The Importance of Governance in Alternative Payment Models

Alibade is a company that started primarily in the Medicare shared saving space and we have the hypothesis that the more of our physicians patients that are in similar contract the better they'll be able to deliver high quality care. We're not just an environment where providers are doing one thing and nobody's studied that one thing you know they're doing all kinds of things so we have studied this in the context of both hospitals and physician practices. Josh: I think it might speak just as much to the fact that the programs that are implemented historically haven't necessarily been not aligned. Even when we can get them into similar contracts the quality measures don’t align one to one so you end up adding