1 00:00:00,480 --> 00:00:02,639 This is Laura Dirda with the Becker's Healthcare 2 00:00:02,639 --> 00:00:04,559 Podcast. I'm thrilled today to be joined by 3 00:00:04,559 --> 00:00:07,759 Catherine Barresi, chief health services officer at Partnership 4 00:00:07,759 --> 00:00:08,820 Health Plan of California. 5 00:00:09,119 --> 00:00:10,400 Catherine, it's a pleasure to have you on 6 00:00:10,400 --> 00:00:11,460 the podcast today. 7 00:00:12,400 --> 00:00:14,179 Likewise. Thanks for having me. 8 00:00:15,365 --> 00:00:17,605 Absolutely. Now I am looking forward to digging 9 00:00:17,605 --> 00:00:18,885 into some of the cool things that you're 10 00:00:18,885 --> 00:00:20,964 doing out there in California, as well as 11 00:00:20,964 --> 00:00:22,964 what you're planning for the future. But before 12 00:00:22,964 --> 00:00:25,125 we dive in, could you please introduce yourself 13 00:00:25,125 --> 00:00:26,484 and tell us a little bit about your 14 00:00:26,484 --> 00:00:26,984 background? 15 00:00:27,640 --> 00:00:29,399 Great. Thanks, Laura, and thanks again for having 16 00:00:29,399 --> 00:00:29,800 me. 17 00:00:30,279 --> 00:00:32,200 So, again, I'm Catherine Brassy. I'm a nurse 18 00:00:32,200 --> 00:00:32,700 executive, 19 00:00:33,079 --> 00:00:35,640 at Partnership Health Plan of California. And in 20 00:00:35,640 --> 00:00:37,820 my current role, I'm the chief health services 21 00:00:37,879 --> 00:00:38,379 officer. 22 00:00:39,000 --> 00:00:40,939 And what that means is that I oversee 23 00:00:41,000 --> 00:00:41,659 a huge, 24 00:00:42,039 --> 00:00:45,575 piece of clinical operations and and strategic initiatives, 25 00:00:46,195 --> 00:00:48,195 for the health plan, really with the focus 26 00:00:48,195 --> 00:00:51,155 of including the out, and improving outcomes of 27 00:00:51,155 --> 00:00:51,814 our members. 28 00:00:52,835 --> 00:00:54,515 I be began my career as a nurse, 29 00:00:54,754 --> 00:00:56,994 and worked specifically in case management and public 30 00:00:56,994 --> 00:00:59,039 health. And this gave me a really strong 31 00:00:59,039 --> 00:01:00,020 clinical foundation, 32 00:01:01,119 --> 00:01:02,340 and and structure, 33 00:01:02,799 --> 00:01:04,180 for what members experience, 34 00:01:04,719 --> 00:01:07,299 in the outpatient world, in health care. 35 00:01:08,640 --> 00:01:10,159 Well, that's great to hear. And, you know, 36 00:01:10,159 --> 00:01:11,760 really cool that you've got this, 37 00:01:12,079 --> 00:01:14,954 role now at Partnership Health Plan of California. 38 00:01:15,734 --> 00:01:17,415 Could you tell us a little bit about, 39 00:01:17,575 --> 00:01:19,734 some of the biggest issues that you're following 40 00:01:19,734 --> 00:01:21,415 in health care and where it's headed in 41 00:01:21,415 --> 00:01:22,234 the new year? 42 00:01:23,015 --> 00:01:23,814 Yeah. There's, 43 00:01:24,534 --> 00:01:26,560 as you know, health care really is top 44 00:01:26,560 --> 00:01:29,439 of mind for everybody, especially after, the latest 45 00:01:29,439 --> 00:01:32,079 election cycle. And really, the top five things 46 00:01:32,079 --> 00:01:34,000 that I'm following and my teams are following 47 00:01:34,000 --> 00:01:36,079 both at Partnership and in our work are, 48 00:01:36,079 --> 00:01:38,159 of course, first and foremost, the big changes 49 00:01:38,159 --> 00:01:39,380 or impacts to Medicaid, 50 00:01:39,760 --> 00:01:40,740 with the new administration. 51 00:01:41,704 --> 00:01:43,944 While we hear rumors, at this point, we 52 00:01:43,944 --> 00:01:45,564 don't have any specific 53 00:01:46,105 --> 00:01:48,584 policies or guidance. We know that the budget 54 00:01:48,584 --> 00:01:51,165 reconciliation process is is upon us, 55 00:01:51,545 --> 00:01:53,865 and there's discussions going on at a federal 56 00:01:53,865 --> 00:01:54,329 level. 57 00:01:54,730 --> 00:01:58,810 California has a lot of individuals on Medicaid 58 00:01:58,810 --> 00:02:00,409 or Medi Cal as it's known in our 59 00:02:00,409 --> 00:02:00,909 state. 60 00:02:01,450 --> 00:02:03,209 In fact, I think the latest poll shifts 61 00:02:03,209 --> 00:02:05,310 something around the order of about 14,000,000, 62 00:02:06,090 --> 00:02:07,630 Californians are on Medicaid. 63 00:02:08,325 --> 00:02:11,944 Partnership, we cover 24 counties in Northern California 64 00:02:12,405 --> 00:02:13,925 with about 900,000 65 00:02:13,925 --> 00:02:14,405 lives, 66 00:02:14,724 --> 00:02:16,425 providing services and benefits, 67 00:02:16,885 --> 00:02:18,724 and high quality health care. So this is 68 00:02:18,724 --> 00:02:19,224 something 69 00:02:19,525 --> 00:02:22,165 that we are are watching and tracking very, 70 00:02:22,165 --> 00:02:22,905 very closely. 71 00:02:24,020 --> 00:02:25,800 The other big focus for partnership, 72 00:02:26,260 --> 00:02:28,659 as I just described, we are in Northern 73 00:02:28,659 --> 00:02:31,780 California, and we have very large communities that 74 00:02:31,780 --> 00:02:32,920 are rural communities, 75 00:02:33,780 --> 00:02:34,520 that often 76 00:02:34,819 --> 00:02:36,040 experience health disparities, 77 00:02:37,004 --> 00:02:37,824 just due 78 00:02:38,284 --> 00:02:39,504 to scale of cost, 79 00:02:39,884 --> 00:02:40,384 economy. 80 00:02:41,564 --> 00:02:44,305 And so for us, this is even more 81 00:02:44,364 --> 00:02:45,745 important to make sure 82 00:02:46,044 --> 00:02:46,544 that 83 00:02:47,084 --> 00:02:49,485 infrastructure and healthcare delivery such as our rural 84 00:02:49,485 --> 00:02:51,905 hospitals and our public hospitals in those communities 85 00:02:52,360 --> 00:02:54,759 are are not disproportionately affected by some of 86 00:02:54,759 --> 00:02:56,620 these policy and access changes. 87 00:02:57,479 --> 00:02:59,319 And then the two and three other areas 88 00:02:59,319 --> 00:03:02,280 that we're focusing on, obviously, improving access to 89 00:03:02,280 --> 00:03:05,159 health care in general across our 24 county 90 00:03:05,159 --> 00:03:08,115 network with things and innovations using technology like 91 00:03:08,194 --> 00:03:08,694 telehealth, 92 00:03:09,314 --> 00:03:12,194 with creative solutioning with our specialty network and 93 00:03:12,194 --> 00:03:13,495 our primary care providers, 94 00:03:14,514 --> 00:03:15,254 but also, 95 00:03:15,635 --> 00:03:18,675 with strong emphasis on member engagement and member 96 00:03:18,675 --> 00:03:19,175 experience, 97 00:03:19,635 --> 00:03:21,495 and use of those those new technologies. 98 00:03:22,670 --> 00:03:24,110 And then the two or three other areas 99 00:03:24,110 --> 00:03:25,969 that we're looking at, as I just described, 100 00:03:27,150 --> 00:03:29,490 AI. We've got an AI committee at partnership, 101 00:03:30,030 --> 00:03:33,230 and looking about, how that technology can improve, 102 00:03:33,469 --> 00:03:35,710 the operations within the health plan and the 103 00:03:35,710 --> 00:03:37,550 service and experience and quality of care that 104 00:03:37,550 --> 00:03:38,715 our members experience, 105 00:03:39,574 --> 00:03:42,155 and then member choice and member voice 106 00:03:42,534 --> 00:03:44,155 as they experience health care. 107 00:03:44,534 --> 00:03:46,715 Because, again, I think that ultimately, 108 00:03:47,174 --> 00:03:49,094 everybody in the health care space knows the 109 00:03:49,094 --> 00:03:51,810 system only works when the system works for 110 00:03:51,810 --> 00:03:53,730 for the people it serves. And so how 111 00:03:53,730 --> 00:03:56,849 we engage and elevate them in in every 112 00:03:56,849 --> 00:03:58,450 aspect of the work we do is is 113 00:03:58,450 --> 00:03:59,750 a high focus for us. 114 00:04:00,770 --> 00:04:02,689 That's great to hear. And, you know, really 115 00:04:02,689 --> 00:04:05,409 helpful to understand some of the challenges that 116 00:04:05,409 --> 00:04:07,864 are ahead. I know as you mentioned, it's 117 00:04:07,925 --> 00:04:08,824 a lot of uncertainties 118 00:04:09,125 --> 00:04:10,884 right now with how things will proceed in 119 00:04:10,884 --> 00:04:11,944 the health care space. 120 00:04:12,324 --> 00:04:14,405 And and how do you look ahead, at 121 00:04:14,405 --> 00:04:16,165 some of these initiatives that you're talking about, 122 00:04:16,165 --> 00:04:18,660 expanding access to care and planning for the 123 00:04:18,660 --> 00:04:19,160 future, 124 00:04:19,540 --> 00:04:21,460 while knowing, you know, that things could change 125 00:04:21,460 --> 00:04:22,360 at any moment? 126 00:04:23,300 --> 00:04:25,779 I think we we we stay true to 127 00:04:25,779 --> 00:04:28,040 the partnerships that we've built and the communities 128 00:04:28,100 --> 00:04:29,879 that we partner with to do that, 129 00:04:30,574 --> 00:04:32,915 and we look towards the opportunities. 130 00:04:33,775 --> 00:04:35,855 Granted, yes, it's it's a lot of change 131 00:04:35,855 --> 00:04:37,555 management and it's a lot of uncertainty. 132 00:04:38,495 --> 00:04:40,835 But the goals and values are the same 133 00:04:40,895 --> 00:04:43,694 no matter which community you look at, when 134 00:04:43,694 --> 00:04:45,795 it comes to health care. People want 135 00:04:46,470 --> 00:04:49,189 doctors and specialists and providers and hospitals that 136 00:04:49,189 --> 00:04:51,689 they can access easily when they need to. 137 00:04:52,149 --> 00:04:54,229 People want low cost health care. 138 00:04:54,629 --> 00:04:57,189 That doesn't mean lesser quality. It just means 139 00:04:57,189 --> 00:04:59,689 lower cost, whether it be for prescriptions 140 00:05:00,069 --> 00:05:01,129 or for, 141 00:05:02,045 --> 00:05:03,024 specialist visits. 142 00:05:03,324 --> 00:05:05,725 Our members on Medicaid, Medi Cal, many do 143 00:05:05,725 --> 00:05:07,485 not have a a share of cost because 144 00:05:07,485 --> 00:05:09,425 they qualify for income or disability. 145 00:05:10,524 --> 00:05:11,345 And so 146 00:05:11,964 --> 00:05:12,705 that is, 147 00:05:13,485 --> 00:05:15,485 a common thread. And I think as long 148 00:05:15,485 --> 00:05:17,345 as we remain focused on that work, 149 00:05:18,000 --> 00:05:19,919 where the policy lies in that, as long 150 00:05:19,919 --> 00:05:21,599 as our principles are the same, we'll get 151 00:05:21,599 --> 00:05:22,899 to that end goal together. 152 00:05:24,479 --> 00:05:26,479 That is a really great perspective, and I 153 00:05:26,479 --> 00:05:28,479 I think a strong way to approach times 154 00:05:28,479 --> 00:05:31,120 like these. Now looking ahead, what are you 155 00:05:31,120 --> 00:05:33,220 most excited about, or what makes you nervous? 156 00:05:34,605 --> 00:05:35,745 I'm most excited, 157 00:05:36,285 --> 00:05:38,204 in three areas. I think first would be 158 00:05:38,204 --> 00:05:38,944 the technology. 159 00:05:39,964 --> 00:05:42,064 We've seen some rapid gains, 160 00:05:42,444 --> 00:05:44,764 as I mentioned earlier with AI, but also 161 00:05:44,764 --> 00:05:47,569 other technologies and technology partners in this space 162 00:05:47,569 --> 00:05:49,670 bringing new solutions into health care. 163 00:05:50,529 --> 00:05:52,930 Health care is, by far and wide, no 164 00:05:52,930 --> 00:05:55,089 matter where you're at within the delivery system, 165 00:05:55,089 --> 00:05:57,329 whether you're in an outpatient setting, a hospital 166 00:05:57,329 --> 00:05:58,790 setting, on the payer side, 167 00:06:00,074 --> 00:06:02,794 The data and the exchange of information is 168 00:06:02,794 --> 00:06:05,375 becoming more and more relevant and key to 169 00:06:05,435 --> 00:06:08,095 optimizing clinical decision making outcomes, 170 00:06:08,954 --> 00:06:11,914 risk adjustments, payments, better use of resources. And 171 00:06:11,914 --> 00:06:14,460 so it's great to see technology partners in 172 00:06:14,460 --> 00:06:16,620 that space to enhance the work that we 173 00:06:16,620 --> 00:06:20,160 do and not hamper clinicians or or operations. 174 00:06:21,259 --> 00:06:24,220 I'm also really excited about rural health support. 175 00:06:24,220 --> 00:06:25,439 I I think when, 176 00:06:27,045 --> 00:06:29,764 groups or coalitions use words and terms like, 177 00:06:30,324 --> 00:06:31,464 equity or disparity, 178 00:06:31,764 --> 00:06:33,705 we often use that in connotation 179 00:06:34,084 --> 00:06:35,464 of, you know, somebody's 180 00:06:35,925 --> 00:06:36,904 race or ethnicity. 181 00:06:37,845 --> 00:06:40,485 I think of rural health disparities. I think 182 00:06:40,485 --> 00:06:41,625 of community disparities, 183 00:06:42,470 --> 00:06:44,490 areas where there has been lack of infrastructure 184 00:06:44,629 --> 00:06:45,129 investment, 185 00:06:45,590 --> 00:06:47,129 business opportunity growth, 186 00:06:47,430 --> 00:06:48,090 for example. 187 00:06:48,550 --> 00:06:51,530 And how they experience and use, 188 00:06:52,069 --> 00:06:54,790 and navigate health care is very different than 189 00:06:54,790 --> 00:06:56,250 suburban or urban settings. 190 00:06:56,555 --> 00:06:59,134 And so there's some really great best practices 191 00:06:59,355 --> 00:07:02,095 coming out of there that I'm excited about 192 00:07:02,235 --> 00:07:05,274 working and potentially scaling those, not just across 193 00:07:05,274 --> 00:07:05,774 partnerships, 194 00:07:06,235 --> 00:07:08,235 network, but really elevating those as a best 195 00:07:08,235 --> 00:07:09,855 practice within Medicaid. 196 00:07:10,795 --> 00:07:11,694 And then lastly, 197 00:07:12,240 --> 00:07:13,300 our member engagement. 198 00:07:14,319 --> 00:07:17,839 Again, member voice is incredibly important, and I 199 00:07:17,839 --> 00:07:21,120 think there is a disconnect between what people 200 00:07:21,120 --> 00:07:23,060 understand health care to be, 201 00:07:23,759 --> 00:07:26,154 and how it is currently working for them 202 00:07:26,294 --> 00:07:29,175 and and that translation and bringing them to 203 00:07:29,175 --> 00:07:30,454 make sure that they have a seat at 204 00:07:30,454 --> 00:07:32,634 the table and that they understand things 205 00:07:32,935 --> 00:07:36,314 about how how benefits get decided, how, 206 00:07:37,175 --> 00:07:40,410 how prior authorization works, what, you know, who 207 00:07:40,410 --> 00:07:41,629 qualifies for what. 208 00:07:42,009 --> 00:07:44,569 The system is set up ideally to be 209 00:07:44,569 --> 00:07:46,490 working for them, and right now, it's not. 210 00:07:46,490 --> 00:07:49,470 And so having those voices at the table 211 00:07:49,529 --> 00:07:52,490 as as key partners is is actually really, 212 00:07:52,490 --> 00:07:55,069 really exciting because the insights they lend 213 00:07:55,664 --> 00:07:58,084 only improve the the quality of the output. 214 00:07:59,745 --> 00:08:01,425 And then it's really great to hear. I'm 215 00:08:01,425 --> 00:08:01,925 curious. 216 00:08:02,544 --> 00:08:04,704 You know, in talking about the ability to 217 00:08:04,704 --> 00:08:07,664 connect with, the broader community and engage with 218 00:08:07,664 --> 00:08:08,964 them and and and, 219 00:08:09,399 --> 00:08:11,079 figure out, you know, how you can improve 220 00:08:11,079 --> 00:08:13,639 and have additional engagement. Is there anything you 221 00:08:13,639 --> 00:08:15,319 learned from some of those efforts? Or how 222 00:08:15,319 --> 00:08:16,199 did you go about, 223 00:08:16,600 --> 00:08:19,079 making those connections, in a way that yielded 224 00:08:19,079 --> 00:08:19,579 results? 225 00:08:21,175 --> 00:08:22,935 Well, in terms of the, you know, the 226 00:08:22,935 --> 00:08:26,134 member engagement piece, partnership has a multitude of 227 00:08:26,134 --> 00:08:27,995 existing committees and coalitions 228 00:08:28,775 --> 00:08:29,915 made up of, 229 00:08:30,694 --> 00:08:33,014 stakeholders for the the folks that we serve. 230 00:08:33,014 --> 00:08:34,695 So, in fact, even our our board of 231 00:08:34,695 --> 00:08:38,250 commissioners is comprised of county behavioral health directors, 232 00:08:38,549 --> 00:08:40,809 hospital CEOs, clinic CMOs, 233 00:08:41,590 --> 00:08:44,309 community based organization partners and leaders. And so 234 00:08:44,309 --> 00:08:45,929 it really is a tapestry 235 00:08:46,549 --> 00:08:47,289 of everybody 236 00:08:47,830 --> 00:08:50,309 within the community and and health care delivery 237 00:08:50,309 --> 00:08:51,975 network that is meeting, 238 00:08:52,514 --> 00:08:53,014 deciding, 239 00:08:53,715 --> 00:08:56,675 leading efforts to improve care. And in terms 240 00:08:56,675 --> 00:08:58,855 of our members, we have a community, 241 00:08:59,475 --> 00:09:02,774 advisory group where we've got our actual members 242 00:09:03,080 --> 00:09:05,559 who sit in and provide feedback directly to 243 00:09:05,559 --> 00:09:07,320 the health plan on what we are doing, 244 00:09:07,559 --> 00:09:09,980 whether it be policies or benefits or experience. 245 00:09:10,519 --> 00:09:12,679 We have three of our members on our 246 00:09:12,679 --> 00:09:13,740 board as well, 247 00:09:14,200 --> 00:09:16,600 who who sit and power share along with 248 00:09:16,600 --> 00:09:19,284 our board of commissioners around our finances and 249 00:09:19,284 --> 00:09:20,985 strategic operations and vision. 250 00:09:21,365 --> 00:09:23,605 So it's it really is ingrained in in 251 00:09:23,605 --> 00:09:25,945 our company's culture and mission to make sure 252 00:09:26,245 --> 00:09:26,745 that, 253 00:09:27,284 --> 00:09:28,904 that engagement piece is there. 254 00:09:29,845 --> 00:09:31,945 Lastly, I will add, we have special 255 00:09:32,559 --> 00:09:35,620 committees of, subpopulations within our membership, 256 00:09:36,240 --> 00:09:38,419 that are unique, that that need, 257 00:09:39,199 --> 00:09:42,639 a more strategic and intentional focus. So for 258 00:09:42,639 --> 00:09:45,120 example, in California, there is a program called 259 00:09:45,120 --> 00:09:47,964 California Children's Services, and it is for children 260 00:09:47,964 --> 00:09:50,325 and youth and young adults with, special and 261 00:09:50,325 --> 00:09:52,424 complex healthcare needs. And at Partnership, 262 00:09:53,205 --> 00:09:54,085 we are, 263 00:09:54,565 --> 00:09:56,725 we have a majority of them within our 264 00:09:56,725 --> 00:09:58,404 membership in the counties that we serve. And 265 00:09:58,404 --> 00:10:00,644 so, we have a special committee of just 266 00:10:00,644 --> 00:10:03,065 those clients, their parents, and or their caregivers, 267 00:10:03,899 --> 00:10:07,440 to have bidirectional feedback about about their experiences 268 00:10:07,579 --> 00:10:09,259 and how we can improve their health care 269 00:10:09,259 --> 00:10:12,220 outcomes being that they are unique within the 270 00:10:12,220 --> 00:10:14,799 health care delivery system and they are also 271 00:10:15,019 --> 00:10:18,079 high users of health care delivery. And so 272 00:10:18,304 --> 00:10:20,784 who best to talk to than them, in 273 00:10:20,784 --> 00:10:22,464 terms of making sure that we're getting it 274 00:10:22,464 --> 00:10:22,964 right? 275 00:10:24,304 --> 00:10:26,384 That's such a great point. Thank you for 276 00:10:26,384 --> 00:10:28,384 walking us through that. Now before we wrap 277 00:10:28,384 --> 00:10:30,784 up our conversation, I'm wondering, what will the 278 00:10:30,784 --> 00:10:32,790 most effective health care leaders need in order 279 00:10:32,790 --> 00:10:34,230 to be successful in the next two to 280 00:10:34,230 --> 00:10:36,470 three years, especially given some of the big 281 00:10:36,470 --> 00:10:37,850 themes we've talked about today? 282 00:10:38,550 --> 00:10:39,110 Yeah. I 283 00:10:40,149 --> 00:10:42,070 first and foremost, my best piece of advice 284 00:10:42,070 --> 00:10:44,070 is health care leaders, as always, you've gotta 285 00:10:44,070 --> 00:10:44,730 be agile. 286 00:10:45,404 --> 00:10:47,804 Things are constantly changing in health care and 287 00:10:47,804 --> 00:10:50,125 and more so. The pace feels more more 288 00:10:50,125 --> 00:10:50,625 frenetic. 289 00:10:51,084 --> 00:10:54,384 But, agile, tech savvy, and financially strategic, 290 00:10:55,084 --> 00:10:58,845 and deeply committed to the member voice, as 291 00:10:58,845 --> 00:10:59,504 I explained, 292 00:11:00,750 --> 00:11:02,830 with having them always at the center for 293 00:11:02,830 --> 00:11:04,210 for high quality outcomes. 294 00:11:04,990 --> 00:11:07,490 The best leaders will champion quality and accessibility, 295 00:11:08,590 --> 00:11:10,050 with personalized approaches. 296 00:11:10,830 --> 00:11:12,830 And they're they're gonna need to stay ahead 297 00:11:12,830 --> 00:11:14,050 of these policy changes, 298 00:11:14,670 --> 00:11:17,035 compliance requirements, reimbursement models. 299 00:11:17,735 --> 00:11:20,235 That that's going to be a key component, 300 00:11:20,934 --> 00:11:22,154 in order to leverage 301 00:11:22,615 --> 00:11:25,434 the existing funding streams and and key partners, 302 00:11:25,894 --> 00:11:26,875 that are out there. 303 00:11:27,429 --> 00:11:29,990 With the rapid shifts in potential regulations that 304 00:11:29,990 --> 00:11:30,649 are coming, 305 00:11:31,509 --> 00:11:34,470 leaders in healthcare are really going to have 306 00:11:34,470 --> 00:11:36,649 to kind of think outside 307 00:11:37,429 --> 00:11:39,050 their existing coalitions, 308 00:11:40,274 --> 00:11:42,534 for for broader opportunities for partnership. 309 00:11:43,554 --> 00:11:46,434 I think and believe and have seen that 310 00:11:46,434 --> 00:11:48,835 we are more more alike than we are 311 00:11:48,835 --> 00:11:49,335 different. 312 00:11:49,715 --> 00:11:52,215 And so we're gonna need health care leaders 313 00:11:52,274 --> 00:11:54,847 that that can work together on the similarities, 314 00:11:58,540 --> 00:11:59,759 resources more appropriately. 315 00:12:01,980 --> 00:12:03,500 Catherine, thank you so much for joining us 316 00:12:03,500 --> 00:12:05,259 on the podcast today. This has been such 317 00:12:05,259 --> 00:12:07,420 a fun and fascinating conversation, and I look 318 00:12:07,420 --> 00:12:09,279 forward to connecting with you again soon. 319 00:12:10,445 --> 00:12:11,964 Sounds great. Thank you so much, Laura, for 320 00:12:11,964 --> 00:12:12,705 having me.