I would mention rigorous, evidence-based formulary management. This is fundamental in managing a plan. You will always have challenges meeting everybody's expectations, but the science and the evidence about the cost-effectiveness and the relative effectiveness of various products is something that needs to be done rigorously. I think it's fundamental. Whether it is a regional, employee-based, or group-based plan, this is fundamental.
On December 1st, 2016. See this statement in context.