i want to thank heather and william garner, the nga staff for their work in preparing for this meeting the proceedings of this meeting are open to the press and to all meeting attendees. since taking office again, last year, my administration has been working to improve health outcomes for iowans and i know my fellow governors are striving to do the same for their citizens in their states. at the last meeting of this committee, we heard about iowa's help this state in the nation initiative which is a private the lead, publicly- endorsed, a initiative to improve the health all iowans. we also heard from some of the federal wallace of initiatives. today, we will focus our and attention on ways to better leverage the data for focusing on bringing down the costs of care for high cost medicaid beneficiaries. this is something governors have identified to be a problem in just about every state. and as you may have heard, health care and medicaid have received quite a bit of news here as of late. regardless of party, i believe every governor is interested in improving the service delivery whi