alphabets plus a fair range of signs. These share metrics with Arial, Times New Roman and Courier New, and contain fonts rather similar to the first two ( ). Then there is the ‘Free UCS Outline Fonts’ project ( ) which are OpenType/TrueType fonts based on the URW fonts but with extended Unicode coverage. See the R help on X11 on selecting such fonts.

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