vincent chan is a senior analyst at bernstein. welcome, good to have you with us. let's start with the idea that a medicine's cost might be adjusted by how well it performs. is that something that's really feasible? >> i think that's actually something we're starting to see a little bit more of over time. i think it's potentially an effective way to facilitate access. payers. i think we'll see more of it as we see more motion towards more innovative pricing plans, especially for these high cost drugs. if we think about the arguments around drug pricing, one of the areas of debate is the idea of how can you better align the price paid to the value that's delivered in te hea care. and rebates or some sort of outcomes based pricing, tying the price to the outcome achieved, we've seen a few examples already in the united states, novartis has a cell therapy for cancer that was recently approved, and the price there is $475,000 per year, but cms will only pay if patients actually respond. another example would be the high priced cholesterol drugs. some companies have dea

chan, the national champi champion. that left three skaters with a good case for the final two spots for fans of the hometown favorite, the news was good. >> mr. vincent joe. >> the highs and lows of the past 24 hours in vincent joe's life are tough for him to comprehend. what he does know is that it was all worth it. >> my life has been defined in the last 24 hours honestly. that's how i see it. >> joe entered last night's free skate portion of the competition in fifth. he skated well but was going to need some help from the skaters after him if he was going to finish near the top. when he found himself in second with three very good skaters to go, he saw his dream melting right there on the sap center ice. >> after that, i was like oh, my god, i'm not even going to be on the podium. >> the next two skaters inexplicably stumbled and fell. his fortune did a 180. when all was said and done, the bronze was his. but he wouldn't know if that earned him a spot on the olympic team for another four hours. >> congratulations, you have been nominated for 2018 olympic team. >> the good news coming in a text delivered at 12:30 a.m. >> i can't count the number of