now i would like to introduce paul ginsburg. he's a well-known expert on health policy and very detailed knowledge of markets and cost and he will also be talking about the misaligned incentives and the need for payment reform. and he is frequently quoted the paper and asked to testify before congress because he has that unique ability to take something that's very complex, really understand and analyze it but make it accessible and understandable to a wide audience. paul, thank you it's hard for me to understand that it motivates but i'm going to talk about payment reform because when many people ask me well, seriously, what could be done in the context of health care reform that actually contains cost for the long term i believe payment reform is one of the ripest opportunities. let me go into the background. basically hare's both public and private in the united states are sending the wrong signals to providers of what they want and the signals or inadvertent. basically the signals are primary care, forget it. we don't value

now i'd like to introduce paul ginsburg. i'm sure almost everyone knows him. he is a well known expert on health policy and has a very detailed knowledge of markets and costs and he will also be talking about the misaligned incentives and the need for payment reform. and he is frequently quoted in of the paper and asked to testify before congress, because he has that unique ability to take something that's very complex, really understand it, and analyze it, but make it accessible and understandable to a wide audience. so paul. thank you. >> thanks, nancy, and sometimes it's hard for me to understand it. it motivates me to keep it simple. but i'm going to talk about payment reform. because when many people have asked me, well, seriously, what could be done in the context of health care reform, that actually contains costs for the long term? i believe that payment reform is one of the ripest opportunities. let me go into the background. basically, payers, both public and private, in the united states, have sending the wrong signals to providers of what they want