the state of minnesota and read that we have paul geraghty who will discuss these recent initiatives that he is involved in. minnesota is well known for its low-cost care and high quality of care can really serve as a model for the nation and as we work toward those goals. >> thank you, nancy. some of you who are close to the front of the room the other is a fly buzzing over the podium here and a couple of weeks ago i would have just swatted it. [laughter] but we live and learn. thank you very much, is my honor to be here representing the state of minnesota and representing blue cross/blue shield and minnesota. the discussion we are having as a nation is really not just about health care, but it is about health and wellness prevention and quality outcomes is really what we are collectively thinking about and looking at. so as we talk about what we're doing in minnesota, i like you to take a look at the slides were looking certainly at cost, looking at improving care and the king and the value being delivered in the system. on os -- i'm going to talk about how we position our company