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Thanks to the BBA , we will see concrete improvements in our programs that will provide tangible improvements in services for our beneficiaries . Alexandra ( Gruneberg ) Dionisio , BBA , Design & Management ' 99 is living in Germany and is about to publish her first book on wedding planning and design . These include the Medicare Current Beneficiary Survey , beneficiary information campaign evaluations , refinement and monitoring of prospective payment systems , and support for legislative mandates in the BBA , BBRA , and BIPA . As we continue to monitor the effects of BBA , we look forward to working in a bipartisan fashion to ensure that Medicare beneficiaries continue to receive quality health care services . Our highest priority will be to work closely with Congress on implementation of BBA , and to keep you informed of our progress .