1 00:00:00,160 --> 00:00:02,159 Hello, everyone. This is Jacob Emerson with the 2 00:00:02,159 --> 00:00:05,200 Becker's Healthcare Podcast. Thanks so much for tuning 3 00:00:05,200 --> 00:00:07,679 in today where we're thrilled to be joined 4 00:00:07,679 --> 00:00:10,000 by Angie Adams, who is the vice president 5 00:00:10,000 --> 00:00:12,980 of product management at I three Healthcare Solutions. 6 00:00:13,345 --> 00:00:15,105 Angie, thank you so much for taking the 7 00:00:15,105 --> 00:00:16,565 time to be with us on the podcast. 8 00:00:17,425 --> 00:00:19,585 Thanks, Jacob. It's good to be here. So 9 00:00:19,585 --> 00:00:21,345 Angie, before we dive into everything that we 10 00:00:21,345 --> 00:00:22,945 wanna talk with you about, can you tell 11 00:00:22,945 --> 00:00:24,864 us a little bit more about yourself in 12 00:00:24,864 --> 00:00:28,079 terms of your background in healthcare, and what 13 00:00:28,079 --> 00:00:29,679 it is that you're doing today at I 14 00:00:29,679 --> 00:00:30,899 three Healthcare Solutions? 15 00:00:31,839 --> 00:00:32,340 Sure. 16 00:00:33,200 --> 00:00:34,880 You know, I I was thinking about this, 17 00:00:34,880 --> 00:00:36,979 and I I realized that I actually started 18 00:00:37,039 --> 00:00:37,939 my health care 19 00:00:38,320 --> 00:00:40,320 career just out of high school at a 20 00:00:40,320 --> 00:00:43,460 couple, you know, ophthalmology office and, another 21 00:00:43,945 --> 00:00:45,545 optical store. But the bulk of my health 22 00:00:45,545 --> 00:00:46,364 care experience 23 00:00:46,744 --> 00:00:48,604 was at a health care payer called Magellan 24 00:00:48,664 --> 00:00:51,225 Health in the provider network department. I worked 25 00:00:51,225 --> 00:00:53,225 there for nearly 18 years, and I was 26 00:00:53,225 --> 00:00:53,725 responsible 27 00:00:54,104 --> 00:00:56,184 for many different things over the course of 28 00:00:56,184 --> 00:00:59,149 that, the tenure at Magellan in various roles, 29 00:00:59,149 --> 00:01:01,070 but all of them in the provider network 30 00:01:01,070 --> 00:01:01,570 department. 31 00:01:02,509 --> 00:01:04,509 I was in a pseudo technical role, but 32 00:01:04,509 --> 00:01:07,229 from a business perspective, not in IT. And 33 00:01:07,229 --> 00:01:08,989 I was responsible for making sure that all 34 00:01:08,989 --> 00:01:11,549 of our provider data business processes were able 35 00:01:11,549 --> 00:01:12,290 to support 36 00:01:12,724 --> 00:01:14,965 the ever changing business needs that occur across 37 00:01:14,965 --> 00:01:17,364 the country because Magellan was national. We had 38 00:01:17,364 --> 00:01:19,125 a great deal of success, and, you know, 39 00:01:19,125 --> 00:01:21,704 one of the things that was most critical 40 00:01:21,844 --> 00:01:24,084 for us in that department was that the 41 00:01:24,084 --> 00:01:26,325 provider data got everywhere, that all the different 42 00:01:26,325 --> 00:01:28,349 areas got what they needed, whether it was 43 00:01:28,349 --> 00:01:29,569 claims or eligibility 44 00:01:29,950 --> 00:01:30,689 or clinical 45 00:01:31,390 --> 00:01:33,890 or our provider portal provider directory. 46 00:01:34,510 --> 00:01:35,010 And 47 00:01:35,390 --> 00:01:37,950 making sure that our providers were well served 48 00:01:37,950 --> 00:01:39,629 and things were simple for them, but also 49 00:01:39,629 --> 00:01:41,709 that the members' needs were met and all 50 00:01:41,709 --> 00:01:42,370 of that. 51 00:01:43,064 --> 00:01:45,144 After leaving Magellan, I went to, 52 00:01:46,104 --> 00:01:48,265 a company that is now I three Healthcare 53 00:01:48,265 --> 00:01:48,765 Solutions 54 00:01:49,944 --> 00:01:53,064 and worked in professional service implementing solutions from 55 00:01:53,064 --> 00:01:54,204 a consulting perspective 56 00:01:54,825 --> 00:01:56,104 for health care, 57 00:01:56,504 --> 00:01:58,204 organizations, health care payers, 58 00:01:58,630 --> 00:02:00,790 appeals and grievances, that sort of thing. So 59 00:02:00,790 --> 00:02:03,130 I I leveraged that in that knowledge, 60 00:02:03,670 --> 00:02:05,370 of health care and and expanded 61 00:02:05,990 --> 00:02:08,550 my knowledge of of different areas in health 62 00:02:08,550 --> 00:02:10,169 care. Today, I'm responsible 63 00:02:10,469 --> 00:02:12,550 for the product management for all of I 64 00:02:12,550 --> 00:02:13,689 three health care solutions, 65 00:02:14,215 --> 00:02:16,935 and our solutions also cover the spectrum of 66 00:02:16,935 --> 00:02:18,474 health care payers and providers. 67 00:02:18,935 --> 00:02:20,474 We have software solutions 68 00:02:20,775 --> 00:02:21,914 for care delivery 69 00:02:22,215 --> 00:02:22,715 organizations, 70 00:02:23,734 --> 00:02:25,114 small medical practices 71 00:02:25,495 --> 00:02:27,194 and, provider organizations, 72 00:02:27,849 --> 00:02:29,790 as well as for payer organizations. 73 00:02:30,169 --> 00:02:31,629 So we really have 74 00:02:32,090 --> 00:02:34,349 that entire spectrum within our portfolio. 75 00:02:35,930 --> 00:02:38,650 Fantastic. Well, I appreciate that overview, Angie, and 76 00:02:38,650 --> 00:02:40,330 it sounds like you have a lot of 77 00:02:40,330 --> 00:02:40,830 expertise 78 00:02:41,455 --> 00:02:43,935 in the payer space. So in that vein, 79 00:02:43,935 --> 00:02:45,294 I'd I'd love to ask you about a 80 00:02:45,294 --> 00:02:48,175 trend that leaders in the payer space have 81 00:02:48,175 --> 00:02:49,555 been identifying recently 82 00:02:49,854 --> 00:02:52,514 as both a challenge, but also an opportunity. 83 00:02:53,134 --> 00:02:55,534 And that's the growing trend as you know 84 00:02:55,534 --> 00:02:57,550 of alternative payment models. 85 00:02:57,849 --> 00:03:00,650 So Angie, why is it essential for health 86 00:03:00,650 --> 00:03:03,949 care payers to become more agile in today's 87 00:03:04,090 --> 00:03:06,270 rapidly changing health care environment, 88 00:03:06,569 --> 00:03:07,849 and what are some of the ways that 89 00:03:07,849 --> 00:03:10,650 you think agility can help payers manage their 90 00:03:10,650 --> 00:03:11,150 contracts 91 00:03:11,625 --> 00:03:12,284 more effectively? 92 00:03:13,544 --> 00:03:16,344 You know, alternate payment models have, you know, 93 00:03:16,344 --> 00:03:17,644 been around for 94 00:03:18,824 --> 00:03:20,905 almost 20 years now. Maybe it is or 95 00:03:20,905 --> 00:03:22,764 10 years now, 15 years almost. 96 00:03:23,305 --> 00:03:24,364 They've been increasing 97 00:03:24,745 --> 00:03:25,245 in 98 00:03:25,680 --> 00:03:26,580 use across 99 00:03:27,199 --> 00:03:28,020 health care. 100 00:03:28,479 --> 00:03:28,979 And 101 00:03:29,360 --> 00:03:31,599 not too terribly long ago, it was about 102 00:03:31,599 --> 00:03:32,099 53% 103 00:03:32,400 --> 00:03:34,000 for health care. I think it was, like, 104 00:03:34,000 --> 00:03:35,060 2019, 2020. 105 00:03:35,520 --> 00:03:36,020 53% 106 00:03:36,479 --> 00:03:37,939 of health care organizations 107 00:03:38,400 --> 00:03:41,844 at the facility level, hospital level, community hospitals 108 00:03:41,905 --> 00:03:43,764 had alternate payment models. 109 00:03:44,544 --> 00:03:46,384 There has been kind of in the last 110 00:03:46,384 --> 00:03:47,205 couple years 111 00:03:47,584 --> 00:03:48,645 a trend for 112 00:03:49,745 --> 00:03:51,844 health care to actually go down a bit, 113 00:03:52,145 --> 00:03:55,449 but there is more pressure from outside organizations 114 00:03:55,669 --> 00:03:56,330 like CMS 115 00:03:57,270 --> 00:03:58,409 and other organizations 116 00:03:58,710 --> 00:04:00,409 to actually increase that because 117 00:04:01,030 --> 00:04:02,710 at the end of the day, the the 118 00:04:02,710 --> 00:04:05,590 intent and purpose of value based models is 119 00:04:05,590 --> 00:04:08,090 to increase the value to the patient, 120 00:04:09,055 --> 00:04:11,395 while containing costs in a meaningful way. 121 00:04:11,935 --> 00:04:14,034 We know that our health care model today, 122 00:04:14,094 --> 00:04:16,995 our health care system is less effective 123 00:04:17,455 --> 00:04:18,754 than organizations 124 00:04:19,134 --> 00:04:21,455 in other countries and health care systems in 125 00:04:21,455 --> 00:04:22,194 other countries. 126 00:04:22,750 --> 00:04:23,870 And and I think that was, 127 00:04:24,430 --> 00:04:25,569 talked about by 128 00:04:26,189 --> 00:04:27,810 in on one of your previous podcasts, 129 00:04:28,509 --> 00:04:29,730 doctor Wyatt Decker, 130 00:04:30,350 --> 00:04:32,509 with UnitedHealthcare Group. And he he did a 131 00:04:32,509 --> 00:04:34,129 really good job, I think, of outlining 132 00:04:34,664 --> 00:04:36,925 the challenges in the health care system today 133 00:04:36,985 --> 00:04:39,245 and the things that the industry is doing 134 00:04:39,944 --> 00:04:42,764 to help that. There are different models of 135 00:04:43,464 --> 00:04:45,084 alternate payment contracts 136 00:04:45,464 --> 00:04:45,964 that 137 00:04:46,345 --> 00:04:48,779 focus on different things, but they all focus 138 00:04:48,779 --> 00:04:51,360 on improving value to the patient 139 00:04:52,139 --> 00:04:53,919 and better outcomes with patients. 140 00:04:55,180 --> 00:04:57,500 Because there are so many different models, being 141 00:04:57,500 --> 00:05:00,639 agile is critically important. Different specialties 142 00:05:01,084 --> 00:05:02,705 have different needs, different measures. 143 00:05:03,404 --> 00:05:05,564 Different organization types will have different needs and 144 00:05:05,564 --> 00:05:07,185 different measures. You can't have 145 00:05:07,485 --> 00:05:09,105 the same type of 146 00:05:09,564 --> 00:05:11,964 performance metrics for a primary care practice that 147 00:05:11,964 --> 00:05:13,665 you would for an orthopedic surgeon. 148 00:05:14,830 --> 00:05:16,670 So there's a lot of variety, a lot 149 00:05:16,670 --> 00:05:19,310 of requirements that need to be met for 150 00:05:19,310 --> 00:05:19,810 a 151 00:05:20,270 --> 00:05:23,009 value based contract to actually be effective and 152 00:05:23,069 --> 00:05:24,850 produce the desired results. 153 00:05:26,444 --> 00:05:28,925 Absolutely. That makes complete sense, and I appreciate 154 00:05:28,925 --> 00:05:31,644 you referencing that real world example of that 155 00:05:31,644 --> 00:05:35,425 interview with UnitedHealth Group's, doctor Wyatt Decker, who, 156 00:05:35,805 --> 00:05:36,305 oversees 157 00:05:36,685 --> 00:05:38,925 value based care for for what is a 158 00:05:38,925 --> 00:05:40,064 very large enterprise. 159 00:05:41,410 --> 00:05:43,569 In that vein, Angie, what role do you 160 00:05:43,569 --> 00:05:44,389 think technology 161 00:05:44,769 --> 00:05:47,810 and new tech tools can play in being 162 00:05:47,810 --> 00:05:49,350 more agile and managing 163 00:05:49,810 --> 00:05:51,750 those contracts that we just discussed? 164 00:05:52,930 --> 00:05:55,250 So when it comes to managing contracts, you 165 00:05:55,250 --> 00:05:55,750 know, 166 00:05:56,115 --> 00:05:58,535 there's so many different provisions. Those contracts 167 00:05:58,915 --> 00:06:00,855 are often templated by payers, 168 00:06:01,394 --> 00:06:03,714 but there's provisions in value based contracts that 169 00:06:03,714 --> 00:06:06,274 are very different. Things like, what met what 170 00:06:06,274 --> 00:06:07,954 are the metrics? What are the measures? What 171 00:06:07,954 --> 00:06:09,634 are the obligations of the payer? What are 172 00:06:09,634 --> 00:06:12,029 the obligations of the provider organization, 173 00:06:12,729 --> 00:06:14,410 what do they need to meet. And and 174 00:06:14,410 --> 00:06:16,269 being able to extract that information 175 00:06:16,649 --> 00:06:17,709 from the contract 176 00:06:18,410 --> 00:06:19,389 and apply 177 00:06:19,850 --> 00:06:20,350 the 178 00:06:21,529 --> 00:06:22,029 obligations 179 00:06:22,569 --> 00:06:23,870 of each party 180 00:06:24,444 --> 00:06:26,685 so that they can be managed effectively and 181 00:06:26,685 --> 00:06:27,185 proactively 182 00:06:28,125 --> 00:06:30,125 needs to be met by technology. Because if 183 00:06:30,125 --> 00:06:32,125 you put it in a spreadsheet or expect 184 00:06:32,125 --> 00:06:33,404 to be able to read it out of 185 00:06:33,404 --> 00:06:35,824 a a word document or a PDF document, 186 00:06:36,045 --> 00:06:38,285 you're not gonna effectively manage it and get 187 00:06:38,285 --> 00:06:40,960 the desired outcomes from that. 188 00:06:41,420 --> 00:06:44,620 So using technology is absolutely critical to just 189 00:06:44,620 --> 00:06:46,160 managing the contract itself. 190 00:06:46,860 --> 00:06:49,340 But there's some some interesting things that are 191 00:06:49,340 --> 00:06:52,720 occurring from technology from a standards perspective 192 00:06:53,284 --> 00:06:55,685 With new with the queue HINs and new 193 00:06:55,685 --> 00:06:59,685 API requirements that, CMS published recently that have 194 00:06:59,685 --> 00:07:00,425 to be met 195 00:07:00,964 --> 00:07:01,865 by January 196 00:07:02,404 --> 00:07:02,904 1, 197 00:07:03,284 --> 00:07:03,784 2026 198 00:07:05,604 --> 00:07:07,144 and January 1, 2027, 199 00:07:08,300 --> 00:07:12,080 That will actually increase the capability of interaction 200 00:07:12,379 --> 00:07:13,920 and obtaining information, 201 00:07:14,540 --> 00:07:17,120 aggregating information for both payers and providers, 202 00:07:18,060 --> 00:07:18,560 automated, 203 00:07:19,100 --> 00:07:21,580 prior authorization, and things like that that will 204 00:07:21,580 --> 00:07:21,980 actually 205 00:07:22,654 --> 00:07:25,875 having that technology will make achieving the goals 206 00:07:26,574 --> 00:07:28,194 of the value based contracts 207 00:07:28,975 --> 00:07:31,395 more possible, more feasible, and 208 00:07:31,855 --> 00:07:32,355 require, 209 00:07:32,814 --> 00:07:35,154 to some degree, less manual intervention 210 00:07:35,615 --> 00:07:36,435 to measure 211 00:07:36,975 --> 00:07:39,180 the outcomes of that contract 212 00:07:39,720 --> 00:07:41,979 so that the providers can be properly reimbursed. 213 00:07:42,199 --> 00:07:43,180 And the payers 214 00:07:43,639 --> 00:07:45,560 and providers both will be able to be 215 00:07:45,560 --> 00:07:48,839 more efficient in accommodating and executing against the 216 00:07:48,839 --> 00:07:49,979 terms of the agreement 217 00:07:50,615 --> 00:07:53,355 and achieving better outcomes, not only for individual 218 00:07:53,415 --> 00:07:55,595 patients, but also for full populations. 219 00:07:56,694 --> 00:07:59,415 Understood. So a lot of automation opportunities on 220 00:07:59,415 --> 00:08:01,574 the horizon for payers when it comes to 221 00:08:01,574 --> 00:08:02,875 managing their contracts. 222 00:08:04,060 --> 00:08:05,039 Angie, you mentioned 223 00:08:05,419 --> 00:08:08,379 all the different rules and regulations and policy 224 00:08:08,379 --> 00:08:11,019 changes coming down the pipeline from CMS. It's 225 00:08:11,019 --> 00:08:13,100 a lot for these companies to stay on 226 00:08:13,100 --> 00:08:15,360 top of. So from your perspective, 227 00:08:15,660 --> 00:08:17,875 what would you say are the 3 key 228 00:08:17,875 --> 00:08:20,035 objectives that payers should be aware of right 229 00:08:20,035 --> 00:08:21,334 now, and why? 230 00:08:22,595 --> 00:08:25,574 So I think, you know, emerging standards 231 00:08:26,115 --> 00:08:28,855 have the potential to change that administrative burden. 232 00:08:30,129 --> 00:08:33,169 A lot of physicians, though, don't necessarily have 233 00:08:33,169 --> 00:08:33,669 access 234 00:08:34,210 --> 00:08:35,990 to easily implement technology. 235 00:08:36,370 --> 00:08:37,909 They rely on other practices, 236 00:08:38,370 --> 00:08:39,669 or other organizations 237 00:08:40,129 --> 00:08:42,070 or their software vendors, 238 00:08:42,529 --> 00:08:45,110 to actually help them achieve those organizations 239 00:08:45,714 --> 00:08:47,894 or those those goals and 240 00:08:48,274 --> 00:08:49,575 obligations and standards, 241 00:08:50,034 --> 00:08:51,634 especially when you get out of your large 242 00:08:51,634 --> 00:08:53,554 health care system. So your your hospitals and 243 00:08:53,554 --> 00:08:54,934 your large health care systems, 244 00:08:55,315 --> 00:08:57,955 they generally have full IT departments to do 245 00:08:57,955 --> 00:08:59,575 that, but your smaller practices 246 00:09:00,450 --> 00:09:02,230 have more financial constraints, 247 00:09:03,090 --> 00:09:03,830 on them 248 00:09:04,210 --> 00:09:07,090 to be able to staff and fund those, 249 00:09:07,410 --> 00:09:08,389 especially with 250 00:09:09,090 --> 00:09:11,649 increased inflation and and their margins. You know, 251 00:09:11,649 --> 00:09:13,824 a lot of data shows their margins are 252 00:09:13,824 --> 00:09:15,284 are are reducing, actually. 253 00:09:15,904 --> 00:09:16,404 So 254 00:09:16,784 --> 00:09:18,084 those those changes 255 00:09:19,184 --> 00:09:22,245 cost money from both payers and providers. 256 00:09:22,944 --> 00:09:24,865 Providers are gonna be more constrained in their 257 00:09:24,865 --> 00:09:26,944 ability to do so. So being able to 258 00:09:26,944 --> 00:09:27,845 partner with 259 00:09:28,540 --> 00:09:30,080 partner with other organizations 260 00:09:30,460 --> 00:09:33,180 to help providers achieve that so that it 261 00:09:33,180 --> 00:09:34,080 can be successful 262 00:09:34,940 --> 00:09:38,480 is something to to perhaps consider and evaluate 263 00:09:38,620 --> 00:09:41,274 and understand that providers may not be able 264 00:09:41,274 --> 00:09:43,615 to do that as quickly as payers can. 265 00:09:44,315 --> 00:09:45,294 I think that 266 00:09:45,674 --> 00:09:49,615 payers also are often burdened with aging technology 267 00:09:50,475 --> 00:09:51,294 that is 268 00:09:51,754 --> 00:09:52,894 incredibly complex 269 00:09:53,195 --> 00:09:53,695 and 270 00:09:55,289 --> 00:09:55,789 piecemealed, 271 00:09:56,490 --> 00:09:58,669 not always cohesive throughout the organization. 272 00:09:59,289 --> 00:10:00,169 But some of the, 273 00:10:00,570 --> 00:10:03,529 technology that is being implemented really does cut 274 00:10:03,529 --> 00:10:04,909 across the entire organization. 275 00:10:05,690 --> 00:10:07,149 Having information available, 276 00:10:07,715 --> 00:10:09,575 and and getting modern technology, 277 00:10:10,035 --> 00:10:12,535 modern systems for their core business applications 278 00:10:13,394 --> 00:10:15,975 will help allow them to be more agile. 279 00:10:16,274 --> 00:10:18,514 I think those are some of the key 280 00:10:18,514 --> 00:10:20,375 things that need to be evaluated 281 00:10:20,754 --> 00:10:22,855 by payers when executing and implementing 282 00:10:23,450 --> 00:10:25,710 these technologies and working with the providers 283 00:10:27,210 --> 00:10:29,769 to achieve that as well. Having sufficient and 284 00:10:29,769 --> 00:10:32,350 advanced notice of when changes will be done, 285 00:10:32,809 --> 00:10:35,070 so that providers can keep up. 286 00:10:35,625 --> 00:10:38,184 Absolutely. No. It's it's such great advice that 287 00:10:38,184 --> 00:10:40,184 payers really need to keep the size and 288 00:10:40,184 --> 00:10:42,504 and the capabilities of providers in mind when 289 00:10:42,504 --> 00:10:43,004 implementing 290 00:10:43,465 --> 00:10:45,705 new technologies. And then, of course, internally for 291 00:10:45,705 --> 00:10:47,945 payers, there's a lot of disparate systems that 292 00:10:47,945 --> 00:10:51,100 they're often utilizing, and and new and modern 293 00:10:51,100 --> 00:10:53,500 platforms will help them, stay a lot more 294 00:10:53,500 --> 00:10:55,440 agile as as the landscape evolves. 295 00:10:56,700 --> 00:10:59,019 So looking ahead, Angie, what do you see 296 00:10:59,019 --> 00:11:01,660 as the next big shift in how health 297 00:11:01,660 --> 00:11:04,300 care payers operate, and how should they be 298 00:11:04,300 --> 00:11:05,414 preparing for it? 299 00:11:05,975 --> 00:11:08,615 You know, I think the standards themselves, those 300 00:11:08,615 --> 00:11:11,995 operational standards will have a significant impact 301 00:11:12,934 --> 00:11:15,095 on how they interact with providers. And I 302 00:11:15,095 --> 00:11:16,695 know I said this, and and I feel 303 00:11:16,695 --> 00:11:18,934 perhaps like a little bit of a, you 304 00:11:18,934 --> 00:11:20,089 know, repeat. 305 00:11:20,949 --> 00:11:21,449 But 306 00:11:22,069 --> 00:11:24,949 I I can't really emphasize enough how those 307 00:11:24,949 --> 00:11:27,769 operational standards and having APIs between 308 00:11:28,549 --> 00:11:31,190 the provider and the payer that are more 309 00:11:31,190 --> 00:11:33,029 robust. And with the queue in having more 310 00:11:33,029 --> 00:11:34,329 data that is robust 311 00:11:35,245 --> 00:11:37,965 can change just operationally how they interact with 312 00:11:37,965 --> 00:11:40,684 one another, how they get information that's needed 313 00:11:40,684 --> 00:11:43,004 for a prior authorization, how quick that can 314 00:11:43,004 --> 00:11:45,245 go if the right information is presented at 315 00:11:45,245 --> 00:11:47,965 the right time with having those APIs rather 316 00:11:47,965 --> 00:11:48,465 than 317 00:11:48,909 --> 00:11:50,909 calling into a call center, asking for it, 318 00:11:50,909 --> 00:11:53,409 or going online and submitting a prior authorization 319 00:11:53,629 --> 00:11:56,509 than having a clinical reviewer evaluate it. That 320 00:11:56,509 --> 00:11:59,309 can be done in more real time. Claims 321 00:11:59,309 --> 00:12:01,934 processing can be done more real time, Less 322 00:12:01,934 --> 00:12:02,434 human 323 00:12:02,815 --> 00:12:04,274 interaction and delays 324 00:12:05,054 --> 00:12:06,674 in getting some of those things 325 00:12:06,975 --> 00:12:09,075 completed that require a lot of manpower. 326 00:12:09,774 --> 00:12:12,495 That's not just technological. That's also operational. I'm 327 00:12:12,495 --> 00:12:13,875 looking at the business processes 328 00:12:14,254 --> 00:12:15,394 to achieve that. 329 00:12:16,089 --> 00:12:18,730 And I think that that that's that's part 330 00:12:18,730 --> 00:12:19,389 of what 331 00:12:19,929 --> 00:12:21,529 that big shift is going to be. And 332 00:12:21,529 --> 00:12:22,730 I don't know that we know what that 333 00:12:22,730 --> 00:12:26,029 total impact will be until we start implementing 334 00:12:26,250 --> 00:12:28,029 those changes across 335 00:12:28,330 --> 00:12:30,350 the entire health care industry. 336 00:12:31,485 --> 00:12:33,485 Sure. And it really sounds like everything you 337 00:12:33,485 --> 00:12:36,764 just said, it's focused on efficiency. Efficiency of 338 00:12:36,764 --> 00:12:38,784 those internal processes for payers. 339 00:12:39,884 --> 00:12:42,365 But what else are we missing, Angela? Anything 340 00:12:42,365 --> 00:12:43,804 that we that we didn't get to that 341 00:12:43,804 --> 00:12:46,170 you'd like to touch on, that our listeners 342 00:12:46,310 --> 00:12:48,730 should should really, take notice of? 343 00:12:49,670 --> 00:12:50,950 You know, I think that 344 00:12:51,509 --> 00:12:54,490 I think there's there's broad understanding and acknowledgment 345 00:12:54,629 --> 00:12:56,330 that our health care system is 346 00:12:56,870 --> 00:12:58,550 is not as good as it could be. 347 00:12:58,550 --> 00:13:01,034 And all Americans suffer from that in some 348 00:13:01,034 --> 00:13:03,195 way, shape, or form. It's not just hitting 349 00:13:03,195 --> 00:13:05,754 payers. It's not just hitting, cost of care. 350 00:13:05,754 --> 00:13:08,075 It's not just hitting providers. It's hitting patients 351 00:13:08,075 --> 00:13:08,575 in 352 00:13:09,034 --> 00:13:09,534 having 353 00:13:09,914 --> 00:13:12,154 providers that there's not enough of them. They 354 00:13:12,154 --> 00:13:13,914 don't have enough time because they spend so 355 00:13:13,914 --> 00:13:14,815 much time doing 356 00:13:15,169 --> 00:13:17,889 administrative work. And I'm really excited to see 357 00:13:17,889 --> 00:13:18,389 what 358 00:13:18,690 --> 00:13:20,309 will come out of these changes 359 00:13:20,850 --> 00:13:23,350 and how that will have a significant potential 360 00:13:23,490 --> 00:13:26,709 impact on the quality of care and 361 00:13:27,250 --> 00:13:28,069 the disparity 362 00:13:28,529 --> 00:13:29,029 of 363 00:13:29,365 --> 00:13:32,085 social determinants of health and the disparity of 364 00:13:32,085 --> 00:13:34,585 things like, you know, infant mortality and 365 00:13:35,125 --> 00:13:37,144 maternal death and things like that. How 366 00:13:37,684 --> 00:13:41,699 getting more technology to make providers available to 367 00:13:41,699 --> 00:13:42,759 treat more patients 368 00:13:43,379 --> 00:13:46,980 will have a profound impact potentially on our 369 00:13:46,980 --> 00:13:48,199 entire health care system, 370 00:13:48,980 --> 00:13:50,679 improving the health of all Americans. 371 00:13:51,779 --> 00:13:54,419 Fantastic. Well, Angie, thank you so much for 372 00:13:54,419 --> 00:13:56,179 taking the time to be with us and 373 00:13:56,179 --> 00:13:58,764 for sharing your insights with our listeners. We 374 00:13:58,764 --> 00:13:59,985 truly appreciate it. 375 00:14:00,524 --> 00:14:01,985 Thank you. I enjoyed it. 376 00:14:02,365 --> 00:14:04,464 I'd also like to thank I three Healthcare 377 00:14:04,524 --> 00:14:07,784 Solutions as well for sponsoring this episode. You 378 00:14:07,784 --> 00:14:09,624 can tune in to more podcasts from Becker's 379 00:14:09,624 --> 00:14:12,924 Healthcare by visiting our podcast page at beckershospitalreview.com.