practices in the medicaid system, so that patients move through the system in a way that's much more economical and much more efficient and effective. not just from a cost standpoint, but from a patient standpoint. there are so many things that could be done for especially the sickest of the sick in the medicaid population, where we could put greater resources and greater individual attention to individual patients. as you know, in a bell curve of patients in any population, there are those that are the outliers on the high side, where they -- where the resources spent to be able to provide their care is significant. and if you focus on those individuals, then you oftentimes -- specifically, then you oftentimes can provide a higher level of care and a higher level of quality of care for those folks and a more responsive care for those folks at a lower cost and move them down into the mainstream of the bell curve. >> okay. well, you brought up a couple of interesting points. and i want to follow up on that.