It's phenomenal to see what happens there, and it really is a model of how health care can and should work in our country.

I think with input from stakeholders who care deeply about the lives of these dual eligibles, and with oversight from Congress, I think we can have a very good outcome.

There's been a lot of discussion about the size of this program.

Some of the states have found some unmet needs for home and community-based services when they looked at newly enrolled beneficiaries.

I think, again, when you look at the interest that we've had in this hearing, the people that are here, you find this anytime there are changes in the Federal Government, people that have been serving a population in a certain way become…

I want to applaud you for trying to figure out a better way of dealing with dual eligibles, I really do.

So based on that statement, do you think there will be much impact on the savings that we're seeing from Medicare Part D now?

Medicare reform is certainly--not necessarily the dual-eligible component but probably that, too--is going to be a topic that I think we may actually take up over the next six months to a year-and-a-half as part of fiscal reforms.

And will that differ, by the way, per each state?

We must make sure that Medicare and Medicaid are working together to serve dual eligibles efficiently and cost effectively.

And you've talked a lot about the complexity, and you gave two great examples on the front end, and aligning incentives and all of that.

You have been a little vague on what additional tools you have, and I understand that.