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[Music] how is the trend toward consolidation impacting managed market strategies it just means that every conversation is more important more critical theres fewer and fewer chances for you to tell your story and every time you do tell your story to one of these mega payers it impacts more and more people you dont get multiple chances to tell your story the first time about your value so its critical to have your story ready to go every time you engage with one of those payers at GSW we like to put together the payer strategists and the creatives rather than it creating a thunderstorm when right-brain left-brain get together what it does is allows us to reimagine the story so that we can tell it to payers in a fresh way and a more meaningful way how can pharma demonstrate its value to the public today the entry into access is much different and you have to really define value the way that payers want to understand how its going to help their membership their plan so it takes the e