at the far end of this group is my boss, bill hoagland. l is the senior vice president at bpc in charge of both, our full team and economic policy programs. he came here from cigna where he was vice president of public policy and most of his career was spent on the hill where he was director of budget and the appropriations of the then senate majority leader, and staff director of the budget committee. thank you for being here. jeff, i will start with you. we have talked about high-level frame works, big picture models and i want to go to the real world for a minute. more than probably any of us on this stage here at least you have the most experience with a number of the players on the ground who are really seeking to implement some of these experimental and new models of care that integrate clinic and community. the report that the task force issued included some of those examples including one a very interesting one out of minnesota, and i would like to ask you to tell us a little bit more about what they did and why it's relevant here.