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system the right way if we were to look at things like gaps in care which everybody has so I could be perfectly healthy you know 52-year-old male who has not had a endoscopy so I have a gap in care because they have no mica on Oscar DE or active be a diabetic wit 8 think that I need to do every year based on my care plan and I'm only doing five so I have 3 gaps in care so can get into that whole pizza prevention it worked across the entire spectrum even those who are chronic start closing gaps in care and using the clinical intervention when necessary to manage all that and can keep people accountable.