1 00:00:00,080 --> 00:00:02,159 This is Haley Recker with the Becker's Payer 2 00:00:02,159 --> 00:00:04,319 podcast, and we are recording live at the 3 00:00:04,319 --> 00:00:06,899 Becker's third annual spring Payer Issues roundtable. 4 00:00:07,519 --> 00:00:09,359 I am thrilled today to be joined by 5 00:00:09,359 --> 00:00:11,599 doctor Eric Weil, who is the chief medical 6 00:00:11,599 --> 00:00:13,539 officer at MDLIVE by Evernorth. 7 00:00:14,115 --> 00:00:15,714 Hi, Eric. Thank you so much for having 8 00:00:15,714 --> 00:00:17,154 this discussion with me today. Can you go 9 00:00:17,154 --> 00:00:19,234 ahead and introduce yourself and share a little 10 00:00:19,234 --> 00:00:20,375 bit about your background? 11 00:00:20,754 --> 00:00:22,835 Sure. Thanks for asking. My name is Eric 12 00:00:22,835 --> 00:00:25,875 Weil. I'm the chief medical officer for MD 13 00:00:25,875 --> 00:00:26,934 Live by Evernorth. 14 00:00:27,769 --> 00:00:31,390 I am a practicing primary care physician 15 00:00:31,769 --> 00:00:34,670 who has overseen the clinical infrastructure 16 00:00:35,049 --> 00:00:37,769 and strategy for our virtual solution for the 17 00:00:37,769 --> 00:00:39,469 past two plus years. 18 00:00:40,155 --> 00:00:41,375 My career began 19 00:00:41,835 --> 00:00:45,034 in general primary care and through a relatively 20 00:00:45,034 --> 00:00:48,655 circuitous path. I found myself in medical leadership, 21 00:00:49,274 --> 00:00:51,215 and then in home based care. 22 00:00:51,594 --> 00:00:53,674 Interestingly, though, when I went into home based 23 00:00:53,674 --> 00:00:55,260 care, it was right at the beginning of 24 00:00:55,260 --> 00:00:56,240 the COVID pandemic, 25 00:00:56,859 --> 00:00:58,000 and we rapidly 26 00:00:58,539 --> 00:01:01,020 were forced to pivot into a strategy that 27 00:01:01,020 --> 00:01:02,000 was primarily 28 00:01:02,780 --> 00:01:04,000 telemedicine based. 29 00:01:04,299 --> 00:01:07,920 And in that context, I really learned about 30 00:01:08,204 --> 00:01:10,384 both the value and the opportunity of, 31 00:01:11,164 --> 00:01:12,064 virtual care 32 00:01:12,364 --> 00:01:14,864 and have been running in that 33 00:01:15,244 --> 00:01:17,884 race ever since. I wanna make sure that 34 00:01:17,884 --> 00:01:19,405 we have an opportunity to talk a little 35 00:01:19,405 --> 00:01:21,405 bit about the company that I support, MD 36 00:01:21,405 --> 00:01:21,905 Live. 37 00:01:22,299 --> 00:01:24,620 MD Live is an Evernorth health services company 38 00:01:24,620 --> 00:01:26,319 and one of the leading providers 39 00:01:26,939 --> 00:01:29,180 of telemedicine and virtual care in The United 40 00:01:29,180 --> 00:01:29,680 States. 41 00:01:30,140 --> 00:01:33,180 We offer services in primary care, in urgent 42 00:01:33,180 --> 00:01:34,400 care, in dermatology, 43 00:01:35,165 --> 00:01:37,484 in behavioral health, and we have an employee 44 00:01:37,484 --> 00:01:38,465 assistance program. 45 00:01:39,885 --> 00:01:43,004 The MD live intervention, the MD live program 46 00:01:43,004 --> 00:01:44,844 supports 62,000,000 47 00:01:44,844 --> 00:01:47,484 individuals. They have access to MD live as 48 00:01:47,484 --> 00:01:49,680 a covered benefit through their health plan. And 49 00:01:49,680 --> 00:01:51,719 the way that we offer services is either 50 00:01:51,719 --> 00:01:52,700 through video, 51 00:01:53,239 --> 00:01:56,439 through telephonic care, or through asynchronous care, which 52 00:01:56,439 --> 00:01:58,060 we call e treatment. 53 00:01:58,840 --> 00:02:02,200 We have over 2,000 board certified physicians and 54 00:02:02,200 --> 00:02:04,280 licensed therapists that are trained to deliver care 55 00:02:04,280 --> 00:02:04,780 virtually, 56 00:02:05,704 --> 00:02:08,125 and we are dedicated to delivering exceptional, 57 00:02:08,425 --> 00:02:11,405 accessible, and personalized health care through a seamless, 58 00:02:11,625 --> 00:02:13,324 smoothly connected virtual platform. 59 00:02:14,185 --> 00:02:16,824 That's awesome. Thank you so much for that 60 00:02:16,824 --> 00:02:17,645 brief introduction. 61 00:02:18,870 --> 00:02:21,450 Now moving on, balancing affordability 62 00:02:21,830 --> 00:02:23,990 and quality is a constant challenge for health 63 00:02:23,990 --> 00:02:26,950 plans. How is your organization innovating to manage 64 00:02:26,950 --> 00:02:29,030 the cost of care while maintaining or improving 65 00:02:29,030 --> 00:02:29,930 member outcomes? 66 00:02:31,284 --> 00:02:33,224 So I like to break down 67 00:02:33,764 --> 00:02:35,064 our approach to 68 00:02:35,525 --> 00:02:37,844 the balance of affordability and quality into three 69 00:02:37,844 --> 00:02:39,705 different domains. We use 70 00:02:40,245 --> 00:02:40,745 efficiency, 71 00:02:41,205 --> 00:02:42,425 prevention, and access. 72 00:02:43,349 --> 00:02:45,669 Efficiency allows us to deliver a high quality 73 00:02:45,669 --> 00:02:46,789 care at, 74 00:02:47,349 --> 00:02:48,810 at a better price point 75 00:02:49,110 --> 00:02:49,610 through, 76 00:02:50,229 --> 00:02:53,750 economy of scale, but also through technologies that 77 00:02:53,750 --> 00:02:56,710 streamline the experience and improve communication for patients 78 00:02:56,710 --> 00:02:57,370 and providers. 79 00:02:58,145 --> 00:02:58,965 We also 80 00:02:59,264 --> 00:03:00,245 leverage technology 81 00:03:00,544 --> 00:03:02,485 to support our administrative 82 00:03:02,784 --> 00:03:03,284 responsibilities. 83 00:03:03,585 --> 00:03:06,564 So for example, when you deliver over 84 00:03:06,944 --> 00:03:08,064 1,500,000 85 00:03:08,064 --> 00:03:09,504 visits a year, you wanna be able to 86 00:03:09,504 --> 00:03:11,699 deliver quality at scale. And the way that 87 00:03:11,699 --> 00:03:14,259 you do that is by using an AI 88 00:03:14,259 --> 00:03:18,099 intervention, for example, to help with quality chart 89 00:03:18,099 --> 00:03:20,040 reviews. And that allows us to 90 00:03:20,900 --> 00:03:23,699 manage our leadership workforce and at the same 91 00:03:23,699 --> 00:03:24,919 time as that support 92 00:03:25,405 --> 00:03:27,585 the oversight of quality and safety, 93 00:03:28,125 --> 00:03:29,805 at a volume that's much higher than one 94 00:03:29,805 --> 00:03:31,665 would ordinarily be able to support. 95 00:03:32,284 --> 00:03:35,325 We focus very much on optimizing processes, and 96 00:03:35,325 --> 00:03:36,625 and we have a 97 00:03:37,520 --> 00:03:41,039 continuous process improvement philosophy that allows us to 98 00:03:41,039 --> 00:03:42,180 take any existing 99 00:03:42,639 --> 00:03:45,039 programs or interventions that we have and focus 100 00:03:45,039 --> 00:03:47,060 on making them even more impactful. 101 00:03:47,360 --> 00:03:48,959 The second area that we focus on is 102 00:03:48,959 --> 00:03:49,459 prevention. 103 00:03:49,840 --> 00:03:52,694 And the concept here, of course, is that 104 00:03:52,694 --> 00:03:53,835 in order to 105 00:03:54,215 --> 00:03:55,895 reduce the total cost of care, you have 106 00:03:55,895 --> 00:03:57,814 to keep people healthy. You have to keep 107 00:03:57,814 --> 00:03:58,955 people from 108 00:03:59,334 --> 00:04:01,655 utilizing more expensive health care services, and you 109 00:04:01,655 --> 00:04:04,375 have to prevent them quite frankly from, needing 110 00:04:04,375 --> 00:04:05,194 to miss work. 111 00:04:05,530 --> 00:04:06,909 And so our interventions 112 00:04:07,370 --> 00:04:08,030 not only 113 00:04:08,569 --> 00:04:10,349 deal with care in the moment, 114 00:04:10,810 --> 00:04:14,110 but are very strategically focused on thinking about 115 00:04:14,489 --> 00:04:17,449 the future needs of an individual. So when 116 00:04:17,449 --> 00:04:19,610 a patient comes in for their virtual primary 117 00:04:19,610 --> 00:04:22,185 care, for example, we're not just managing their 118 00:04:22,185 --> 00:04:24,504 complaint in the moment. We're thinking about what 119 00:04:24,504 --> 00:04:27,064 preventive screenings they need, what we can do 120 00:04:27,064 --> 00:04:29,384 to ensure that their diabetes is well controlled, 121 00:04:29,384 --> 00:04:30,365 and that is 122 00:04:30,665 --> 00:04:32,985 a chunk of the work that we do 123 00:04:32,985 --> 00:04:34,125 at any given time. 124 00:04:34,480 --> 00:04:36,720 And then the third area is access because 125 00:04:36,720 --> 00:04:37,379 you can't 126 00:04:37,839 --> 00:04:40,399 have good health care if you can't access 127 00:04:40,399 --> 00:04:41,139 health care. 128 00:04:41,520 --> 00:04:44,180 So we have a twenty four seven 129 00:04:44,960 --> 00:04:45,460 strategy 130 00:04:45,920 --> 00:04:48,480 that allows us to deliver primary care at 131 00:04:48,480 --> 00:04:51,305 10:00 at night or on a Saturday morning. 132 00:04:51,845 --> 00:04:53,444 If you have an urgent care need, you're 133 00:04:53,444 --> 00:04:55,144 gonna see us within twenty minutes. 134 00:04:55,845 --> 00:04:59,125 If you need routine care, even in primary 135 00:04:59,125 --> 00:05:01,045 care, we have the ability to offer that 136 00:05:01,045 --> 00:05:03,610 the same day. If you are in need 137 00:05:03,610 --> 00:05:06,170 of behavioral health services, we can actually manage 138 00:05:06,170 --> 00:05:07,069 those within 139 00:05:07,529 --> 00:05:10,569 within a week. Our physicians can refer patients 140 00:05:10,569 --> 00:05:12,350 to in network specialists, 141 00:05:12,730 --> 00:05:14,569 which means that we can help to, 142 00:05:15,665 --> 00:05:18,785 ensure access and connectivity to the health care 143 00:05:18,785 --> 00:05:21,425 providers that are within an individual's network. And 144 00:05:21,425 --> 00:05:24,464 because we also show cost transparency, we actually 145 00:05:24,464 --> 00:05:26,165 show the cost of the visit in advance. 146 00:05:26,305 --> 00:05:28,545 We allow individuals to make the decisions that 147 00:05:28,545 --> 00:05:30,539 they need to make with regards to how 148 00:05:30,539 --> 00:05:32,560 and when and where they wanna access care. 149 00:05:32,939 --> 00:05:34,139 And then the last point I would say 150 00:05:34,139 --> 00:05:36,779 is that the approach that we've chosen to 151 00:05:36,779 --> 00:05:37,279 use 152 00:05:37,740 --> 00:05:40,620 means that patients are not pursuing health care 153 00:05:40,620 --> 00:05:41,759 in other 154 00:05:42,139 --> 00:05:42,639 venues. 155 00:05:43,035 --> 00:05:45,115 About twenty percent of our MD live patients 156 00:05:45,115 --> 00:05:47,435 indicate that they would have delayed care if 157 00:05:47,435 --> 00:05:49,115 we had not been available to them. MD 158 00:05:49,115 --> 00:05:50,555 live had not been available to them as 159 00:05:50,555 --> 00:05:51,215 a service. 160 00:05:51,675 --> 00:05:53,435 Well, I'd love to go deeper into this 161 00:05:53,435 --> 00:05:56,779 conversation about quality of care. So in an 162 00:05:56,779 --> 00:06:00,220 ever evolving regulatory landscape, what best practices or 163 00:06:00,220 --> 00:06:02,620 tools does your organization rely on to keep 164 00:06:02,620 --> 00:06:04,160 quality of care at the forefront? 165 00:06:05,020 --> 00:06:07,920 I appreciate you asking the question. It's important 166 00:06:08,235 --> 00:06:11,594 to recognize that in the DNA of MD 167 00:06:11,594 --> 00:06:12,094 live, 168 00:06:12,394 --> 00:06:14,894 quality and safety are the top focus. 169 00:06:15,354 --> 00:06:18,235 When we have a business review, when we 170 00:06:18,235 --> 00:06:18,735 review 171 00:06:19,194 --> 00:06:19,694 performance, 172 00:06:20,154 --> 00:06:22,759 we don't start with financials. We don't start 173 00:06:22,759 --> 00:06:25,720 with utilization. We start with quality and safety. 174 00:06:25,720 --> 00:06:27,639 We we talk about whether or not there 175 00:06:27,639 --> 00:06:29,480 have been safety events. We talk about how 176 00:06:29,480 --> 00:06:31,020 our physicians are performing 177 00:06:31,480 --> 00:06:33,879 from a quality point of view. That's where 178 00:06:33,879 --> 00:06:36,694 we always start, And that message is delivered 179 00:06:36,834 --> 00:06:37,334 to 180 00:06:37,955 --> 00:06:40,055 our entire team, whether that's marketing 181 00:06:40,355 --> 00:06:42,055 or strategy or product, 182 00:06:42,435 --> 00:06:45,334 quality and safety come first. When we develop 183 00:06:45,634 --> 00:06:46,694 clinical interventions, 184 00:06:47,519 --> 00:06:50,660 we are always using evidence based guidelines. 185 00:06:51,439 --> 00:06:54,240 When we develop interventions, we ensure that they 186 00:06:54,240 --> 00:06:57,680 are being reviewed, embedded, and produced by licensed 187 00:06:57,680 --> 00:07:00,660 health care professionals, physicians, therapists, and other. 188 00:07:01,055 --> 00:07:03,935 When we select physicians or therapists to be 189 00:07:03,935 --> 00:07:04,834 in our network, 190 00:07:05,134 --> 00:07:08,194 they are all board certified and are robustly 191 00:07:08,254 --> 00:07:08,754 vetted. 192 00:07:09,214 --> 00:07:09,714 And 193 00:07:10,415 --> 00:07:12,355 when we develop new clinical interventions, 194 00:07:12,735 --> 00:07:14,514 they're reviewed every single year. 195 00:07:15,139 --> 00:07:17,779 Nothing that we do becomes outdated because we 196 00:07:17,779 --> 00:07:20,040 are constantly looking at what we offer 197 00:07:20,580 --> 00:07:22,819 to ensure that it is up to date 198 00:07:22,819 --> 00:07:24,199 with the most recent literature. 199 00:07:25,300 --> 00:07:25,800 Finally, 200 00:07:26,339 --> 00:07:28,259 what I would say is that the platform 201 00:07:28,259 --> 00:07:29,240 that we've created 202 00:07:29,805 --> 00:07:31,805 is designed in such a way as to 203 00:07:31,805 --> 00:07:34,605 make it easier for physicians or therapists to 204 00:07:34,605 --> 00:07:35,584 do the right thing. 205 00:07:35,884 --> 00:07:36,625 The platform 206 00:07:37,165 --> 00:07:38,144 helps to facilitate 207 00:07:39,004 --> 00:07:40,464 thoughtful clinical decisions. 208 00:07:41,004 --> 00:07:42,384 It helps to facilitate 209 00:07:43,250 --> 00:07:45,810 ease of decision making in such a way 210 00:07:45,810 --> 00:07:47,910 that we worry less 211 00:07:48,610 --> 00:07:51,169 about whether or not a physician is going 212 00:07:51,169 --> 00:07:53,169 to make the right decision because we are 213 00:07:53,169 --> 00:07:55,009 confident that it's going to happen just because 214 00:07:55,009 --> 00:07:56,069 of the way we're structured. 215 00:07:56,985 --> 00:07:59,145 Thank you so much for sharing. And looking 216 00:07:59,145 --> 00:07:59,645 ahead, 217 00:08:00,025 --> 00:08:01,965 what do you see as the biggest opportunity 218 00:08:02,105 --> 00:08:04,365 for payers to lead the charge in transforming 219 00:08:04,504 --> 00:08:06,824 care delivery and driving better outcomes for all 220 00:08:06,824 --> 00:08:09,145 stakeholders? How can leaders take a step in 221 00:08:09,145 --> 00:08:10,285 this direction now? 222 00:08:11,399 --> 00:08:12,139 You know, 223 00:08:12,919 --> 00:08:15,019 I would make the argument that 224 00:08:15,560 --> 00:08:19,240 we should be acknowledging and embracing the fact 225 00:08:19,240 --> 00:08:21,399 that change is happening and is going to 226 00:08:21,399 --> 00:08:22,459 continue to happen. 227 00:08:23,104 --> 00:08:25,185 For example, if you think about the length 228 00:08:25,185 --> 00:08:27,584 of stay in the hospital for a heart 229 00:08:27,584 --> 00:08:30,225 attack in 1990, it was between nine and 230 00:08:30,225 --> 00:08:30,964 ten days. 231 00:08:31,425 --> 00:08:33,284 When you think about the length of stay 232 00:08:33,345 --> 00:08:36,225 in the hospital today for a myocardial infarction, 233 00:08:36,225 --> 00:08:37,205 it's three days. 234 00:08:37,629 --> 00:08:40,110 A hip replacement in 1970, you were in 235 00:08:40,110 --> 00:08:42,190 the hospital for seventeen to twenty days, and 236 00:08:42,190 --> 00:08:43,570 now it's a same day procedure. 237 00:08:44,350 --> 00:08:44,850 Every 238 00:08:45,309 --> 00:08:46,449 step of the way, 239 00:08:46,750 --> 00:08:49,089 care is being moved from being 240 00:08:49,625 --> 00:08:51,884 in a hospital to being in an ambulatory 241 00:08:52,024 --> 00:08:54,745 setting. And now health care is being moved 242 00:08:54,745 --> 00:08:56,904 in an ambulatory setting from a specialist to 243 00:08:56,904 --> 00:08:59,704 primary care, and then it moves into the 244 00:08:59,704 --> 00:09:00,605 virtual space. 245 00:09:01,225 --> 00:09:03,879 And our role is to recognize that that 246 00:09:03,879 --> 00:09:05,879 is the direction that health care is is 247 00:09:05,879 --> 00:09:08,600 moving in, and our role is to make 248 00:09:08,600 --> 00:09:09,740 sure that we are 249 00:09:10,120 --> 00:09:13,100 well positioned to support the movement of 250 00:09:13,399 --> 00:09:15,159 that care to the home, to a virtual 251 00:09:15,159 --> 00:09:16,360 space. And so the way that we do 252 00:09:16,360 --> 00:09:17,100 this is 253 00:09:18,785 --> 00:09:19,924 we focus on 254 00:09:20,384 --> 00:09:22,485 enhancing and personalizing the patient experience. 255 00:09:23,264 --> 00:09:23,764 We 256 00:09:24,304 --> 00:09:27,105 work as much as we possibly can to 257 00:09:27,105 --> 00:09:29,684 broaden the number of clinical capabilities 258 00:09:30,159 --> 00:09:32,159 that we can offer even in a home 259 00:09:32,159 --> 00:09:35,120 based environment through through a virtual platform, and 260 00:09:35,120 --> 00:09:37,360 that includes things that you historically would have 261 00:09:37,360 --> 00:09:39,360 gone into the office for. Some of those 262 00:09:39,360 --> 00:09:40,500 are around managing 263 00:09:41,279 --> 00:09:42,259 chronic disease, 264 00:09:42,799 --> 00:09:43,299 hypertension, 265 00:09:44,080 --> 00:09:44,580 diabetes, 266 00:09:45,375 --> 00:09:45,875 obesity. 267 00:09:46,415 --> 00:09:48,095 And some of those are focusing on other 268 00:09:48,095 --> 00:09:50,355 areas that are very much priorities 269 00:09:50,815 --> 00:09:51,315 for, 270 00:09:51,934 --> 00:09:54,014 men and women in the course of their 271 00:09:54,014 --> 00:09:55,154 daily health experience, 272 00:09:56,174 --> 00:09:59,075 women's health, menopause care, contraceptive management. 273 00:09:59,615 --> 00:10:02,799 Our role is to ensure that our clinical 274 00:10:02,799 --> 00:10:05,379 capabilities and specialized care are expanding, 275 00:10:06,240 --> 00:10:09,759 and that we're offering more optionality in terms 276 00:10:09,759 --> 00:10:12,000 of referrals, for example. Absolutely. I would say 277 00:10:12,000 --> 00:10:12,899 that we're also 278 00:10:13,214 --> 00:10:15,294 redefining the referrals so that it's not just 279 00:10:15,294 --> 00:10:15,794 to, 280 00:10:16,174 --> 00:10:17,235 in person care, 281 00:10:17,615 --> 00:10:19,394 but also to other virtual services. 282 00:10:20,414 --> 00:10:21,394 And now you mentioned 283 00:10:21,934 --> 00:10:24,194 diabetes care and weight loss 284 00:10:24,574 --> 00:10:26,639 medication. So I'd really like to hear your 285 00:10:26,639 --> 00:10:28,179 thoughts on the recent explosion, 286 00:10:28,639 --> 00:10:30,419 in popularity of direct to consumer 287 00:10:30,799 --> 00:10:31,860 virtual care services 288 00:10:32,319 --> 00:10:34,819 that promote easy access to prescription medications 289 00:10:35,279 --> 00:10:37,519 to treat everything from weight loss to hair 290 00:10:37,519 --> 00:10:38,740 loss to ED. 291 00:10:39,279 --> 00:10:40,740 Thank you for asking the question. 292 00:10:41,285 --> 00:10:42,425 The first point 293 00:10:43,365 --> 00:10:45,764 that is worth keeping in mind when we 294 00:10:45,764 --> 00:10:46,504 think about 295 00:10:46,884 --> 00:10:49,925 the trend towards direct to consumer care is 296 00:10:49,925 --> 00:10:51,144 that health care 297 00:10:51,684 --> 00:10:54,350 is a service industry. It's a service industry 298 00:10:54,350 --> 00:10:57,389 with consequences, however, because if you're not receiving 299 00:10:57,389 --> 00:10:59,549 the service you need, then you may not 300 00:10:59,549 --> 00:11:01,549 be receiving crucial health care or you may 301 00:11:01,549 --> 00:11:03,490 be delaying it in some fashion or another. 302 00:11:03,870 --> 00:11:06,370 So that's point number one. Point number two 303 00:11:06,590 --> 00:11:07,304 is that 304 00:11:07,705 --> 00:11:10,825 patients want more control over their health care. 305 00:11:10,825 --> 00:11:12,904 They want more control in the decisions that 306 00:11:12,904 --> 00:11:14,924 are being made. They wanna be more informed 307 00:11:14,985 --> 00:11:17,065 than perhaps in the past, and they're willing 308 00:11:17,065 --> 00:11:19,649 to pay for it. With that, however, there 309 00:11:19,649 --> 00:11:21,669 is a component of risk because 310 00:11:22,209 --> 00:11:22,709 if 311 00:11:23,409 --> 00:11:25,589 those decisions are not informed decisions 312 00:11:26,370 --> 00:11:28,129 and a patient is willing to pay, then 313 00:11:28,129 --> 00:11:30,049 they could go down a pathway of receiving 314 00:11:30,049 --> 00:11:32,309 care that is not in their best interest. 315 00:11:33,355 --> 00:11:34,815 So the direct to consumer 316 00:11:35,434 --> 00:11:35,934 journey 317 00:11:36,315 --> 00:11:38,735 is one that is going to become increasingly 318 00:11:38,954 --> 00:11:40,894 more prevalent in The United States, 319 00:11:41,355 --> 00:11:44,154 and our role within MD Live is going 320 00:11:44,154 --> 00:11:44,975 to be to 321 00:11:45,500 --> 00:11:47,120 to be a partner acknowledging 322 00:11:47,579 --> 00:11:50,159 the need and the desire for control, but 323 00:11:50,940 --> 00:11:52,639 to do so in a way that ensures 324 00:11:53,019 --> 00:11:54,799 high levels of quality and safety. 325 00:11:55,419 --> 00:11:59,440 And if an individual's priorities may not entirely 326 00:11:59,659 --> 00:12:00,639 align with 327 00:12:01,225 --> 00:12:03,085 what a physician might recognize 328 00:12:03,544 --> 00:12:06,184 as a priority in their health care. Our 329 00:12:06,184 --> 00:12:06,684 role 330 00:12:07,144 --> 00:12:09,065 is to help support a journey that both 331 00:12:09,065 --> 00:12:11,065 meets the patient's needs and at the same 332 00:12:11,065 --> 00:12:13,225 time as that keeps them healthier, makes them 333 00:12:13,225 --> 00:12:13,725 healthier. 334 00:12:14,184 --> 00:12:16,445 So our model, which is 335 00:12:16,850 --> 00:12:18,930 not just focused on direct to consumer, but 336 00:12:18,930 --> 00:12:21,509 it's a more comprehensive and more holistic approach, 337 00:12:21,889 --> 00:12:24,550 would focus on a patient's priorities 338 00:12:25,250 --> 00:12:27,330 and at the same time as that, their 339 00:12:27,330 --> 00:12:28,310 clinical needs. 340 00:12:28,690 --> 00:12:30,769 Most of the time, that's also covered by 341 00:12:30,769 --> 00:12:31,430 their insurance. 342 00:12:32,075 --> 00:12:34,634 And if necessary, we have the ability, and 343 00:12:34,634 --> 00:12:36,495 if desired, to share that information 344 00:12:36,795 --> 00:12:37,774 with their 345 00:12:38,235 --> 00:12:41,195 primary care provider or their specialist provider in 346 00:12:41,195 --> 00:12:41,855 the community. 347 00:12:42,394 --> 00:12:44,235 Alright. Well, thank you. Again, this is Haley 348 00:12:44,235 --> 00:12:47,452 Recker with the Becker Payer Podcast recording live 349 00:12:47,452 --> 00:12:49,852 at the Becker's third annual spring payer issues 350 00:12:49,852 --> 00:12:52,012 roundtable. Thank you so much for joining me 351 00:12:52,012 --> 00:12:53,152 today. Thanks.