hss was also successful in negotiating a 0% premium for blueshield for the upcoming fiscal year, and we applaud them for their efforts. but as we continue to face the enormous cost of health care, especially when it comes to the impact on the general fund, this hearing will focus on the following. understanding what the trends in drivers of hospital costs in the san francisco bay area are, of costs of services and different hospitals compared to one another, is there a relationship between quality of care and cost, and whether or not future development plans by san francisco hospitals could impact the costs for members of the city and county health services system and for san francisco residents, in general. how the health service system can work to control costs and plans to control future cost increases, including the support of the launch of the affordable care organizations. we look forward to hearing from the director of the health services system, ms. undocked, who has done great work, and any other -- mcculloch -- ms. dodd, who has done great work, and any other. thank you. cl