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[Music] good afternoon colorado im kim bim stefan the executive director for the department of healthcare policy and financing and welcome to this session of the state of reform conference here in colorado called changing purchase of strategies for controlling health care costs were very delighted that you have selected this session and we hope that it is a rewarding one for you so we have in addition to me uh two additional presenters so i want to introduce claire claire brock bank she is the ceo of peak health alliance and dr gregory tung and uh greg is the associate professor of the colorado school of public health so were going to take it in this way im going to do 10 minutes and im going to talk about medicaid as the largest payer in the state and then claire is going to represent employers and individuals through peak health alliance and gregs going to talk about a unique program that was through house bill 1176 and a report that was released earlier this year it talks abou