answering emails and using health i.t. effectively, using nurse practitioners, allied health professionals, implementing wellness programs whatever it takes for their beneficiaries to get better health outcomes and lower costs. this is part of most of the healthcare reform proposals that are being considered right now. and again, focuses on accountablity for costs across diverse practices and it's designed to be compatible with other reforms things like paying for health i.t. or care coordination, bundled payments, things that are considered part of healthcare reform can help move in this direction of getting to what we really want, accountability and payment based on better outcomes and lower costs. and this can be done through multistakeholder collaborations as well. there are a number of these going on around the country. i'll mention those briefly in just a second. but the idea is as patrick was saying there's some things that are best to collaborate on and other areas that are...