This is the Healthcare Delivery Providers, part of the Healthcare Marketplace Specialization. This is module 5.1.1, Governmental Payers. Learning outcomes will be to review how governmental payers are impacting healthcare delivery. Welcome to module 5. So we are almost done with this course. Hope you have learned quite a bit about healthcare delivery as we've gone on this journey. So this particular module, we'll look at a couple of different stakeholders in healthcare delivery. So we'll look at the governmental pairs, we'll look at commercial private insurance companies, we will look at device manufacturers, pharmaceutical industries, consumers, then we will turn to a couple of very discreet examples of innovations that I personally know about or have worked on. So we will look at that and then finally, I will end up the module and the course by sharing some ideas and parts with you around what healthcare delivery needs in future leaders and what I have known and learned over the last few years of being in healthcare leadership in the United States. So let's get started on this home stretch. We are almost done and thank you for your engagement, and let's learn a little bit about some other stakeholders now. Here's our familiar roadmap and where do the governmental payers pay? Here and here, and here, and here, and here, and here, and here, so basically, throughout the care continuum. What do governmental payers, for example, Medicare and Medicaid do? First, they pay for care and as we have seen through the past four modules, Medicare and Medicaid are the largest payers for healthcare, especially for vulnerable populations like older adults, elders, children, families, low income individuals, so very critical network of payers that pay for healthcare. Second, the governmental payers, especially Medicare are robustly measuring value. So they have very strong quality measurement systems and we have seen those throughout the modules. We've seen how they collect data, they analyze data and then they post data on various transparent websites and then they have sticks and carrots incentives on provider reimbursements. So it's a very strong lever to get the providers to improve the quality of care and achieve the tripling. Through all of those data analytics levers, the quality metrics, they are leading innovation. So for example, there is what is called a hospital engagement network. It's a Medicare program that we've talked about before which has engagement networks throughout the United States that share learnings with each other, that innovate and improve on the triple aim for their populations and by sharing throughout the United States. Also, Medicare is leading accountable care organizations, as we have discussed, and is really changing the trajectory and the landscape of healthcare delivery in the US. And then finally, because of the very half of these payers, they do set the standard for payment, for newer models of care delivery, for newer alternative payment methodologies, so they're a very important leader and a stakeholder. So in summary, the governmental payers of Medicare and Medicaid impact the future of healthcare delivery by payment reform, quality control, measurement, and also significant innovation.