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Hi everyone. I'm Brian
Zimerman with Becker's,

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and thank you for tuning into the
Becker's Healthcare podcast series.

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Today I'm pleased to be joined by
Jay Lewa, VP of Dental with Sun Bit,

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and Kristen Libe, vice President of
Field Operations with LightWave Dental.

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Jay and Kristen, thanks
so much for being here.

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Thank you for having us.

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Great. So, so let's begin with some,
some introductions here just so our,

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our listeners can get to know
each of you, um, first before we,

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we dive into earnest.

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So can each of you share a bit about
your current roles and organizations?

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Kristen, let's begin with you.

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Yes.

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I've got 22 years in the dental field
starting as a dental assistant going on to

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hygiene in Alabama for about seven
years. Treatment coordinator,

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building practices all the way up to
president and c o o of the company I was

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with before. I recently
joined LightWave, uh,

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within the last year to help them focus
on the field operations for our growing

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company of 84 dental practices.

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I'm currently overseeing
about 46 of those practices,

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and it's going really well.
Um, I love, love the focus on,

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uh, leadership in our organization at
LightWave and how we are helping providers

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continue to reach their goals and grow.

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Excellent. Well, thank you
for, for sharing that, Kristin,

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it's great to have you on the
podcast. Jay, go ahead and, uh,

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introduce yourself to our listeners.

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Sure. My name is Jay Leba. I've got
about 20 plus years of experience,

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um, in the business world,
mainly in finance and consulting.

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I really have spent most of my career
in opportunities that call for, uh,

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disruptive innovation.

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So typically industries
that have stagnated over

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10, 20, 30 year period, um,
coming up with new products,

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new services in order to become a
market leader. Um, I've been at Sunbelt,

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uh, since the very early days going
on about, uh, six years now, uh,

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focused initially on, uh, strategic
partnerships. And in the last, uh,

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three and a half, four years, I was, uh,

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responsible and I currently am
responsible for building, uh,

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the dental practice, uh, from
scratch in which we now have, uh,

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roughly 9,000 dental
practices, uh, nationwide,

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including single point multi-unit,
as well as, uh, ds o partners.

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Great. Jay, thank you for being here. Uh,

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it's great to have both of
your perspectives, uh, to,

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to really dive in here and learn more
what's happening about what's happening in

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the dental industry. So the, the, the
first question I wanna pose, um, to you,

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Kristen, maybe you can take it first
and then Jay, we will check in with you,

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but, uh,

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there was a recent survey that found
67% of Americans can't afford a surprise

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$400 expense. So, uh,
with that context, can,

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can you talk a little bit about
Kristin, how the economic climate, um,

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is sort of affecting dental practices
today and how it's also influencing

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patient behaviors when it comes to,
you know, treatment acceptance and,

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and cancellations, no-show things,
things of that nature. Kristen, can you,

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can you talk a little bit about that?

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Sure.

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We're already starting to see some of
the same patterns that I remember from oh

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eight, which was a hesitancy to accept
the treatment that would involve any

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out-of-pocket expenses, um,

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which also led to a decrease
in comprehensive treatment
and more of a focus on

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emergency care for our patients.

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And financial constraints can really
result in delaying or avoiding dental

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appointments altogether. And
that's what we're challenged with,

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is trying to figure that
out for our patients,

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similar to what we were doing in oh eight,

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continuing to figure out new ways to be
embedded for our patients to be able to

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get access to care.

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Can you talk a little bit
more, Kristen, about that,

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that inventiveness and we'll, we'll
dive in further here too, but just to,

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to lay, lay some more groundwork
for the conversation to come.

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Focusing on retention
of patients, you know,

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trying to be open later,
more convenient hours,

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trying to find ways for patients to
be able to f afford the, you know,

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the higher dollar treatment that
they need in a monthly payment plan.

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Those are some of the ways that we've
been able to help our patients say yes to

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dentistry, even when it's,
you know, an economic, uh,

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situation that we're faced
with as we are again today.

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Thank you, Kristen. Um, Jay,
uh, does what Kristen share, um,

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shared sort of resonate with what
you're seeing in the industry as well?

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Yeah, it definitely does.
I mean, I work with, and,

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and my team works with literally
hundreds of groups, uh,

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practices throughout the country.
And what Kristen is seeing is,

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is very similar to what they're seeing,
which is higher cost for patients, less,

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uh, discretionary, uh, funds
to be used for dentistry.

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And the bottom line is the, the
stat that you quoted before,

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67% of Americans can't afford
a $400 emergency expense.

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The average dental treatment
is roughly about $1,200.

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So if 67% can't afford 400,

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imagine what the percentage
is that can't afford 1200.

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So the assumption that has to be
made is that a huge percentage of the

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patients that are walking in that office
door, of course, need access to care,

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need that treatment, but they
can't afford it. And it's up to us,

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it's up to the dental practices, the DSOs,

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the single unit practices independence
in order to give them options,

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give the patients great options in order
to get the dental care that they need.

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And really sort of side stepped,

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overcome some of those economic
barriers right there. There's,

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there's a lot of work dental
organizations can do, um, to, to,

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to mitigate these challenges.
You can't go out and fix, uh,

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fix the broader economic trends, right?

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But you can do some work within
your own organization to,

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to take care of your patients
and expand access. Right, Jay?

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Absolutely. I mean, it's not just, it's
not just keeping costs down, right?

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Because everyone is trying to
do that and, and rightfully,

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but you also as an organization
have to go on offense a bit,

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meaning you have to try to drive
more production via providing

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more, uh, patients access to care.

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Thank you, Jay. And Kristen, turning
back to you now, you know, you,

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you talked a little bit about, about the
work, um, you, you're, you're doing to,

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to to sort of navigate some of some of
the economic challenges and, and, and,

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and work with patients. But can
you talk more about the, the,

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the steps light wave dental is,

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is doing to really mitigate
the impact of inflation and,

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and sort of grow top line revenue there?

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Absolutely. We are focused on clinical
hiring and retention. We've got, um,

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I believe 90%, uh, clinical
hiring retention right now
currently in our company.

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And that comes through a lot
of leading and mentoring and

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growth pathways for our providers.

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One of the things that I
am really impressed with,

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with our company is strategic
partner program that we have,

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I believe launched it last
year, if I'm not mistaken.

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It was designed to have orthodontists
doing the clin checks for GP

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doctors so that the patients never
have to leave their home dental

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office, but they are able to get
the ortho care that they would like.

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And we have the support of orthodontists
within our company helping to make sure

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the patient gets the best quality of
care. That has been one of, I believe,

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one of the main things that I've seen
to really help us drive top line growth.

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Thank you for sharing that, Kristin. And,
and I also understand that, you know,

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you've,

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you've recently had that a really
successful implementation of new financing

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technology just within
the last several months.

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Can you just share more
about the, the process of,

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of implementing integrating
this new solution, um, and,

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and the impact it's had on on your
business, your staff, um, and patients?

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Of course.

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Our company is unique in that we lead
our dental practices into sound business

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decisions without forcing that on on them.

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So it does require us to slow down
and get their buy-in before we're able

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to really introduce any new
services to their practice.

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And the way that I'm able to get the
buy-in is from my own experience being,

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you know, a clinician myself doing the
treatment planning for Ms. Jones, that,

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um, ultimately in my experience
would get a no to patient financing.

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So I noticed that I was more hesitant
to offer options for the patient,

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uh,

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when it came to patient financing because
I wasn't well trained on what to say.

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And then when I did get
the guts to do it, Ms.

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Jones got declined and then I had
to, you know, deal with that, um,

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emotional response of knowing this
patient. So being so close to, um,

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the fire on this really kind of made it
a little more challenging for me as a

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clinician to, you know, feel good
about how we're going to get Ms.

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Jones to the dentistry that
she needs and wants. Um,

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and so that was my experience with that.
And then, um, partnering with Sunbelt,

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I was able to see, you know, we're
currently a 94% approval rate.

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That's almost a guaranteed yes at this
point for our patients that are accepting

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treatment through Sunbelt.

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And that gives our teams the confidence
to offer it because they don't have to

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worry about having to, you know, pat Ms.
Jones on the back and say, I'm sorry,

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we can't help you.

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I imagine having conversations,
I'm sorry, can't help you.

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Things like that just take a real
emotional toll on staff, right?

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Yes. For the practice level, that is
really what it's all about for us,

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is providing care. That's why we
go into dentistry, you know, we,

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we build relationships with these
patients and when we have to turn patients

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away, that is really, really hard.

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So the emotional response at the practice
level is probably the number one thing

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that I've seen the change in tone for our
teams to be able to feel confident and

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that they are able to help Ms.

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Jones is really making the difference
in us being able to provide more

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care.

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Excellent. Preston, thank you for
sharing that. And then I, you know,

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you mentioned sort of buy-in here, um,

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which makes me wanna dive a
little bit deeper and ask a,

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a question about change
management. So, uh, you know,

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anytime you integrate new
solutions, new technology, there's,

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there's a period of, uh,
of change management.

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Can you talk a little bit about Kristen,

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what operational or or change
management adjustments you made and,

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and just share a little bit more about
how your team's adapted through that

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process?

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It started with awareness. You know, our,

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our teams don't really know the stats
that we're sharing right now. They,

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they just assume, you know,

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that people walk out the door and say
no to treatment because they failed or

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they didn't do something right.

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And it is a little bit more challenging
for us to determine why case acceptance

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isn't greater in dentistry.

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But when we remove this financial
barrier and we start to see that case

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acceptance goes up when we remove
that, you know, financial barrier,

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I think the awareness of the
need for our patients drives

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buy-in of the team, but
it doesn't stop there.

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The training of the team is another
key aspect to really making this

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work. Um,

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without proper training and communication
from the team member to the patient,

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it can be a really
challenging conversation,

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but it doesn't have to be
with a little bit of training.

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And so we focused on that, the
desire to wanna help people,

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but also the ease of use
of being able to, you know,

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get the financial arrangements made
without taking a lot of chair time,

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patient or practice time has also
been another way that it's just really

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been an easy transition
for our teams because, uh,

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those few things that we've done in the
change management process have really

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worked and gone so smoothly.

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Jay, turning to you
now and staying on the,

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this change management
component for, for a little bit.

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Can you talk a little bit about, you
know, expand upon what, what Kristen said.

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Does that, does that experience sort of
track across other partners you have?

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Um, can you just talk about what,

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what challenges do you see here in
terms of change management among,

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among your partners?

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Sure. I think the biggest thing, and I
think Kristen touched on it quite well,

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is really changing of
behaviors. Cuz really what,

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what the front office team has done the
past 25 years is they've tried to roll

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a 200 pound boulder up a hill, and we
all know that's kind of impossible.

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You try it once, it doesn't
work, so you stop doing that.

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And the same thing thing
with patient financing.

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Historically there's been anywhere
from 25 to 35, if you're lucky,

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maybe 40%, um, approval with,
with some of the historical, uh,

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providers. So what happens is if three
out of 10 or four out of 10 get approved,

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and obviously most get declined
as a front office team member,

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you're just going to stop offering
it. It's human nature, right?

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Because it's embarrassing for you
to offer a solution to someone

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for which they get declined and it's
even more embarrassing for the person

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across the counter, right?

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The patient who needs that
care to get declined as well.

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So you just stop offering it. So
here we come and we are saying,

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and you, you, you heard, you know,
Kristen's results today, 94%,

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nearly everyone that walks in the
door can get the care they need,

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but there is a changing of behaviors
that's needed by the front office

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staff. And I think the way
Kristen does it, which is amazing,

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which is it's kind of like, you know,

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show me like it works like
we're approving people,

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people are getting the care they need,
case acceptance is going up, so I'm,

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you know what, I'm gonna
offer it to the next patient,

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I'm gonna offer it to the next
patient. Um, and that's kind of,

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that muscle memory gets built
and that's how wrist and

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lightweight have been so
successful, uh, so far with Sunbelt.

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So changing of behaviors is, is I think
the first one. The, the other one,

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the other key point I think
is the tone at the top.

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So does executive management
kind of tie in access to care

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with patient financing? Cuz it's
very, very tightly integrated, right?

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If you want more patients
to have access to care,

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they need more flexible ways to
make payments and patient financing

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should be one of the primary ways to
do that. So I think if you, if they're,

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you focus on those two things, changing
of the behaviors and tone at the top,

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the partners that we work with that
focus on those two things are extremely

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successful in implementing Sun.

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So some really great advice throughout
this portion of the conversation and,

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and, and let's keep that
the, the, that going for a,

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as we call out the conversation here, I
wanna really think about advice, tips,

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uh, stuff, people listening to this, this,

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this podcast can really take away and,
and bring through their own practice.

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So the question I wanna pose to both of
you is for leaders out there who might

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be listening to this,

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who are really motivated to integrate
a new financing solution in their

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organizations, what
advice would you offer?

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What do they really absolutely need
to know to be successful? Kristen,

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do you wanna start us off here?

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Sure.

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I would say find a platform that will
focus on training the team for you.

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So that takes, you know,

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that away from you having to be the one
to really drive those results and hold

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the team accountable.

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The training to me is the key
to success and finding a partner

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that can help you get such approval
rates will make all the difference when

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it gets to the team's level of
wanting to keep this process going.

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So, so a lot about training there
and really, you know, taking that,

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taking that worry, that concern off,
off the plate of the practice, right?

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Yes.

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Jay, what would you say?

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I think in a mirroring that
a little bit, um, is how,

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if you're looking for a solution,

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ultimately who's going to be offering
that solution? It's the front office team,

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right? The, the tcs the office
manager, maybe the dental assistant.

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How easy is it for them to use
this solution if they've got

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a flop back and forth between,
you know, different, uh,

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screens and they have to ask
hard questions like, you know,

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what's your income? Are you married
versus single? What's your social?

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If you have to ask like all these private
questions and it's difficult for them,

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they're not gonna wanna do
it because like Kristen said,

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you wanna kind of make
it easy for them, right?

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You want the process to
kind of take care of itself.

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So I think is how easy is the process
for the staff because ultimately they're

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going to drive the success
or failure for the program.

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And I think that the second thing is
the approval rate, right? You know,

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a slick technology solution is great,

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but if if it approves 30% of the people,
it doesn't really help many people.

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You need a solution that's quick,

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that's easy for the office to use
and most importantly has a very,

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very high approval rate so that
it's inclusive so we can really,

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the the promise that we're trying to
make to the patients that you have a

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problem, we have a solution,

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you can actually get the access
to dental care that you need.

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Great point.

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Yeah. I imagine that without that
high approval rate, you know,

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even with the best of intentions, it's
not gonna be as as effective. Right?

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Hundred percent correct.
A hundred percent correct.

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And, and, and, and just to close out
here, is there anything we didn't get to,

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you want to, you want to,
you know, say before we,

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we sign off any additional
advice you'd like to share? Any,

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any closing thoughts at all?
Kristen, do you wanna go first.

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In dentistry?

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We've been resilient through these kind
of economic situations in the past,

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and I have no doubt we'll come up on
the other side of this even better than

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where we were before.

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Just would say that if you've tried
solutions in the past that didn't seem to

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work, don't give up. Try again. Try
someone different, try, you know,

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whatever it takes.

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Continue to try to put the patient
first and the rest will work out.

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Thank you. Question
Jay, what would you say?

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I would say that, you know, we're, we're
in these tough times, but you know,

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as people were tough, as you
know, practitioners we're tough.

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We need to go on offense, we need
to really drive access to care.

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In order to do that,

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one of the best ways to do it is through
offering patient financing to all your

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patients. Some people may want it, some
people may not want it. Similar to,

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you know, going through the checkout line,

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a target where you get offered
the red card every time.

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This should be the defacto
method or policy for offices

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to get more patients the access
to, to care that they need.

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Excellent. A great place
to close. Jay Kristen, it,

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it's been a pleasure speaking
with you today. Thank you.

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Thank you both so much for joining
me. Thank you. Thank you Brian.

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I'd also like to thank Sun Bitt as
well for sponsoring this episode.

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You can tune into more podcasts
from Becker's Healthcare
by visiting our podcast

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page. Have a wonderful rest of your day.

