There is a bit of a struggle going on. For some insurers, the adjustment proved to be too much. We have terminated some relationships we did not see developing. They tended to be with preferred-provider organizations that were just selling a network. Basically, there are six payers in this market that we think are important, and we work with them all.
Insurers are very good at marketing and developing the insurance product.
But we're better at designing the system of care delivery. But taking back medical management doesn't come free. We're accepting a fixed dollar for the delivery of medical care, and accepting the responsibility to coordinate care with the specialists and the hospital. And probably the biggest one coming down the pike is taking back mental health and chemical dependency. We've talked about that, but haven't tackled it yet.