1 00:00:00,357 --> 00:00:02,266 This is Laura D with the Becker health 2 00:00:02,266 --> 00:00:02,982 care podcast. 3 00:00:03,379 --> 00:00:04,810 I'm thrilled today to be joined by Doctor 4 00:00:04,970 --> 00:00:07,435 Darren Weather, Chief Medical Officer at Atrial Health 5 00:00:07,435 --> 00:00:09,423 plans. Doctor Weather is the pleasure to have 6 00:00:09,423 --> 00:00:10,554 you on the podcast guest today? 7 00:00:12,154 --> 00:00:14,554 Laura, thanks for the invitation. Happy to join 8 00:00:14,554 --> 00:00:14,714 you. 9 00:00:15,754 --> 00:00:17,835 Now I'm really excited for our discussion and 10 00:00:17,835 --> 00:00:20,265 and learn more about when you're doing at 11 00:00:20,322 --> 00:00:22,312 health plans and how you're thinking about growth 12 00:00:22,312 --> 00:00:24,381 and development for the future. But before we 13 00:00:24,381 --> 00:00:25,574 dive in, can you tell us a little 14 00:00:25,574 --> 00:00:27,166 bit more about yourself and your background? 15 00:00:28,693 --> 00:00:29,890 Sure. Happy to do so. 16 00:00:30,767 --> 00:00:33,421 I've been in managed care for the past 17 00:00:33,559 --> 00:00:34,197 13 years, 18 00:00:35,074 --> 00:00:37,728 holding roles at Cove tree ae 19 00:00:38,519 --> 00:00:41,232 Blue Cross Blue Shield, Arizona and for the 20 00:00:41,232 --> 00:00:44,184 past 2 years as the Chief Medical Officer 21 00:00:44,184 --> 00:00:45,221 are at Atrial Health plans, 22 00:00:46,192 --> 00:00:47,408 for your listeners 23 00:00:48,260 --> 00:00:51,362 As a Medicare Advantage plan that's headquartered in 24 00:00:51,522 --> 00:00:52,397 Salem, Oregon, 25 00:00:53,127 --> 00:00:54,559 we offer MAM 26 00:00:54,559 --> 00:00:55,934 map pd and 27 00:00:56,389 --> 00:00:59,252 dual slip coverage in Nevada and, Oregon. 28 00:01:00,937 --> 00:01:03,005 Oh, that's, you know, fantastic to hear and 29 00:01:03,005 --> 00:01:05,549 certainly it's such a an important role that 30 00:01:05,549 --> 00:01:07,616 you play within the community. Now, you know, 31 00:01:07,775 --> 00:01:08,491 when you're looking at, 32 00:01:09,778 --> 00:01:11,213 ahead, what are some of the big trends 33 00:01:11,213 --> 00:01:13,364 and headwind that you're following? How are you 34 00:01:13,364 --> 00:01:13,864 thinking 35 00:01:14,320 --> 00:01:16,631 about, you know, some of the different things 36 00:01:16,631 --> 00:01:18,384 happening in the healthcare space and and how 37 00:01:18,384 --> 00:01:20,474 you really can be part of that ecosystem. 38 00:01:21,914 --> 00:01:23,674 You know, I think there are so many 39 00:01:23,674 --> 00:01:24,174 regulatory, 40 00:01:25,274 --> 00:01:26,715 things that have faced us in. 41 00:01:27,844 --> 00:01:29,515 The Medicare Advantage world, 42 00:01:30,071 --> 00:01:32,718 you know, the final rule for 20 24 43 00:01:33,093 --> 00:01:33,593 required 44 00:01:34,127 --> 00:01:37,637 that health plans, create medical management committees that 45 00:01:37,637 --> 00:01:38,669 they didn't have them, 46 00:01:39,621 --> 00:01:41,470 and those committees had to involve 47 00:01:42,161 --> 00:01:45,115 community physicians as well as health plan, 48 00:01:46,229 --> 00:01:48,855 physicians and medical directors. So that was something 49 00:01:48,855 --> 00:01:51,004 new that we brought on this year, 50 00:01:51,974 --> 00:01:54,135 there certainly are other changes coming. 51 00:01:54,694 --> 00:01:56,875 I was reading earlier today about how 52 00:01:57,174 --> 00:01:59,895 different states are adding rules regarding. 53 00:02:00,547 --> 00:02:01,047 Prior 54 00:02:01,500 --> 00:02:04,225 authorization. So there has to be more transparency 55 00:02:04,838 --> 00:02:05,950 than we're used to, 56 00:02:06,983 --> 00:02:09,647 there has to be posting of the criteria 57 00:02:09,864 --> 00:02:11,798 that we're using to make 58 00:02:12,174 --> 00:02:12,890 determinations of care. 59 00:02:13,528 --> 00:02:16,019 And all of these are good and positive 60 00:02:16,649 --> 00:02:18,587 changes that have come to the marketplace, 61 00:02:19,046 --> 00:02:20,964 but they do require the health plans and 62 00:02:20,964 --> 00:02:23,940 the medical directors and Cmos to adjust 63 00:02:24,413 --> 00:02:26,952 the way in which they're operating and performing. 64 00:02:27,905 --> 00:02:30,151 Each day seems to bring a new headline 65 00:02:30,285 --> 00:02:32,587 about the Gl 1, drug class, 66 00:02:33,240 --> 00:02:35,659 and there are expanded uses and 67 00:02:36,120 --> 00:02:37,099 potentially expanded 68 00:02:37,560 --> 00:02:37,800 indications. 69 00:02:38,760 --> 00:02:40,939 But along with that comes a lot of 70 00:02:41,814 --> 00:02:42,533 unplanned cost. 71 00:02:43,652 --> 00:02:44,871 So with Medicare, 72 00:02:45,569 --> 00:02:48,686 in addition to using Gl ones to treat 73 00:02:48,686 --> 00:02:49,186 diabetes, 74 00:02:50,138 --> 00:02:52,946 we now have the indication for 75 00:02:53,480 --> 00:02:53,980 treating 76 00:02:54,435 --> 00:02:55,651 major cardiovascular 77 00:02:56,424 --> 00:02:57,719 events, and 78 00:02:59,383 --> 00:03:01,218 there are a lot of people who will 79 00:03:01,218 --> 00:03:01,718 qualify 80 00:03:02,095 --> 00:03:04,988 for that, and and that certainly cost that 81 00:03:05,205 --> 00:03:07,279 most of us in the Medicare Advantage world 82 00:03:07,279 --> 00:03:08,236 didn't plan for. 83 00:03:10,002 --> 00:03:12,548 That that's really fascinating me here and especially, 84 00:03:12,707 --> 00:03:14,377 you know, looking at, as you mentioned, the 85 00:03:14,377 --> 00:03:16,777 growth and the development of the Gl ones. 86 00:03:18,127 --> 00:03:19,500 When you think about 87 00:03:20,111 --> 00:03:22,676 the expense associated with them as well as 88 00:03:23,208 --> 00:03:24,398 indications and and so forth, 89 00:03:25,128 --> 00:03:28,567 how do you plan around that in really 90 00:03:28,781 --> 00:03:29,814 being able to, 91 00:03:30,529 --> 00:03:32,355 cover it appropriately for your members? 92 00:03:33,150 --> 00:03:34,444 Do you see additional 93 00:03:34,993 --> 00:03:36,907 I guess policies is coming down the pipe 94 00:03:36,907 --> 00:03:38,582 or or how do you really manage that? 95 00:03:40,497 --> 00:03:42,113 Yeah. I think we are 96 00:03:42,810 --> 00:03:44,405 helped end handicapped away. 97 00:03:45,056 --> 00:03:47,124 In the M space because we have to 98 00:03:47,124 --> 00:03:48,396 follow Medicare rules. 99 00:03:49,112 --> 00:03:52,293 And so in that regard, if Medicare says, 100 00:03:53,584 --> 00:03:54,084 creates 101 00:03:55,425 --> 00:03:55,925 coverage 102 00:03:56,305 --> 00:03:57,525 determination or local coverage 103 00:03:57,985 --> 00:04:00,224 determination, then those are things that we're obligated 104 00:04:00,224 --> 00:04:00,784 to follow. 105 00:04:01,998 --> 00:04:04,231 In areas where they haven't, then we have 106 00:04:04,231 --> 00:04:04,949 more leeway. 107 00:04:05,747 --> 00:04:07,682 Certainly, those commercial plans, 108 00:04:08,538 --> 00:04:10,851 have the leeway that we don't for M 109 00:04:10,851 --> 00:04:11,011 a. 110 00:04:11,903 --> 00:04:14,376 So for the Gl ones, if the person 111 00:04:14,376 --> 00:04:15,753 has type 2 diabetes, 112 00:04:16,848 --> 00:04:20,198 then they're potentially eligible for for use of 113 00:04:20,198 --> 00:04:20,996 the medication, 114 00:04:22,447 --> 00:04:23,505 I've read where 115 00:04:24,121 --> 00:04:27,312 the Acp and others have recommended that Gl 116 00:04:27,312 --> 00:04:30,263 one's not be used as first line. And 117 00:04:30,263 --> 00:04:30,502 indeed, 118 00:04:31,554 --> 00:04:33,168 in some cases like sema, 119 00:04:33,702 --> 00:04:34,202 it's 120 00:04:35,135 --> 00:04:37,124 in the package labeling that it should not 121 00:04:37,124 --> 00:04:39,932 be used first line for uncontrolled diabetes. 122 00:04:40,879 --> 00:04:42,466 So we do try and make sure there's 123 00:04:42,466 --> 00:04:43,284 just appropriate 124 00:04:43,895 --> 00:04:45,745 utilization of the medication 125 00:04:46,595 --> 00:04:48,206 as for the Mace 126 00:04:48,580 --> 00:04:49,477 application then 127 00:04:50,264 --> 00:04:51,865 we're going to look to see if the 128 00:04:51,865 --> 00:04:52,365 member 129 00:04:52,985 --> 00:04:55,704 meets the age requirement, which is easy over 130 00:04:55,704 --> 00:04:55,944 18, 131 00:04:56,824 --> 00:04:58,764 that they have established 132 00:04:59,079 --> 00:04:59,579 cardiovascular 133 00:05:00,274 --> 00:05:02,664 disease. So they must have already had a 134 00:05:02,664 --> 00:05:05,054 heart attack or a stroke or have symptomatic 135 00:05:05,133 --> 00:05:05,633 Pad. 136 00:05:06,503 --> 00:05:07,721 In order to qualify, 137 00:05:08,497 --> 00:05:09,454 obesity also, 138 00:05:10,092 --> 00:05:11,071 a requirement, 139 00:05:11,528 --> 00:05:12,028 and 140 00:05:12,724 --> 00:05:15,755 then the soft criteria is that the medication 141 00:05:15,755 --> 00:05:18,087 has be used along with diet and exercise. 142 00:05:19,285 --> 00:05:21,123 That's sort of a given and not really 143 00:05:21,123 --> 00:05:23,040 something we focus a lot of attention on. 144 00:05:24,252 --> 00:05:25,924 What we do see are a lot of 145 00:05:25,924 --> 00:05:28,232 requests for people who meet the age and 146 00:05:28,232 --> 00:05:31,518 obesity criteria, but they don't have established cardiovascular 147 00:05:32,052 --> 00:05:32,769 disease already. 148 00:05:34,375 --> 00:05:35,987 Whether Medicare will 149 00:05:36,521 --> 00:05:37,497 seek statutory 150 00:05:37,872 --> 00:05:38,372 relief 151 00:05:38,825 --> 00:05:40,994 from congress and get 152 00:05:41,942 --> 00:05:44,654 approval to use this class of medications for 153 00:05:44,654 --> 00:05:47,126 weight losses yet to be seen. But I 154 00:05:47,126 --> 00:05:49,040 think that decision is gonna have to be 155 00:05:49,040 --> 00:05:50,178 based also 156 00:05:51,528 --> 00:05:52,348 upon what 157 00:05:53,046 --> 00:05:53,546 compensatory 158 00:05:54,484 --> 00:05:57,041 measures Medicare will take to try and balance 159 00:05:57,041 --> 00:05:57,520 the budget. 160 00:05:59,207 --> 00:06:01,036 That's great insight. Thank you so much, Doctor. 161 00:06:01,274 --> 00:06:04,056 Weather for walking us through that. Now I'm 162 00:06:04,056 --> 00:06:06,123 wondering, you know, as you look ahead, how 163 00:06:06,123 --> 00:06:08,388 are you thinking about growth for a future 164 00:06:08,445 --> 00:06:11,014 on the health plan side. What really will 165 00:06:11,549 --> 00:06:13,778 growth hinge on and how do you, you 166 00:06:13,778 --> 00:06:13,937 know, 167 00:06:14,812 --> 00:06:16,723 put yourself in the best position for success? 168 00:06:18,811 --> 00:06:21,685 Atrial is a small plan and regionally based 169 00:06:21,685 --> 00:06:24,101 there in the Pacific Northwest. And so 170 00:06:24,479 --> 00:06:26,689 we've grown through establish 171 00:06:27,443 --> 00:06:30,300 relationships with the providers with brokers with the 172 00:06:30,300 --> 00:06:30,800 members 173 00:06:31,569 --> 00:06:32,069 and 174 00:06:32,442 --> 00:06:33,577 tend to establish 175 00:06:34,284 --> 00:06:36,835 local care centers and the communities where we 176 00:06:36,835 --> 00:06:37,712 offer coverage. 177 00:06:38,510 --> 00:06:41,062 It's not unusual for our members to walk 178 00:06:41,062 --> 00:06:42,997 into those service centers and 179 00:06:43,468 --> 00:06:44,285 have questions 180 00:06:44,658 --> 00:06:47,436 answered, they could pay premium if such as 181 00:06:47,436 --> 00:06:47,753 required, 182 00:06:48,309 --> 00:06:51,007 but really be just a part of our 183 00:06:51,007 --> 00:06:51,324 world. 184 00:06:52,372 --> 00:06:54,995 We hold classes in some of the community 185 00:06:54,995 --> 00:06:57,936 centers and try and make it a place 186 00:06:57,936 --> 00:07:00,878 where where folks feel comfortable and feel valued. 187 00:07:01,608 --> 00:07:02,878 And that's worked for us, 188 00:07:03,830 --> 00:07:07,109 in the last annual enrollment period we grew 189 00:07:07,244 --> 00:07:09,863 by a, just about 30 percent year over 190 00:07:09,863 --> 00:07:10,101 year. 191 00:07:10,674 --> 00:07:13,470 And I think that speaks to the value 192 00:07:13,470 --> 00:07:15,967 that members are finding in that type of 193 00:07:16,266 --> 00:07:16,506 relationship. 194 00:07:17,800 --> 00:07:19,480 I think the other factor that we would 195 00:07:19,480 --> 00:07:22,360 look at is A number of larger multi 196 00:07:22,360 --> 00:07:23,000 state plans, 197 00:07:24,759 --> 00:07:25,160 united, 198 00:07:25,879 --> 00:07:26,520 being 1, 199 00:07:28,452 --> 00:07:30,687 are starting to pull out of communities where 200 00:07:30,687 --> 00:07:32,783 they find it more difficult to 201 00:07:33,561 --> 00:07:35,956 compete and where their margins may be smaller. 202 00:07:36,769 --> 00:07:39,726 So what's challenging for them? I think creates 203 00:07:39,726 --> 00:07:41,005 an opportunity for us. 204 00:07:42,763 --> 00:07:44,681 That... That's really helpful to know and understand 205 00:07:44,681 --> 00:07:47,014 it impressive growth. 30 sent here year over 206 00:07:47,014 --> 00:07:47,173 year. 207 00:07:47,892 --> 00:07:50,769 I remember is really something significant. 208 00:07:51,968 --> 00:07:54,285 You know, when you have that kind of 209 00:07:55,019 --> 00:07:57,004 place in the market where, you know, your 210 00:07:57,004 --> 00:07:57,504 you're 211 00:07:57,878 --> 00:07:58,910 smaller but growing. 212 00:08:00,499 --> 00:08:03,199 How do you navigate some of that expansion? 213 00:08:03,596 --> 00:08:05,920 How do you really make sure that you're 214 00:08:05,920 --> 00:08:09,269 set up to accommodate for that additional membership 215 00:08:09,269 --> 00:08:11,343 and and then looking, you know, do you 216 00:08:11,343 --> 00:08:13,815 anticipate there'll be continued rate of growth along 217 00:08:13,815 --> 00:08:15,509 those clients or how do you see the 218 00:08:15,509 --> 00:08:17,110 next 2 5 years going? 219 00:08:18,870 --> 00:08:22,069 Oh, part of our strategy has been to 220 00:08:22,069 --> 00:08:22,569 grow 221 00:08:23,440 --> 00:08:25,373 in partnership with delegated 222 00:08:25,907 --> 00:08:26,146 entities. 223 00:08:26,942 --> 00:08:27,260 So, 224 00:08:28,454 --> 00:08:31,001 p 3 health partners, which is based in 225 00:08:31,319 --> 00:08:31,637 Nevada, 226 00:08:32,369 --> 00:08:34,284 is 1 of our largest partners. 227 00:08:35,162 --> 00:08:38,513 We have additional partnerships in Nevada with Saint. 228 00:08:38,673 --> 00:08:39,790 Mary's and Prime care. 229 00:08:40,524 --> 00:08:41,742 And with Cascade, 230 00:08:42,678 --> 00:08:44,615 community care, for Ccc 231 00:08:45,552 --> 00:08:48,266 in Climate falls in in Oregon, 232 00:08:48,839 --> 00:08:51,152 And these are entities which take risk on, 233 00:08:51,711 --> 00:08:53,465 large segments of our population. 234 00:08:54,183 --> 00:08:54,582 So, 235 00:08:55,300 --> 00:08:57,395 as we grow, we grow in in 236 00:08:57,772 --> 00:08:58,490 coordination with them, 237 00:08:59,860 --> 00:09:03,128 plan alongside them for what additional resources will 238 00:09:03,128 --> 00:09:03,686 be needed. 239 00:09:04,403 --> 00:09:06,396 And and that that's been a big part 240 00:09:06,396 --> 00:09:06,769 of 241 00:09:07,286 --> 00:09:08,637 the work that we've done here in the 242 00:09:08,637 --> 00:09:11,340 past 2 years and I anticipate that continuing 243 00:09:11,340 --> 00:09:12,214 as we go forward. 244 00:09:13,406 --> 00:09:15,791 Right now, the plan holds risk really on 245 00:09:15,791 --> 00:09:18,839 just a small portion of the membership, you 246 00:09:18,839 --> 00:09:20,036 know, perhaps just 247 00:09:20,675 --> 00:09:22,751 fewer than 10 percent of the members are, 248 00:09:24,108 --> 00:09:26,277 does the plan hold risk in So the 249 00:09:26,277 --> 00:09:28,422 rest of it is really just delegated to 250 00:09:28,422 --> 00:09:28,922 those 251 00:09:30,328 --> 00:09:31,838 partners that we work with. 252 00:09:33,919 --> 00:09:35,747 But as we look to grow then the 253 00:09:35,747 --> 00:09:38,847 same opportunity comes forward, who wants to grow 254 00:09:38,847 --> 00:09:40,778 with us and are those same partners 255 00:09:41,168 --> 00:09:43,236 going to be part of that expansion or 256 00:09:43,236 --> 00:09:44,452 do we need to 257 00:09:44,827 --> 00:09:47,373 look to new partners in different areas? 258 00:09:48,661 --> 00:09:51,051 This was the first year that Atrial moved 259 00:09:51,051 --> 00:09:52,348 into the Portland marketplace. 260 00:09:52,804 --> 00:09:53,304 And 261 00:09:53,680 --> 00:09:55,432 and that's 1 of the areas where the 262 00:09:55,432 --> 00:09:56,946 plan continues to hold risk. 263 00:09:57,597 --> 00:10:00,534 We don't have a risk sharing partner there 264 00:10:00,534 --> 00:10:02,122 yet, but that's something we're exploring. 265 00:10:04,027 --> 00:10:05,694 Got it. That's helpful to know and, you 266 00:10:05,694 --> 00:10:08,248 know, just really a fascinating to think about 267 00:10:08,248 --> 00:10:10,709 how the evolution of the healthcare space 268 00:10:11,264 --> 00:10:12,399 is really driving 269 00:10:12,931 --> 00:10:13,249 where, 270 00:10:13,899 --> 00:10:16,374 health care delivery is headed. Now before we 271 00:10:16,374 --> 00:10:17,810 wrap up here, could you tell me a 272 00:10:17,810 --> 00:10:19,726 little bit more about a project or initiative 273 00:10:19,726 --> 00:10:21,881 from the last year that really yielded great 274 00:10:21,881 --> 00:10:22,121 results? 275 00:10:24,130 --> 00:10:24,630 Definitely. 276 00:10:25,645 --> 00:10:27,182 Like many plans we're 277 00:10:27,958 --> 00:10:30,532 dipping a tool to the world of Ai 278 00:10:30,909 --> 00:10:31,888 informed tools 279 00:10:32,599 --> 00:10:35,310 and we had a pilot project last year 280 00:10:35,310 --> 00:10:37,064 with the company called health at scale, 281 00:10:37,702 --> 00:10:38,202 which 282 00:10:39,058 --> 00:10:41,232 brought in a fraud waste and abuse 283 00:10:42,180 --> 00:10:44,822 Ai informed tool that we implemented 284 00:10:45,670 --> 00:10:47,757 in this segment of the patient 285 00:10:48,129 --> 00:10:48,629 population 286 00:10:48,939 --> 00:10:51,191 this was new for them because they'd had 287 00:10:51,328 --> 00:10:53,558 commercial clients, but not M A clients before, 288 00:10:54,195 --> 00:10:57,381 and it took adjusting the algorithm that they 289 00:10:57,381 --> 00:10:59,891 use so that it was in alignment with, 290 00:11:01,147 --> 00:11:02,286 Medicare rules 291 00:11:02,824 --> 00:11:03,563 such as 292 00:11:03,942 --> 00:11:04,761 national coverage 293 00:11:05,219 --> 00:11:06,597 determinations and local coverage 294 00:11:07,055 --> 00:11:07,295 determinations. 295 00:11:08,506 --> 00:11:11,878 And less reliant on their own internal algorithms, 296 00:11:12,813 --> 00:11:15,446 but working in concert, we found that we 297 00:11:15,446 --> 00:11:18,252 were able to identify an additional 2 percent 298 00:11:18,252 --> 00:11:21,683 and total medical expense, which was modi quantifiable 299 00:11:21,683 --> 00:11:22,481 or actionable. 300 00:11:23,438 --> 00:11:24,690 Most of that was 301 00:11:25,047 --> 00:11:25,547 over 302 00:11:25,922 --> 00:11:28,808 utilization that hadn't been identified by our usual 303 00:11:29,422 --> 00:11:30,535 tools that we were, 304 00:11:32,206 --> 00:11:32,706 employing 305 00:11:33,493 --> 00:11:35,186 in some cases, un instant, 306 00:11:35,799 --> 00:11:36,299 diagnoses 307 00:11:36,673 --> 00:11:37,412 or services, 308 00:11:38,660 --> 00:11:40,409 not supported by the medical record. 309 00:11:41,299 --> 00:11:44,156 And I think this is important because most 310 00:11:44,156 --> 00:11:46,085 health plans hours included 311 00:11:46,934 --> 00:11:47,434 have 312 00:11:48,125 --> 00:11:49,657 remarkably slim margins 313 00:11:50,523 --> 00:11:51,023 And 314 00:11:51,637 --> 00:11:53,389 if you're able to find an extra 2 315 00:11:53,389 --> 00:11:56,097 or 3 percent in medical expense, which you're 316 00:11:56,097 --> 00:11:58,565 able to reduce, it can be quite substantial. 317 00:11:59,059 --> 00:12:00,735 And impactful for the health plan. 318 00:12:01,453 --> 00:12:04,087 So we're excited about what we've learned from 319 00:12:04,087 --> 00:12:04,587 there 320 00:12:04,965 --> 00:12:06,901 looking at how we can expand 321 00:12:07,533 --> 00:12:10,023 those services across the rest of our 322 00:12:10,876 --> 00:12:11,376 member 323 00:12:11,751 --> 00:12:12,251 population 324 00:12:12,945 --> 00:12:14,855 and also look at other new tools which 325 00:12:14,855 --> 00:12:16,980 are coming to market, which might have 326 00:12:17,418 --> 00:12:18,533 similar advantages. 327 00:12:20,763 --> 00:12:22,834 Got it. That's really helpful to know and 328 00:12:22,834 --> 00:12:25,462 and really great results again here. I I 329 00:12:25,462 --> 00:12:26,774 think it's it's definitely 330 00:12:27,154 --> 00:12:28,754 makes a lot of sense to really focus 331 00:12:28,754 --> 00:12:30,355 in on the areas where, you know, you 332 00:12:30,355 --> 00:12:32,535 can make the biggest impact, and 333 00:12:33,490 --> 00:12:36,209 I I really appreciate you calling that to 334 00:12:36,209 --> 00:12:38,049 attention here. Doctor Weather. Thank you so much 335 00:12:38,049 --> 00:12:39,730 for joining us on the podcast today. This 336 00:12:39,730 --> 00:12:42,458 has been a really fantastic interview, and I 337 00:12:42,458 --> 00:12:43,969 look forward to connecting to you again soon. 338 00:12:45,639 --> 00:12:46,831 Laura, Thanks very much.