now it's my pleasure to introduce our next speaker, j.d. hickey, who is president and ceo of blue cross/blue shield of tennessee, a nonprofit health plannen serve enserving more than three million members. j.d. has an unusual background for a health plan ceo, having previously led tennessee's medicaid program, known as tenn care. the governor tapped j.d. to turn around tenn care and to control the soaring cost and try to preserve the coverage. j.d. led that effort successfully and i think is very proud of the work that he did on that. prior to that, j.d. was a consultant -- was a partner with mckinsey and company. he continues to be a champion for the residents of tennessee as ceo of blue cross/blue shield and we're so pleased to have him with us today. j.d. hickey: good afternoon. so i've got the privilege of telling you about tennessee's new employment and community first program. before i do, i just want to give you a little history, a little background in tennessee on why this is so important. so there's a number of reasons why, when we think