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[inaudible conversations] president Abraham Lincoln once said, the best way to predict your future is to create it. In 2009 we didnt like the future we saw for the Healthcare System based on a feeforservice payment model. Doctors and hospitals being paid nor amount of care delivered instead of how well they delivered care to patients. So in the Affordable Care act we created new and better ways to deliver health care. Save taxpayer dollars and improve patient care, medicare and medicaid in partnership with the private sector, are now working to create the road map for future Healthcare Delivery and were here today to make sure theyre on the right track. Theres a clear slowdown in healthcare spending. But we need to do more and do it faster to change the wa ....