1 00:00:00,160 --> 00:00:02,159 Hello, everyone. This is Jacob Emerson with the 2 00:00:02,159 --> 00:00:03,939 Becker's Pay Your Issues podcast. 3 00:00:04,319 --> 00:00:06,240 Thrilled today to be joined by a special 4 00:00:06,240 --> 00:00:09,119 guest. Doctor Shantanu Agrawal is the chief health 5 00:00:09,119 --> 00:00:11,839 officer at Elevance Health. Doctor Agrawal, thanks so 6 00:00:11,839 --> 00:00:13,279 much for taking the time to be with 7 00:00:13,279 --> 00:00:14,500 me on the podcast today. 8 00:00:14,994 --> 00:00:16,754 Happy to do so, Jacob. Thanks for having 9 00:00:16,754 --> 00:00:18,675 me. Yeah. And before we dive into everything 10 00:00:18,675 --> 00:00:19,875 we wanna talk with you about, can you 11 00:00:19,875 --> 00:00:21,815 tell us a little bit more about yourself, 12 00:00:22,114 --> 00:00:24,035 your background in health care, and what it 13 00:00:24,035 --> 00:00:26,295 is that you're doing today at Elevance Health? 14 00:00:27,250 --> 00:00:27,730 Sure. 15 00:00:28,050 --> 00:00:30,050 So I've been fortunate to have kind of 16 00:00:30,050 --> 00:00:31,670 an interesting journey in health care. 17 00:00:32,049 --> 00:00:34,689 I'm an emergency medicine physician by training, so 18 00:00:34,689 --> 00:00:36,530 I I sort of started my health care 19 00:00:36,530 --> 00:00:38,310 journey as a practicing clinician. 20 00:00:39,185 --> 00:00:42,065 From there, I went into healthcare consulting for 21 00:00:42,065 --> 00:00:44,145 a few years and that really helped me 22 00:00:44,145 --> 00:00:46,225 pivot out of sort of being a % 23 00:00:46,225 --> 00:00:46,725 clinician, 24 00:00:47,105 --> 00:00:49,505 learning some different skills that could be applied 25 00:00:49,505 --> 00:00:51,685 to different companies and organizations. 26 00:00:52,700 --> 00:00:54,780 I spent about six years at the Centers 27 00:00:54,780 --> 00:00:56,560 for Medicare and Medicaid Services, 28 00:00:57,659 --> 00:00:58,859 working on, 29 00:00:59,260 --> 00:01:00,880 program integrity issues there. 30 00:01:01,740 --> 00:01:02,880 From CMS, 31 00:01:03,260 --> 00:01:05,500 I ultimately kind of ended my role there 32 00:01:05,500 --> 00:01:07,040 in a political appointment. 33 00:01:07,825 --> 00:01:09,185 And so at the end of the, 34 00:01:09,665 --> 00:01:12,305 administration, I went over and became the chief, 35 00:01:12,704 --> 00:01:15,424 executive officer of the National Quality Forum, which 36 00:01:15,424 --> 00:01:16,244 is a nonprofit, 37 00:01:16,864 --> 00:01:19,584 based in DC that focuses on quality measurement 38 00:01:19,584 --> 00:01:20,244 and improvement. 39 00:01:20,760 --> 00:01:22,859 And then from there, I came to Hellevance 40 00:01:22,920 --> 00:01:24,680 Health, the role that I'm in now, as 41 00:01:24,680 --> 00:01:25,900 chief health officer. 42 00:01:26,680 --> 00:01:28,200 And here, I I get to work on 43 00:01:28,200 --> 00:01:30,040 a lot of, I think, very interesting things. 44 00:01:30,040 --> 00:01:32,060 I I focus on our whole health strategy, 45 00:01:32,920 --> 00:01:33,900 across the enterprise. 46 00:01:34,680 --> 00:01:35,180 I 47 00:01:35,765 --> 00:01:38,644 work my team works on, quality improvement across 48 00:01:38,644 --> 00:01:39,384 all of our, 49 00:01:39,924 --> 00:01:40,825 member populations. 50 00:01:41,524 --> 00:01:42,805 And then one of the things that I 51 00:01:42,805 --> 00:01:45,045 oversee, which we'll get to talk about today, 52 00:01:45,045 --> 00:01:46,744 is the Hellevance Health Foundation. 53 00:01:48,130 --> 00:01:49,810 Fantastic. Yeah. So let's dive right in and 54 00:01:49,810 --> 00:01:52,370 talk about that, doctor Agarwal, because we we 55 00:01:52,370 --> 00:01:54,069 we wanna hear a little bit about Elavance 56 00:01:54,130 --> 00:01:57,510 Health Foundation's impact investment in site services. 57 00:01:57,890 --> 00:01:59,810 It's a great example for the rest of 58 00:01:59,810 --> 00:02:01,010 the industry in terms of, 59 00:02:01,604 --> 00:02:03,444 what we've been seeing as a growing trend 60 00:02:03,444 --> 00:02:06,185 of health insurers taking a more active role 61 00:02:06,325 --> 00:02:08,884 in supporting social determinants of health, such as 62 00:02:08,884 --> 00:02:11,764 mental health services and access to care in 63 00:02:11,764 --> 00:02:12,905 underserved communities. 64 00:02:13,525 --> 00:02:14,905 So from your perspective, 65 00:02:15,409 --> 00:02:16,849 how do you see the role of of 66 00:02:16,849 --> 00:02:19,030 health insurers evolving in addressing 67 00:02:19,330 --> 00:02:21,330 these broader social needs? And what are some 68 00:02:21,330 --> 00:02:23,270 of the long term benefits for the industry 69 00:02:23,330 --> 00:02:25,569 and for a company like Elevance Health when 70 00:02:25,569 --> 00:02:28,389 when you invest in these community based initiatives? 71 00:02:29,875 --> 00:02:31,555 Yeah. That is a a great question, a 72 00:02:31,555 --> 00:02:34,594 big question. So just, taking a step back, 73 00:02:34,594 --> 00:02:36,935 you know, I think we increasingly realize 74 00:02:37,555 --> 00:02:38,055 that, 75 00:02:39,235 --> 00:02:42,514 social health is just as important as mental 76 00:02:42,514 --> 00:02:44,900 health and physical health. And in fact, those 77 00:02:44,900 --> 00:02:47,460 three components are really the center of our 78 00:02:47,460 --> 00:02:48,520 whole health strategy, 79 00:02:48,819 --> 00:02:49,639 in our company. 80 00:02:49,939 --> 00:02:52,680 So we believe if you address whole health, 81 00:02:53,300 --> 00:02:55,780 you will address quite naturally health care value 82 00:02:55,780 --> 00:02:56,520 and affordability 83 00:02:56,819 --> 00:02:57,960 because it will allow, 84 00:02:58,834 --> 00:03:00,834 us in this case to go beyond sort 85 00:03:00,834 --> 00:03:02,995 of the traditional health care environment and address 86 00:03:02,995 --> 00:03:05,735 the root causes of what often shows up 87 00:03:05,794 --> 00:03:08,275 in traditional health care. And so, you know, 88 00:03:08,275 --> 00:03:10,674 again, I think it's commonly known now in 89 00:03:10,674 --> 00:03:12,960 the field that 80% of what affects a 90 00:03:12,960 --> 00:03:15,199 person's health really isn't about what happens in 91 00:03:15,199 --> 00:03:16,800 the doctor's office. And I say that, of 92 00:03:16,800 --> 00:03:18,639 course, as a doctor, and I I think 93 00:03:18,639 --> 00:03:21,599 doctors are are incredibly important for the work 94 00:03:21,599 --> 00:03:22,419 that they do. 95 00:03:22,879 --> 00:03:25,439 They can't be responsible for everything that happens 96 00:03:25,439 --> 00:03:27,344 that ultimately affects a person's health. 97 00:03:27,905 --> 00:03:29,665 But I think we as a company really 98 00:03:29,665 --> 00:03:31,425 need to play our role in doing that. 99 00:03:31,425 --> 00:03:33,344 So whole health is really central to what 100 00:03:33,344 --> 00:03:35,125 we do. Why I think 101 00:03:35,905 --> 00:03:36,405 social, 102 00:03:37,025 --> 00:03:38,724 care matters is because 103 00:03:39,425 --> 00:03:41,264 a a big chunk of that whole health 104 00:03:41,264 --> 00:03:41,764 paradigm 105 00:03:42,689 --> 00:03:45,489 is, the social resources that a person has. 106 00:03:45,489 --> 00:03:46,389 That might be 107 00:03:46,769 --> 00:03:48,849 their social supports and whether or not they're 108 00:03:48,849 --> 00:03:51,810 socially isolated. It might be their access to 109 00:03:51,810 --> 00:03:52,709 healthy food. 110 00:03:53,569 --> 00:03:55,209 It it it might be their access to, 111 00:03:55,209 --> 00:03:57,250 you know, clean air, clean water, a clean 112 00:03:57,250 --> 00:04:00,564 environment, a place to work out, walk, exercise. 113 00:04:00,784 --> 00:04:02,305 So there's, you know, like, sort of that 114 00:04:02,305 --> 00:04:03,604 entire social ecosystem 115 00:04:04,305 --> 00:04:06,704 that surrounds a person. I've often said, you 116 00:04:06,704 --> 00:04:08,465 know, no one is really healthier than the 117 00:04:08,465 --> 00:04:10,084 community that that they're in. 118 00:04:10,784 --> 00:04:12,224 And so there's a lot that you can 119 00:04:12,224 --> 00:04:14,419 do as a company like ours to address 120 00:04:14,800 --> 00:04:16,639 some of these social context. I think it's 121 00:04:16,639 --> 00:04:18,100 critical to do because, ultimately, 122 00:04:18,560 --> 00:04:20,720 if you don't address root issues like the 123 00:04:20,720 --> 00:04:22,399 quality of the food that a person is 124 00:04:22,399 --> 00:04:25,600 eating, they will invariably develop chronic conditions like 125 00:04:25,600 --> 00:04:26,740 diabetes or hypertension 126 00:04:27,314 --> 00:04:28,915 that then show up in the ER or 127 00:04:28,915 --> 00:04:30,514 show up at the doctor's office. And as 128 00:04:30,514 --> 00:04:33,095 a payer, we're we'll certainly be responsible 129 00:04:33,555 --> 00:04:35,555 for the entirety of that journey. So why 130 00:04:35,555 --> 00:04:36,935 not put our, resources 131 00:04:37,714 --> 00:04:39,795 earlier where we can really affect a person's 132 00:04:39,795 --> 00:04:43,199 life, hopefully stem chronic diseases from developing or 133 00:04:43,199 --> 00:04:43,699 worsening, 134 00:04:44,160 --> 00:04:47,120 and ultimately, you know, provide value for that 135 00:04:47,120 --> 00:04:47,620 member. 136 00:04:48,800 --> 00:04:51,199 Certainly. And I know, from our coverage and 137 00:04:51,199 --> 00:04:51,779 our readership, 138 00:04:52,319 --> 00:04:54,319 Elavance Health is really on the forefront of 139 00:04:54,319 --> 00:04:57,085 addressing social determinants of health among your members 140 00:04:57,145 --> 00:04:58,925 and within the communities you serve. 141 00:04:59,705 --> 00:05:02,345 Shanti, let's let's specifically talk about this most 142 00:05:02,345 --> 00:05:03,865 recent $300,000 143 00:05:03,865 --> 00:05:07,384 investment in mental health services for children and 144 00:05:07,384 --> 00:05:10,660 families, which really underscores the increasing importance of 145 00:05:10,660 --> 00:05:12,199 behavioral health within 146 00:05:12,579 --> 00:05:14,040 overall health outcomes. 147 00:05:14,579 --> 00:05:16,660 Given, as you know, the rising mental health 148 00:05:16,660 --> 00:05:19,139 crisis all over the country, what are some 149 00:05:19,139 --> 00:05:20,979 of the further steps you think insurers should 150 00:05:20,979 --> 00:05:23,175 be taking right now to better integrate mental 151 00:05:23,175 --> 00:05:26,475 health support into their broader health benefits offerings? 152 00:05:27,254 --> 00:05:30,214 Yeah. So, again, let me just remind the 153 00:05:30,214 --> 00:05:31,495 audience a little bit like, 154 00:05:31,895 --> 00:05:32,395 this, 155 00:05:32,935 --> 00:05:35,254 work is being conducted through the foundation. Now 156 00:05:35,254 --> 00:05:36,875 I think addressing mental health, 157 00:05:37,629 --> 00:05:40,750 behavioral health is incredibly important for our company 158 00:05:40,750 --> 00:05:42,589 as a whole, even of course outside of 159 00:05:42,589 --> 00:05:44,449 the foundation and for the industry. 160 00:05:44,910 --> 00:05:47,550 And really integrating mental health with other kinds 161 00:05:47,550 --> 00:05:50,270 of healthcare delivery, including social is really important 162 00:05:50,270 --> 00:05:51,089 because oftentimes 163 00:05:51,550 --> 00:05:53,009 these issues hang together. 164 00:05:53,564 --> 00:05:56,285 What the foundation is doing very differently that 165 00:05:56,285 --> 00:05:57,884 I I just want people to know about 166 00:05:57,884 --> 00:06:00,524 is, you know, the foundation is has existed 167 00:06:00,524 --> 00:06:03,164 for years and in the vast majority of 168 00:06:03,164 --> 00:06:05,504 that time, it's been a grant making organization, 169 00:06:06,060 --> 00:06:09,259 which means we invite nonprofit partners to come 170 00:06:09,259 --> 00:06:11,180 in and apply for grants, and then we 171 00:06:11,180 --> 00:06:14,300 we provide those grants for specific areas of 172 00:06:14,300 --> 00:06:17,100 programmatic work. As a former CEO of a 173 00:06:17,100 --> 00:06:19,259 nonprofit, I know exactly what that feels like 174 00:06:19,259 --> 00:06:19,920 from the 175 00:06:20,235 --> 00:06:22,074 applying and receiving side, and now I get 176 00:06:22,074 --> 00:06:23,595 to sort of do it on the foundation 177 00:06:23,595 --> 00:06:24,095 side. 178 00:06:24,634 --> 00:06:26,794 What I wanted to do is to try 179 00:06:26,794 --> 00:06:29,035 to open the aperture of the foundation a 180 00:06:29,035 --> 00:06:31,035 little bit. We're we're never gonna move away 181 00:06:31,035 --> 00:06:32,735 from being a grant making organization. 182 00:06:33,354 --> 00:06:35,689 But, you know, grant grants are wonderful for 183 00:06:35,689 --> 00:06:37,750 a variety of things. What it also unfortunately 184 00:06:37,889 --> 00:06:39,970 does is it can limit the kinds of 185 00:06:39,970 --> 00:06:41,750 organizations we can work with. 186 00:06:42,209 --> 00:06:45,110 They have to be specifically programmatic in nature 187 00:06:45,250 --> 00:06:47,329 and they have to be nonprofits in order 188 00:06:47,329 --> 00:06:49,644 to really take advantage of a grant. So 189 00:06:49,644 --> 00:06:51,425 we opened up a brand new program 190 00:06:52,125 --> 00:06:54,044 putting initially a $10,000,000 191 00:06:54,044 --> 00:06:55,824 kind of investment into that program 192 00:06:56,204 --> 00:06:58,865 for the purposes of providing impact investment 193 00:06:59,404 --> 00:07:01,884 to downstream recipients. You can basically think of 194 00:07:01,884 --> 00:07:02,759 this as loans. 195 00:07:03,240 --> 00:07:04,920 So one of the first loans that we 196 00:07:04,920 --> 00:07:05,400 have, 197 00:07:06,199 --> 00:07:08,199 made as part of this program is to 198 00:07:08,279 --> 00:07:10,860 in the organization that you cited, Sykes Services 199 00:07:11,400 --> 00:07:14,379 in California. We gave them an initial loan. 200 00:07:14,439 --> 00:07:16,425 This is truly a loan. Now we made 201 00:07:16,425 --> 00:07:18,584 sure that we construct these loans working really 202 00:07:18,584 --> 00:07:19,644 closely with 203 00:07:20,024 --> 00:07:20,604 a partner 204 00:07:21,064 --> 00:07:23,305 to be to have a very low interest 205 00:07:23,305 --> 00:07:25,064 rate. The goal is to be well below 206 00:07:25,064 --> 00:07:27,064 the market so that we make sure we 207 00:07:27,064 --> 00:07:27,720 are getting, 208 00:07:28,279 --> 00:07:31,480 funds to organizations that can really use those 209 00:07:31,480 --> 00:07:34,360 dollars to aid their communities and and drive 210 00:07:34,360 --> 00:07:35,100 health improvement, 211 00:07:35,480 --> 00:07:37,319 but not burden them with a high interest 212 00:07:37,319 --> 00:07:39,800 rate. So Sykes services has gotten that. I'm 213 00:07:39,800 --> 00:07:41,180 really excited about it. 214 00:07:41,805 --> 00:07:43,645 And and to your point, they are in 215 00:07:43,645 --> 00:07:45,904 the kind of behavioral health, mental health space. 216 00:07:46,045 --> 00:07:48,045 And what's really exciting is that what they 217 00:07:48,045 --> 00:07:50,845 really seek to do is provide services for 218 00:07:50,845 --> 00:07:51,345 children, 219 00:07:51,725 --> 00:07:52,625 for their caregivers, 220 00:07:53,004 --> 00:07:53,745 and educators, 221 00:07:54,889 --> 00:07:57,149 starting in California, but they're also now virtual 222 00:07:57,289 --> 00:07:59,449 in, I think over 30 states around the 223 00:07:59,449 --> 00:07:59,949 country. 224 00:08:00,250 --> 00:08:02,509 They offer a lot of different therapeutic solutions, 225 00:08:02,569 --> 00:08:04,829 including counseling and group therapy, 226 00:08:05,610 --> 00:08:07,389 specialized programs for adolescents. 227 00:08:07,964 --> 00:08:10,285 So it's it's just really interesting. They work 228 00:08:10,285 --> 00:08:12,204 closely with schools. They work closely with kids 229 00:08:12,204 --> 00:08:12,865 and caregivers, 230 00:08:13,165 --> 00:08:14,605 and we thought they would just be a 231 00:08:14,605 --> 00:08:17,805 fantastic organization to help grow and support through 232 00:08:17,805 --> 00:08:18,785 this loan program. 233 00:08:19,644 --> 00:08:21,644 Absolutely. That's amazing, and I'm sure it's going 234 00:08:21,644 --> 00:08:24,029 to be a very impactful investment for for 235 00:08:24,029 --> 00:08:24,770 those individuals. 236 00:08:25,629 --> 00:08:29,069 As the Elavance Health Foundation continues to expand 237 00:08:29,069 --> 00:08:32,129 its impact investing program to address health disparities 238 00:08:32,269 --> 00:08:34,290 and and to promote economic development, 239 00:08:34,669 --> 00:08:36,910 how do you think the wider insurance industry 240 00:08:36,910 --> 00:08:38,769 can scale similar initiatives? 241 00:08:39,315 --> 00:08:40,855 What are some of the lessons that 242 00:08:41,235 --> 00:08:43,095 everyone should be taking from Ellevance 243 00:08:43,475 --> 00:08:45,815 from the Ellevance model in terms of structuring 244 00:08:45,875 --> 00:08:48,294 investments to create meaningful change? 245 00:08:49,154 --> 00:08:50,915 That that's a that's a really kind way 246 00:08:50,915 --> 00:08:52,595 of putting it, and thank you for that. 247 00:08:52,595 --> 00:08:53,735 I look. I think 248 00:08:54,919 --> 00:08:56,839 one of our main drivers for doing this 249 00:08:56,839 --> 00:08:57,339 is, 250 00:08:57,720 --> 00:09:00,539 again, working with a wider variety of organizations 251 00:09:00,679 --> 00:09:01,419 and companies 252 00:09:01,879 --> 00:09:04,139 that could be benefited by a loan program, 253 00:09:04,200 --> 00:09:06,495 maybe even more so than a grant making 254 00:09:06,575 --> 00:09:09,134 program. And to any of our nonprofit partners 255 00:09:09,134 --> 00:09:10,975 who who may listen to this, again, I'll 256 00:09:10,975 --> 00:09:13,054 reiterate grants are gonna be central to our 257 00:09:13,054 --> 00:09:14,274 mission as well. 258 00:09:14,735 --> 00:09:17,375 We just wanted to widen the the scope 259 00:09:17,375 --> 00:09:19,054 of who we could work with and what 260 00:09:19,054 --> 00:09:21,269 they could get funding from us to do. 261 00:09:21,910 --> 00:09:23,670 You know, we are I think I believe 262 00:09:23,670 --> 00:09:25,429 we're the first in our industry to do 263 00:09:25,429 --> 00:09:27,269 this. I know there are other industries that 264 00:09:27,269 --> 00:09:28,649 have taken this kind of approach. 265 00:09:29,429 --> 00:09:31,029 I encourage it. I think if it makes 266 00:09:31,029 --> 00:09:34,575 sense for the the strategic goals of of, 267 00:09:34,815 --> 00:09:37,554 an organization, it makes sense to offer this. 268 00:09:38,254 --> 00:09:42,174 I'm really excited to see businesses thrive based 269 00:09:42,174 --> 00:09:44,335 on the loans that they're getting. So my 270 00:09:44,335 --> 00:09:46,575 mental model is often, hey. Imagine we're in 271 00:09:46,575 --> 00:09:47,154 a community. 272 00:09:47,769 --> 00:09:50,009 We could help to give a grant to 273 00:09:50,009 --> 00:09:52,089 the local food bank, which we do all 274 00:09:52,089 --> 00:09:54,250 the time. And then in addition, we could 275 00:09:54,250 --> 00:09:56,830 help to grow a community grocery store 276 00:09:57,210 --> 00:09:59,370 through this loan program that is truly a 277 00:09:59,370 --> 00:10:01,634 business that is thriving, you know, striving to 278 00:10:01,634 --> 00:10:04,835 be a a self sustaining grocery store, perhaps 279 00:10:04,835 --> 00:10:07,075 in a food desert. And it's sort of 280 00:10:07,075 --> 00:10:09,795 the opportunity to bring those two together, these 281 00:10:09,795 --> 00:10:11,014 these two different approaches 282 00:10:11,715 --> 00:10:13,415 in in the same community, 283 00:10:14,579 --> 00:10:15,799 encourage entrepreneurship 284 00:10:16,259 --> 00:10:16,919 in one, 285 00:10:17,299 --> 00:10:19,779 bolster the social safety net in the other. 286 00:10:19,779 --> 00:10:21,379 I mean, I think this is the sort 287 00:10:21,379 --> 00:10:23,459 of complete approach that we're trying to take. 288 00:10:23,459 --> 00:10:24,899 And in all of the work that we 289 00:10:24,899 --> 00:10:28,225 do, we really focus on socially disadvantaged populations 290 00:10:29,004 --> 00:10:31,804 and, social areas that we know matter a 291 00:10:31,804 --> 00:10:34,205 lot to community. So, again, I hope to 292 00:10:34,205 --> 00:10:36,465 see we're really early in the loan program. 293 00:10:37,085 --> 00:10:39,004 I hope to see many, many more of 294 00:10:39,004 --> 00:10:41,404 these dollars go out the door, supporting small 295 00:10:41,404 --> 00:10:41,904 businesses, 296 00:10:42,899 --> 00:10:43,399 supporting, 297 00:10:43,860 --> 00:10:46,339 organizations that then are doing great work in 298 00:10:46,339 --> 00:10:47,079 their community, 299 00:10:47,459 --> 00:10:49,720 and and fingers crossed, they will be sustainable 300 00:10:49,860 --> 00:10:52,179 over time. So we'll really be improving those 301 00:10:52,179 --> 00:10:54,200 communities for generations to come. 302 00:10:54,835 --> 00:10:56,355 Certainly. Well, I hope you will keep us 303 00:10:56,355 --> 00:10:58,914 updated as these investments continue and as as 304 00:10:58,914 --> 00:11:00,375 you continue to see outcomes 305 00:11:00,754 --> 00:11:01,495 through them. 306 00:11:01,955 --> 00:11:04,115 But before we go, Shantanu, what else are 307 00:11:04,115 --> 00:11:06,434 we missing? Any final tidbits of advice you 308 00:11:06,434 --> 00:11:09,575 wanna offer, the health plan leaders listening in? 309 00:11:10,509 --> 00:11:12,909 Yeah. I mean, you know, I think people 310 00:11:12,909 --> 00:11:15,389 understand the the basic concept here. If there's 311 00:11:15,389 --> 00:11:17,549 questions about it or if people wanna know 312 00:11:17,549 --> 00:11:19,069 how to how to maybe get their own 313 00:11:19,069 --> 00:11:21,309 companies involved, I'd be happy to serve as 314 00:11:21,309 --> 00:11:23,235 a resource. I know my team would be, 315 00:11:24,514 --> 00:11:27,095 I think as a big company ourselves, 316 00:11:27,714 --> 00:11:29,334 we take our role in 317 00:11:29,634 --> 00:11:31,554 in this area really seriously. We take our 318 00:11:31,554 --> 00:11:33,875 role in improving health very seriously. We also 319 00:11:33,875 --> 00:11:36,214 take our role as being an economic engine 320 00:11:36,519 --> 00:11:39,799 for society really seriously. It's really bad thinking 321 00:11:39,799 --> 00:11:42,759 that I wanted to bring to this, impact 322 00:11:42,759 --> 00:11:43,820 investing program. 323 00:11:44,279 --> 00:11:46,200 So we measure things, of course, like, hey. 324 00:11:46,200 --> 00:11:48,200 How are we improving health? But we also 325 00:11:48,200 --> 00:11:50,279 measure things that are employ important as an 326 00:11:50,279 --> 00:11:52,575 employer. We want you to be sustainable. We 327 00:11:52,575 --> 00:11:54,415 want you to grow the number of employees 328 00:11:54,415 --> 00:11:55,295 that you are, 329 00:11:55,774 --> 00:11:56,995 employing in your community. 330 00:11:57,695 --> 00:11:59,855 So those kinds of KPIs matter as well. 331 00:11:59,855 --> 00:12:01,535 I mean, this is this can be the 332 00:12:01,535 --> 00:12:03,054 thing that I that I think can really 333 00:12:03,054 --> 00:12:04,274 be a broad strategy 334 00:12:04,740 --> 00:12:06,840 for putting more resources in communities 335 00:12:07,220 --> 00:12:09,860 through sustainable enterprises that then actually aim to 336 00:12:09,860 --> 00:12:12,019 improve the health of those communities. So if 337 00:12:12,019 --> 00:12:14,340 that idea is interesting, I'd certainly love to 338 00:12:14,340 --> 00:12:15,960 stay in touch, but invite anyone, 339 00:12:16,340 --> 00:12:17,940 listening to this to also reach out, and 340 00:12:17,940 --> 00:12:19,915 we're we're happy to be a a guide 341 00:12:19,915 --> 00:12:21,055 wherever that's helpful. 342 00:12:22,075 --> 00:12:24,634 Fantastic. Well, doctor Agrawal, thank you so much 343 00:12:24,634 --> 00:12:25,915 for taking the time to sit down with 344 00:12:25,915 --> 00:12:27,915 us and for sharing about the latest work 345 00:12:27,915 --> 00:12:30,254 happening at Dilavance and and under your leadership. 346 00:12:30,315 --> 00:12:32,339 We really appreciate it. Thank you. It's been 347 00:12:32,339 --> 00:12:33,879 it's been great. Thank you for the opportunity. 348 00:12:34,259 --> 00:12:35,620 And if you'd like to listen to more 349 00:12:35,620 --> 00:12:39,639 podcasts from Becker's Healthcare, you can visit beckershospitalreview.com.