I think some of these innovations that we talked about—for example, bundled payments, whereby you can be innovative in the sphere of care providers and provide different types of skilled care in that bundle of care, but at the same time in combination with policies that are reducing the capacity of hospital-based care—can be achieved to a point to be cost neutral; however, there are trade-offs. It is very politically challenging to close hospital beds, but there are opportunities, so I'm not as pessimistic.
On February 28th, 2013. See this statement in context.