so you have folks like privia trying to take first dollar risks without the hospitals. they'll take first dollar risks from the insurance companies and try to charge down stream against the cost of the hospitalizations. you have urgent care chains taking advantage of the fact patients want convenience. you have new york presbyterian who is launching a creative outreach strategy to leap frog other folks in their communities to reach out to patients. for the first time, folks like that who focused historically on the excellence of their service lines are now actually thinking about what does it mean to create an excellent service experience out into the community? so i'm seeing folks from across the spectrum beginning to think about what does it mean to live in this next generation of health care, how do i need to rewire my own economics to survive, and what investments do i need to make? >> yumin, what do you think about the timing for this? you don't want to be too early. there's a lot of interest in paying for value. is there enough of it actually happening that you ca