The cms initiative has contributed to an estimated 50,000 fewer patient deaths in hospitals and 1. 3 million hospital acquired conditions saving 12 billion over three years. Medical review strategies have resulted in over 5 billion of savings in just the last year. He are working to transform medicare into a highvalue paler with payment is based on quality and not just volume and we remain focused on preventing waste and abuse and fraud before it occurs. This is not just about cost the threatening than a Beneficiary Services and a host of other problems. Since 2011 we have been using the system to provide advanced analytics on all the feeforservice claims. The system also incorporates beneficiary complaints and works with numerous other inputs to generate and prioritize further reviews and investigations. Cms takes administrative action to stop problematic behaviors through the suspension of payments and medical review of claims and a removal from the program. As we recently reported t