brandt is a scientist and is very focused on outcomes, measures and monitoring performance, using the tracks and kind of shifting the way the pattern works and so that is a great example. another that is used is by singer with they're proving care. they have a system of again where it will incorporate a series of services within the party back for example and a bundle those services and a single payment and warranty that they will do the services within the cost and they will take care of any issue that might come up within the scope that the defined. so they're moving toward a bundle payment with a warranty that encompasses hospital and physicians, etc.. those are models that i think our organizations reaching out before the payment system really changes to get at this idea of moderating and eliminating the practice which often times as identified in the cost escalation we have. >> that suggests we have to be part of larger organizations, and is the era of the individual physician or small group practice over dow's we move into this discussion? >> when i first got of the navy and wen

brandt is a scientist and is very focused on outcomes, measures and monitoring performance, using the tracks and kind of shifting the way the pattern works and so that is a great example. another that is used is by singer with they're proving care. they have a system of again where it will incorporate a series of services within the party back for example and a bundle those services and a single payment and warranty that they will do the services within the cost and they will take care of any issue that might come up within the scope that the defined. so they're moving toward a bundle payment with a warranty that encompasses hospital and physicians, etc.. those are models that i think our organizations reaching out before the payment system really changes to get at this idea of moderating and eliminating the practice which often times as identified in the cost escalation we have. >> that suggests we have to be part of larger organizations, and is the era of the individual physician or small group practice over dow's we move into this discussion? >> when i first got of the navy and wen