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Im John Len city and state senior editor and joining me today is Koenig nany the president and CEO of emblem health major insurer in New York thanks for joining us today and were here to talk about a panel that were going to be doing a preview of our conference on healthcare and youre in the future panel entitled transitioning to value-based healthcare I know youve talked a lot about this how to move from volume based payment to value-based payment more collaboration more coordinated care so just briefly could you say where are we at in this big transition this process were under I think is a really good question this is a journey and I think you can say that for payers and providers Im really pleased that emblem has been the market leader in this transition and how we approach providers and our clinical partners is in the following way once you move you make a commitment as an organization to move from a fee for service based body part by body part reimbursement to something th