1 00:00:00,000 --> 00:00:02,399 Hi, everyone. This is Erica Spicer Mason with 2 00:00:02,399 --> 00:00:04,639 Becker's Healthcare. Thank you so much for tuning 3 00:00:04,639 --> 00:00:06,980 into the Becker's Healthcare podcast series. 4 00:00:07,359 --> 00:00:09,359 So I'm thrilled to be on-site today with 5 00:00:09,359 --> 00:00:11,859 two special guests at Becker's Payer Roundtable, 6 00:00:12,484 --> 00:00:14,644 and we'll discuss how in home care supports 7 00:00:14,644 --> 00:00:16,344 better health and cost savings. 8 00:00:16,804 --> 00:00:19,204 So we have with us Catherine Tabaka, the 9 00:00:19,204 --> 00:00:22,585 CEO at Matrix Medical Network, and Michael Kantor, 10 00:00:22,804 --> 00:00:25,949 chief medical officer at Matrix Medical Network. Catherine 11 00:00:25,949 --> 00:00:27,469 and doctor Kantor, thank you so much for 12 00:00:27,469 --> 00:00:28,449 joining us today. 13 00:00:28,829 --> 00:00:30,989 Thanks for having us. Yeah. We're so thrilled 14 00:00:30,989 --> 00:00:32,670 to have you. And before we get into 15 00:00:32,670 --> 00:00:34,270 the meat of our discussion, I wanted to 16 00:00:34,270 --> 00:00:35,549 see if you'd each like to share just 17 00:00:35,549 --> 00:00:37,570 a little bit more about yourselves, your role, 18 00:00:37,629 --> 00:00:39,949 Matrix Medical, whatever feels top of mind for 19 00:00:39,949 --> 00:00:40,424 you. 20 00:00:40,905 --> 00:00:43,945 Sure. I'll, start. So good afternoon, Eric, and 21 00:00:43,945 --> 00:00:46,024 thanks for having us again. So I am 22 00:00:46,024 --> 00:00:49,225 Catherine Tabak. I'm the, CEO of Matrix Medical 23 00:00:49,225 --> 00:00:49,725 Network. 24 00:00:50,424 --> 00:00:52,045 Twenty five years ago, 25 00:00:52,424 --> 00:00:52,924 Matrix 26 00:00:53,280 --> 00:00:56,500 pioneered the first national clinical network 27 00:00:56,880 --> 00:00:57,780 meeting people 28 00:00:58,240 --> 00:01:00,640 in the comfort of their homes, kind of 29 00:01:00,640 --> 00:01:02,579 reviving the old households. 30 00:01:03,760 --> 00:01:06,064 Today we are the only independent provider of 31 00:01:06,064 --> 00:01:08,885 in home health and care assessments. We employ 32 00:01:08,944 --> 00:01:10,405 nearly 3,500 33 00:01:10,704 --> 00:01:11,204 clinicians, 34 00:01:11,905 --> 00:01:14,325 mostly nurse practitioners across the country. 35 00:01:14,944 --> 00:01:18,625 We partner with just under 40 risk bearing 36 00:01:18,625 --> 00:01:19,125 entities, 37 00:01:19,630 --> 00:01:22,689 health plans and downstream entities from health plans. 38 00:01:23,150 --> 00:01:25,469 And in any given year, we will complete 39 00:01:25,469 --> 00:01:26,209 and deliver 40 00:01:26,590 --> 00:01:28,130 about a million visits, 41 00:01:28,909 --> 00:01:32,364 while positively actually impacting hundreds of thousands of 42 00:01:32,364 --> 00:01:34,924 other lives of people in the care ecosystem 43 00:01:34,924 --> 00:01:36,364 of those patients that we meet in the 44 00:01:36,364 --> 00:01:36,864 home. 45 00:01:37,325 --> 00:01:39,405 If you think about Matrix and and what 46 00:01:39,405 --> 00:01:42,924 differentiates Matrix today, we are focused on the 47 00:01:42,924 --> 00:01:44,469 whole person in front of us. So whole 48 00:01:44,469 --> 00:01:46,870 person care is really core and at the 49 00:01:46,870 --> 00:01:49,189 center of what we do. We're clinically led 50 00:01:49,189 --> 00:01:50,629 at the point of care. It's the clinical 51 00:01:50,629 --> 00:01:52,950 judgment of our conditions that actually prevails based 52 00:01:52,950 --> 00:01:54,150 on what they see when they're in the 53 00:01:54,150 --> 00:01:54,650 home. 54 00:01:55,030 --> 00:01:57,989 And for twenty five years, an unyielding commitment 55 00:01:57,989 --> 00:01:59,644 to quality, accuracy, 56 00:01:59,944 --> 00:02:00,685 and compliance. 57 00:02:01,144 --> 00:02:02,364 And this is really, 58 00:02:02,825 --> 00:02:05,144 one of the backbones of this organization, which 59 00:02:05,144 --> 00:02:07,084 everybody is pretty proud of at Matrix. 60 00:02:07,625 --> 00:02:09,224 So great to learn more of the history 61 00:02:09,224 --> 00:02:11,465 of Matrix. Thank you so much, Catherine. And 62 00:02:11,465 --> 00:02:13,164 doctor Kanter, tell us about yourself. 63 00:02:13,819 --> 00:02:15,260 Great to be with you today. Very excited 64 00:02:15,260 --> 00:02:16,939 to share my experience and to tell you 65 00:02:16,939 --> 00:02:18,300 a bit more about what we're doing at 66 00:02:18,300 --> 00:02:18,800 Matrix. 67 00:02:19,419 --> 00:02:20,319 I'm a geriatrician 68 00:02:20,620 --> 00:02:22,620 with a lot of experience, including making house 69 00:02:22,620 --> 00:02:25,280 calls, for many years. So I've actually personally 70 00:02:25,835 --> 00:02:27,995 seen the value and the power of in 71 00:02:27,995 --> 00:02:28,735 home care 72 00:02:29,034 --> 00:02:31,275 and how much you can learn, from being 73 00:02:31,275 --> 00:02:33,355 on-site and in someone's home and how much 74 00:02:33,355 --> 00:02:35,675 better it is in terms of understanding who 75 00:02:35,675 --> 00:02:37,915 they are, what they need, what's important to 76 00:02:37,915 --> 00:02:40,360 them. I've been a chief medical officer, 77 00:02:40,659 --> 00:02:43,699 for many organizations, for physician networks like Tufts 78 00:02:43,699 --> 00:02:45,860 Medical Center in Boston where I live. I've 79 00:02:45,860 --> 00:02:48,199 worked with health plans like Bright Health and 80 00:02:48,419 --> 00:02:50,580 also for companies that provide support to health 81 00:02:50,580 --> 00:02:52,905 plans like Matrix Medical and Uber Health. 82 00:02:53,384 --> 00:02:54,905 When we go into the home, what we 83 00:02:54,905 --> 00:02:57,164 can see are things that other people 84 00:02:57,465 --> 00:02:57,965 can't. 85 00:02:58,425 --> 00:03:00,745 There's simply no substitute for walking into someone's 86 00:03:00,745 --> 00:03:03,064 home, taking a look around, even taking a 87 00:03:03,064 --> 00:03:04,344 a whiff, and kind of getting a sense 88 00:03:04,344 --> 00:03:06,210 of what's going on in that home. And 89 00:03:06,210 --> 00:03:06,870 this is completely consistent 90 00:03:07,569 --> 00:03:09,330 with my personal goals, which have always been 91 00:03:09,330 --> 00:03:12,050 about the Triple Aim goals of improving quality 92 00:03:12,050 --> 00:03:15,250 of care, lower costs, and better patient member 93 00:03:15,250 --> 00:03:15,750 experience. 94 00:03:16,129 --> 00:03:18,290 And really, if possible, bringing the care to 95 00:03:18,290 --> 00:03:20,610 the patient instead of bringing the patient to 96 00:03:20,610 --> 00:03:21,194 the care. 97 00:03:21,754 --> 00:03:23,995 So we are a % committed to whole 98 00:03:23,995 --> 00:03:26,575 person care, which is completely aligned to geriatrics. 99 00:03:27,355 --> 00:03:29,754 Catherine mentioned that this is really the core 100 00:03:29,754 --> 00:03:31,194 of what we're trying to do, is to 101 00:03:31,194 --> 00:03:33,135 ensure that we do comprehensive assessments 102 00:03:33,515 --> 00:03:34,254 that identify 103 00:03:34,795 --> 00:03:35,935 that person's strengths 104 00:03:36,400 --> 00:03:38,240 and also what they need, whether that's a 105 00:03:38,240 --> 00:03:40,879 medical need or social determinative health need. We 106 00:03:40,879 --> 00:03:42,240 can be the eyes and ears in the 107 00:03:42,240 --> 00:03:44,400 home for primary care providers, many of whom 108 00:03:44,400 --> 00:03:46,099 are not able to make house calls. 109 00:03:46,639 --> 00:03:49,139 And we can also reinforce the messages 110 00:03:49,655 --> 00:03:51,814 that that patient, that member needs to hear 111 00:03:51,814 --> 00:03:53,594 to improve and maintain their health. 112 00:03:53,974 --> 00:03:56,455 We really do a comprehensive assessment to ensure 113 00:03:56,455 --> 00:03:58,854 that people are getting what they need and 114 00:03:58,854 --> 00:04:00,474 that we that we have any, 115 00:04:01,094 --> 00:04:03,094 if we have identified any gaps that we 116 00:04:03,094 --> 00:04:04,155 can do what's necessary 117 00:04:04,639 --> 00:04:06,560 to close those gaps and collaborate with the 118 00:04:06,560 --> 00:04:08,319 rest of the health care system to get 119 00:04:08,319 --> 00:04:10,479 that done. So it's really a privilege, 120 00:04:10,879 --> 00:04:12,879 when being invited as a guest into someone's 121 00:04:12,879 --> 00:04:14,719 home in a matrix, we do it almost 122 00:04:14,719 --> 00:04:16,480 a million times a year, and we're getting 123 00:04:16,480 --> 00:04:17,220 great results. 124 00:04:17,915 --> 00:04:19,915 Just a million times a year. That is, 125 00:04:20,235 --> 00:04:22,074 quite a number. And thank you so much, 126 00:04:22,074 --> 00:04:23,595 doctor Kanter, for rounding us out with the 127 00:04:23,595 --> 00:04:26,154 introductions. It's great to hear about what personally 128 00:04:26,154 --> 00:04:28,395 motivates you to do this work and how 129 00:04:28,395 --> 00:04:31,275 you have, such expertise in this field. So 130 00:04:31,275 --> 00:04:32,654 thank you again for sharing. 131 00:04:33,300 --> 00:04:36,100 And I wanna start with addressing something that 132 00:04:36,100 --> 00:04:38,019 Katherine brought up in in her intro, and 133 00:04:38,019 --> 00:04:39,779 that was and you did as well, doctor 134 00:04:39,779 --> 00:04:42,120 Kanter, the concept of whole person care. 135 00:04:42,579 --> 00:04:44,259 I know it's not a new concept by 136 00:04:44,259 --> 00:04:45,939 any means, but we certainly see it a 137 00:04:45,939 --> 00:04:49,074 lot more in health plan strategy today. Health 138 00:04:49,074 --> 00:04:51,634 plans are looking for more holistic approaches to 139 00:04:51,634 --> 00:04:54,514 support their members and their health. But implementing 140 00:04:54,514 --> 00:04:56,754 some of those services can be challenging. So 141 00:04:56,754 --> 00:04:58,435 I'd love to hear from you both. What 142 00:04:58,435 --> 00:05:00,889 are some of the biggest barriers to effectively 143 00:05:00,889 --> 00:05:03,370 delivering whole person care, and where does in 144 00:05:03,370 --> 00:05:06,269 home care help to address those gaps? Mhmm. 145 00:05:06,409 --> 00:05:08,729 I'll I'll get us started here. I think, 146 00:05:09,289 --> 00:05:11,129 first, when we talk about whole person care, 147 00:05:11,129 --> 00:05:13,469 I think that traditionally the health care system 148 00:05:13,529 --> 00:05:14,029 has, 149 00:05:14,569 --> 00:05:15,550 focused on 150 00:05:15,985 --> 00:05:19,425 controllable aspects of an individual's overall health. And 151 00:05:19,425 --> 00:05:22,004 you're thinking, you know, their diet, their exercise 152 00:05:22,305 --> 00:05:23,764 regimen, their sleep pattern. 153 00:05:24,145 --> 00:05:26,225 But there is growing recognition, as you mentioned, 154 00:05:26,225 --> 00:05:29,125 Erica, that health outcomes are also impacted by 155 00:05:29,129 --> 00:05:30,430 things that are less controllable, 156 00:05:31,209 --> 00:05:33,449 such as where a person is born, where 157 00:05:33,449 --> 00:05:35,149 they live, their education, 158 00:05:35,689 --> 00:05:37,610 whether they work or not, how affluent they 159 00:05:37,610 --> 00:05:40,089 might be. So all of these factors really 160 00:05:40,089 --> 00:05:43,069 contribute to the notion of whole person care. 161 00:05:43,534 --> 00:05:45,154 Now when you talk about barriers 162 00:05:45,534 --> 00:05:47,875 of delivering whole person care effectively, 163 00:05:48,414 --> 00:05:50,175 the one word that comes to mind and 164 00:05:50,175 --> 00:05:51,634 the is the lack of integration. 165 00:05:52,654 --> 00:05:55,615 Whole person care and delivering it effectively assumes 166 00:05:55,615 --> 00:05:56,800 that the 167 00:05:57,439 --> 00:05:58,419 all the parts 168 00:05:58,720 --> 00:06:01,699 in the health care journey of one individual 169 00:06:02,800 --> 00:06:03,939 actually connect. 170 00:06:04,879 --> 00:06:05,379 That 171 00:06:05,919 --> 00:06:06,979 all of the stakeholders 172 00:06:07,519 --> 00:06:09,680 that will at some point have their hands 173 00:06:09,680 --> 00:06:11,134 or their eyes 174 00:06:11,514 --> 00:06:12,334 on a patient, 175 00:06:12,714 --> 00:06:14,254 the ecosystem together 176 00:06:14,714 --> 00:06:15,774 communicates effectively. 177 00:06:16,474 --> 00:06:18,014 And then they're able to 178 00:06:18,394 --> 00:06:19,694 relay each other, 179 00:06:20,394 --> 00:06:21,534 each of them providing 180 00:06:21,914 --> 00:06:22,654 a uniquely 181 00:06:23,689 --> 00:06:24,189 incremental 182 00:06:24,649 --> 00:06:26,970 step into the the the journey of that, 183 00:06:27,290 --> 00:06:28,029 of that individual. 184 00:06:29,449 --> 00:06:29,949 So 185 00:06:30,889 --> 00:06:33,290 for the full health care ecosystem to come 186 00:06:33,290 --> 00:06:33,790 together, 187 00:06:34,410 --> 00:06:35,229 you're assuming 188 00:06:36,475 --> 00:06:38,735 the primary care, specialty care, 189 00:06:39,355 --> 00:06:41,295 other community resources potentially 190 00:06:41,995 --> 00:06:44,955 coming together in a seamless way to ease 191 00:06:44,955 --> 00:06:45,694 and facilitate 192 00:06:46,154 --> 00:06:49,375 for that individual to stay on their healthcare 193 00:06:49,834 --> 00:06:51,935 journey, to stay on their healthcare regimen 194 00:06:52,449 --> 00:06:54,310 towards living their best possible life. 195 00:06:54,689 --> 00:06:56,689 So what do we do at Matrix to 196 00:06:56,689 --> 00:06:58,069 help facilitate that? 197 00:06:58,770 --> 00:07:00,629 Our in home health and care assessments 198 00:07:01,330 --> 00:07:04,149 are an important way for an individual 199 00:07:05,084 --> 00:07:05,584 really 200 00:07:06,125 --> 00:07:08,064 to sort of get a three sixty 201 00:07:08,444 --> 00:07:11,564 picture around where they're at and and what's 202 00:07:11,564 --> 00:07:13,584 needed, especially for populations 203 00:07:13,964 --> 00:07:18,444 of older adults or or other individuals that 204 00:07:18,444 --> 00:07:20,949 may lack access to primary care 205 00:07:21,650 --> 00:07:24,550 or are challenged to coordinate their own care. 206 00:07:25,009 --> 00:07:27,490 So when we get into the home, our 207 00:07:27,490 --> 00:07:29,670 in home model really adds value 208 00:07:30,129 --> 00:07:31,545 because we extend the capabilities 209 00:07:32,345 --> 00:07:35,064 primary care provider as well as the payer 210 00:07:35,064 --> 00:07:36,285 care management programs. 211 00:07:36,665 --> 00:07:38,525 We help bridge those gaps, 212 00:07:39,305 --> 00:07:42,425 in understanding those gaps in education, those gaps 213 00:07:42,425 --> 00:07:43,485 in coordination 214 00:07:44,025 --> 00:07:45,725 for that person in the home. 215 00:07:46,169 --> 00:07:47,310 Think of us as, 216 00:07:48,250 --> 00:07:48,750 connectors. 217 00:07:49,129 --> 00:07:50,669 Think of us as navigators, 218 00:07:51,050 --> 00:07:54,970 right? Helping that person that either is not 219 00:07:54,970 --> 00:07:58,410 literate and or educated and or simply is 220 00:07:58,410 --> 00:07:58,910 afraid 221 00:07:59,289 --> 00:08:02,084 of a healthcare system that's complex and difficult 222 00:08:02,084 --> 00:08:02,664 to navigate, 223 00:08:03,204 --> 00:08:05,224 and we help them connect or reconnect 224 00:08:05,845 --> 00:08:09,125 with their primary care or other services that 225 00:08:09,125 --> 00:08:11,305 are critical and help them make 226 00:08:12,164 --> 00:08:14,805 sense as to what the prior step was, 227 00:08:14,805 --> 00:08:16,425 what the next step should be. 228 00:08:16,810 --> 00:08:18,669 And the way I think about it is 229 00:08:18,889 --> 00:08:21,449 orchestrating and aligning the dominoes so that they 230 00:08:21,449 --> 00:08:23,769 fall in a sequence that's easy for that 231 00:08:23,769 --> 00:08:25,930 person to consume so that they stay on 232 00:08:25,930 --> 00:08:28,250 their health care journey. That's the goal, to 233 00:08:28,250 --> 00:08:30,589 keep them engaged. Keeping them engaged. Absolutely. 234 00:08:31,824 --> 00:08:34,464 Yeah. I would echo, what Catherine said. And 235 00:08:34,464 --> 00:08:36,225 in terms of barriers, I think about the 236 00:08:36,225 --> 00:08:36,964 three c's, 237 00:08:37,504 --> 00:08:38,004 communication, 238 00:08:38,384 --> 00:08:39,764 collaboration, and coordination. 239 00:08:40,544 --> 00:08:41,985 And I think about it from a clinical 240 00:08:41,985 --> 00:08:43,684 perspective and that the communication 241 00:08:44,610 --> 00:08:46,929 between what we're seeing in the home, what 242 00:08:46,929 --> 00:08:49,909 that person does with their life, their particular 243 00:08:49,970 --> 00:08:52,529 needs, their ability to get answers to questions 244 00:08:52,529 --> 00:08:54,929 they have about their health, that's all really 245 00:08:54,929 --> 00:08:57,024 complicated. It's very difficult for people to get 246 00:08:57,024 --> 00:08:58,945 ahold of their providers. It's just the nature 247 00:08:58,945 --> 00:09:00,565 of our very fragmented system. 248 00:09:01,024 --> 00:09:03,684 So if we can solve that communication gap, 249 00:09:03,745 --> 00:09:05,365 if we can enhance collaboration, 250 00:09:06,144 --> 00:09:08,384 that then leads to better coordinated care. Too 251 00:09:08,384 --> 00:09:10,065 many people end up going to the emergency 252 00:09:10,065 --> 00:09:12,085 room because they don't have any other way 253 00:09:12,339 --> 00:09:14,259 to get help for their health care needs. 254 00:09:14,259 --> 00:09:16,820 And so by focusing on those three c's, 255 00:09:16,820 --> 00:09:18,440 communication, collaboration, coordination, 256 00:09:18,899 --> 00:09:21,080 we get the better clinical outcomes and results. 257 00:09:21,940 --> 00:09:22,440 Interestingly, 258 00:09:22,820 --> 00:09:25,539 it's also those three c's are worsened when 259 00:09:25,539 --> 00:09:26,519 you have complexity. 260 00:09:27,035 --> 00:09:29,355 So a person who is older and frail, 261 00:09:29,355 --> 00:09:31,434 so they have multiple chronic illnesses, they may 262 00:09:31,434 --> 00:09:32,654 have cognitive impairment, 263 00:09:33,115 --> 00:09:36,075 they're challenged already in so many ways of 264 00:09:36,075 --> 00:09:37,995 just getting through the day, and then they 265 00:09:37,995 --> 00:09:39,195 have to try and deal with a health 266 00:09:39,195 --> 00:09:42,009 care system that is not communicative, not collaborative, 267 00:09:42,149 --> 00:09:44,230 not coordinated. It just makes it that much 268 00:09:44,230 --> 00:09:47,129 worse. And that's where we see huge opportunities 269 00:09:47,350 --> 00:09:48,490 because as 270 00:09:48,949 --> 00:09:51,269 the provider in the home, we can be 271 00:09:51,269 --> 00:09:53,350 the eyes and ears. We can be an 272 00:09:53,350 --> 00:09:55,610 organization that facilitates that communication, 273 00:09:56,254 --> 00:09:57,695 which is what we do. If we find 274 00:09:57,695 --> 00:09:59,394 that a person is sick or 275 00:09:59,695 --> 00:10:02,014 needs urgent care, we will immediately call that 276 00:10:02,014 --> 00:10:04,495 person's physician or health care provider. If they 277 00:10:04,495 --> 00:10:06,034 need to go to the emergency room, oftentimes, 278 00:10:06,095 --> 00:10:07,714 our nurse practitioners will follow 279 00:10:08,095 --> 00:10:08,754 the ambulances, 280 00:10:09,360 --> 00:10:10,720 to make sure the person gets to the 281 00:10:10,720 --> 00:10:12,159 ER and is tucked in and gets the 282 00:10:12,159 --> 00:10:14,899 appropriate care. So we really take it seriously 283 00:10:14,960 --> 00:10:18,179 in terms of that communication, collaboration, and coordination, 284 00:10:18,879 --> 00:10:20,799 whether it's a medical need, so the person 285 00:10:20,799 --> 00:10:23,024 has some medical question or a social need. 286 00:10:23,105 --> 00:10:24,465 Like they need a way to get to 287 00:10:24,465 --> 00:10:26,165 the pharmacy to pick up their medications 288 00:10:26,545 --> 00:10:28,705 or to get groceries. We will help with 289 00:10:28,705 --> 00:10:30,545 all of that because that's part of our 290 00:10:30,545 --> 00:10:32,404 role as an in home service provider. 291 00:10:33,425 --> 00:10:35,929 Fantastic. And sounds like you have quite committed 292 00:10:35,929 --> 00:10:38,889 workforce, a nurse practitioner following an ambulance to 293 00:10:38,889 --> 00:10:40,570 the hospital just to make sure that patient's 294 00:10:40,570 --> 00:10:41,070 okay. 295 00:10:41,850 --> 00:10:43,789 It's something to be proud of for sure. 296 00:10:44,410 --> 00:10:47,049 And, Catherine, you had touched on primary care 297 00:10:47,049 --> 00:10:47,549 access 298 00:10:48,009 --> 00:10:49,710 earlier in your response, and 299 00:10:50,245 --> 00:10:52,824 I know that access is such a component 300 00:10:52,964 --> 00:10:54,424 of whole person health. 301 00:10:55,125 --> 00:10:57,605 And and access to primary care and community 302 00:10:57,605 --> 00:10:59,784 resources in many parts of the country, especially 303 00:10:59,924 --> 00:11:02,485 rural parts of The US, is quite limited. 304 00:11:02,485 --> 00:11:02,985 So, 305 00:11:03,579 --> 00:11:05,179 doctor Canton, maybe you can shed some light 306 00:11:05,179 --> 00:11:05,839 on this. 307 00:11:06,220 --> 00:11:08,299 Based on what you're seeing at at Matrix 308 00:11:08,299 --> 00:11:10,940 Medical, your data, what insights have you gained 309 00:11:10,940 --> 00:11:13,339 about populations that are struggling with access, and 310 00:11:13,339 --> 00:11:15,360 what's the role of in home assessments here? 311 00:11:15,514 --> 00:11:17,115 The role of in home assessments is really 312 00:11:17,115 --> 00:11:19,274 to close that gap. The last mile people 313 00:11:19,274 --> 00:11:21,754 talk about and really bringing care. As as 314 00:11:21,754 --> 00:11:23,514 I said before, sometimes you need to bring 315 00:11:23,514 --> 00:11:25,034 care to the patient instead of bringing the 316 00:11:25,034 --> 00:11:27,195 patient to the care. So we actually studied 317 00:11:27,195 --> 00:11:28,794 this. We worked with one of our partners, 318 00:11:28,794 --> 00:11:31,294 FTI Consulting. We wrote a white paper about 319 00:11:31,490 --> 00:11:33,089 challenges with access and the impact of the 320 00:11:33,089 --> 00:11:34,069 work that we do, 321 00:11:34,610 --> 00:11:37,029 to address that gap and to close it. 322 00:11:37,089 --> 00:11:39,009 And what we found is that in home 323 00:11:39,009 --> 00:11:39,509 assessments 324 00:11:40,209 --> 00:11:42,690 really do enhance access to care as you 325 00:11:42,690 --> 00:11:43,350 would expect. 326 00:11:43,865 --> 00:11:46,024 Not for everybody because many people are able 327 00:11:46,024 --> 00:11:48,024 to go to the office, go to the 328 00:11:48,024 --> 00:11:49,865 place where they get their usual care, and 329 00:11:49,865 --> 00:11:51,625 so they don't they don't necessarily need us 330 00:11:51,625 --> 00:11:53,625 to close that gap. By doing a comprehensive 331 00:11:53,625 --> 00:11:55,704 assessment, we often find things that other providers 332 00:11:55,704 --> 00:11:57,225 don't, so there are different kinds of gaps 333 00:11:57,225 --> 00:11:59,910 that we close there. But what we found, 334 00:12:00,149 --> 00:12:01,370 two important things. 335 00:12:01,830 --> 00:12:03,029 21% 336 00:12:03,029 --> 00:12:04,470 of our visits were to people who live 337 00:12:04,470 --> 00:12:05,529 in rural areas. 338 00:12:06,230 --> 00:12:07,750 We all know that access to care in 339 00:12:07,750 --> 00:12:09,669 rural areas is way worse than it is 340 00:12:09,669 --> 00:12:11,370 in urban or suburban areas. 341 00:12:11,745 --> 00:12:14,644 And secondly, we found that 20,000 342 00:12:14,705 --> 00:12:17,264 members who we saw out of the almost 343 00:12:17,264 --> 00:12:19,424 a million people visits almost a million visits 344 00:12:19,424 --> 00:12:21,264 that we did would not have had any 345 00:12:21,264 --> 00:12:23,105 other access to care. No one out there. 346 00:12:23,105 --> 00:12:25,184 No other claim. They had no other interaction 347 00:12:25,184 --> 00:12:27,160 with the health care system except for that 348 00:12:27,160 --> 00:12:29,000 in home visit by one of our nurse 349 00:12:29,000 --> 00:12:29,500 practitioners. 350 00:12:30,120 --> 00:12:31,740 And so we are able 351 00:12:32,440 --> 00:12:34,440 to close that gap for rural people and 352 00:12:34,440 --> 00:12:35,580 for people who generally, 353 00:12:35,960 --> 00:12:37,660 have challenges accessing care. 354 00:12:38,120 --> 00:12:39,879 And what we found is we looked at 355 00:12:39,879 --> 00:12:41,259 our data. We found 356 00:12:41,875 --> 00:12:44,035 tens of thousands of people who were unable 357 00:12:44,035 --> 00:12:46,915 to shop themselves, cook for themselves, feed themselves, 358 00:12:46,915 --> 00:12:48,934 who had housing or economic challenges, 359 00:12:49,235 --> 00:12:51,154 or who had two or more limitations in 360 00:12:51,154 --> 00:12:53,795 activities of daily living. The ADLs or activities 361 00:12:53,795 --> 00:12:55,500 of daily living are the things you need 362 00:12:55,500 --> 00:12:57,179 to do to remain independent of the community, 363 00:12:57,179 --> 00:12:59,840 like paying your bills, shopping, taking your medications, 364 00:13:00,300 --> 00:13:02,300 and also, in some cases, the basic activities 365 00:13:02,300 --> 00:13:04,160 of daily living, like being able to, 366 00:13:04,540 --> 00:13:07,200 take care of yourself by feeding, bathing, transferring, 367 00:13:07,259 --> 00:13:09,274 all of that. And so when we identify 368 00:13:09,274 --> 00:13:11,274 those needs and then we collaborate with the 369 00:13:11,274 --> 00:13:12,554 rest of the health care system, we can 370 00:13:12,554 --> 00:13:14,014 close those gaps in care. 371 00:13:14,634 --> 00:13:15,774 This isn't surprising 372 00:13:16,154 --> 00:13:17,835 because we already know that these are problems. 373 00:13:17,835 --> 00:13:19,934 It's interesting to see the numbers we found. 374 00:13:20,090 --> 00:13:22,809 We know from a September 2024 publication, Annals 375 00:13:22,809 --> 00:13:23,790 of Internal Medicine, 376 00:13:24,250 --> 00:13:26,570 that an evaluation of a large Medicare Advantage 377 00:13:26,570 --> 00:13:29,529 Plan showed that about twenty percent of their 378 00:13:29,529 --> 00:13:32,730 population, twenty two percent actually, was homebound and 379 00:13:32,730 --> 00:13:34,830 unable to access care without assistance. 380 00:13:35,165 --> 00:13:37,504 And so the numbers that we see demonstrate 381 00:13:37,725 --> 00:13:39,804 that there is this large and growing, in 382 00:13:39,804 --> 00:13:40,304 fact, 383 00:13:40,605 --> 00:13:43,404 group of people living, at home who have 384 00:13:43,404 --> 00:13:46,045 a really difficult time making it into a 385 00:13:46,045 --> 00:13:48,045 a site of care unless they have, you 386 00:13:48,045 --> 00:13:49,725 know, an ambulance or someone to take them 387 00:13:49,725 --> 00:13:52,419 there. We actually directly help those folks in 388 00:13:52,419 --> 00:13:54,500 rural areas where access to care is even 389 00:13:54,500 --> 00:13:57,299 worse. We offer an even more valuable access 390 00:13:57,299 --> 00:13:59,860 to care compared to rural or urban compared 391 00:13:59,860 --> 00:14:01,319 to suburban or urban environments. 392 00:14:02,259 --> 00:14:04,759 When our board certified matrix clinician 393 00:14:05,299 --> 00:14:05,799 enters 394 00:14:06,144 --> 00:14:06,644 someone's 395 00:14:07,105 --> 00:14:09,825 home, they're they're really truly able to see 396 00:14:09,825 --> 00:14:10,325 and 397 00:14:11,024 --> 00:14:13,764 and better than anyone understand the holistic factors, 398 00:14:14,464 --> 00:14:16,464 that this person faces on a day to 399 00:14:16,464 --> 00:14:17,204 day basis 400 00:14:17,664 --> 00:14:19,679 as they really strive to to live as 401 00:14:19,839 --> 00:14:21,919 healthy and full a life as they possibly 402 00:14:21,919 --> 00:14:24,080 can based on the conditions, right? One of 403 00:14:24,080 --> 00:14:25,779 the other statistics that 404 00:14:26,080 --> 00:14:28,639 in the study that we conducted is almost 405 00:14:28,639 --> 00:14:30,659 sixty percent of the people that, 406 00:14:31,039 --> 00:14:34,339 we saw that year had multiple chronic conditions. 407 00:14:35,274 --> 00:14:37,535 So if you overlap the rural 408 00:14:37,915 --> 00:14:38,894 and the chronic 409 00:14:39,274 --> 00:14:41,995 and the barriers to accessing care, I mean, 410 00:14:41,995 --> 00:14:43,915 that in home touch is all the more 411 00:14:43,915 --> 00:14:44,415 important. 412 00:14:45,115 --> 00:14:47,855 This is how we bridge those gaps between 413 00:14:48,379 --> 00:14:50,480 the care teams, the insurer, 414 00:14:50,940 --> 00:14:53,500 and the community and support resources that one 415 00:14:53,500 --> 00:14:55,899 may be able to get access to. And 416 00:14:55,899 --> 00:14:57,980 that's we're now back to a full circle 417 00:14:57,980 --> 00:15:00,139 to the whole person care, right, and how 418 00:15:00,139 --> 00:15:02,240 the in home model actually adds value 419 00:15:02,915 --> 00:15:05,975 in that model by being an extension of 420 00:15:06,035 --> 00:15:08,915 and almost the advocate for that person that, 421 00:15:08,915 --> 00:15:10,355 again, may or may not know how to 422 00:15:10,355 --> 00:15:11,415 navigate the system. 423 00:15:11,955 --> 00:15:14,434 It's education, it's care support, it's access to 424 00:15:14,434 --> 00:15:17,014 resources that otherwise may never come to you. 425 00:15:17,529 --> 00:15:19,690 Catherine, appreciate you bringing that back full circle 426 00:15:19,690 --> 00:15:20,190 too. 427 00:15:20,730 --> 00:15:22,889 And everything that you both are saying really 428 00:15:22,889 --> 00:15:25,690 aligns with trends that I'm hearing on-site here 429 00:15:25,690 --> 00:15:27,929 at Becker's conference. I I've been on several 430 00:15:27,929 --> 00:15:31,424 panels today where hospitals, health systems, payers alike, 431 00:15:31,504 --> 00:15:33,605 they're talking about greater investments 432 00:15:34,065 --> 00:15:36,325 in home care strategies. So, 433 00:15:36,705 --> 00:15:37,764 you know, as organizations 434 00:15:38,144 --> 00:15:38,644 are 435 00:15:38,945 --> 00:15:41,904 investing more in in home health services, what 436 00:15:41,904 --> 00:15:44,225 opportunities and challenges are coming along with that 437 00:15:44,225 --> 00:15:45,904 shift? What should they be aware of as 438 00:15:45,904 --> 00:15:48,409 they're readying to do so? So I think 439 00:15:48,409 --> 00:15:49,549 one of the big opportunities 440 00:15:49,929 --> 00:15:52,569 is actually just helping people age where they 441 00:15:52,569 --> 00:15:53,069 prefer 442 00:15:53,370 --> 00:15:54,029 to live 443 00:15:54,409 --> 00:15:56,809 so that they need help maybe if they 444 00:15:56,809 --> 00:15:58,409 need grab bars for when they're in the 445 00:15:58,409 --> 00:15:59,929 shower or they need to have a ramp 446 00:15:59,929 --> 00:16:01,705 put in because they can no longer go 447 00:16:01,705 --> 00:16:04,665 up steps. So obvious things like that are 448 00:16:04,665 --> 00:16:06,985 not obvious from claims. Right? You can't see 449 00:16:06,985 --> 00:16:09,565 the steps. You can't see that the bathroom 450 00:16:09,625 --> 00:16:11,865 is is not accessible anymore, that the tub 451 00:16:11,945 --> 00:16:13,465 the lift is too high for that person 452 00:16:13,465 --> 00:16:16,120 to get in. So making that house call 453 00:16:16,179 --> 00:16:18,100 actually allows you to make that assessment and 454 00:16:18,100 --> 00:16:19,559 then to identify the resources 455 00:16:20,019 --> 00:16:21,459 that allow that person to stay at home, 456 00:16:21,459 --> 00:16:24,019 which is oftentimes less expensive than if they 457 00:16:24,019 --> 00:16:26,440 have to move into a senior living area. 458 00:16:26,774 --> 00:16:28,375 So I think that's something that's really important 459 00:16:28,375 --> 00:16:30,855 and becoming increasingly recognized is that people need 460 00:16:30,855 --> 00:16:33,095 help to stay where they wanna live and 461 00:16:33,095 --> 00:16:35,334 that the assessments we do, the functional assessments 462 00:16:35,334 --> 00:16:37,495 in particular, the trip hazards, like Catherine mentioned 463 00:16:37,495 --> 00:16:39,414 a second ago, all of that goes into 464 00:16:39,414 --> 00:16:41,889 helping people stay where they wanna live. The 465 00:16:41,889 --> 00:16:43,330 second thing I would say is we're seeing 466 00:16:43,330 --> 00:16:46,370 a lot of increase in, clinical service offerings. 467 00:16:46,370 --> 00:16:48,789 So we're seeing the hospital at home, 468 00:16:49,169 --> 00:16:52,370 the urgent care. Sometimes they'll have paramedics actually 469 00:16:52,370 --> 00:16:54,769 go into the home, community paramedicine or mobile 470 00:16:54,769 --> 00:16:56,070 integrated health models, 471 00:16:56,884 --> 00:16:58,764 and organizations like ours where you have nurse 472 00:16:58,764 --> 00:17:01,565 practitioners or physicians even making house calls to 473 00:17:01,565 --> 00:17:03,325 extend the reach of primary care or even 474 00:17:03,325 --> 00:17:05,484 directly provide primary care in the home. And 475 00:17:05,484 --> 00:17:06,545 so there are opportunities 476 00:17:06,924 --> 00:17:08,684 what the success of all these different kinds 477 00:17:08,684 --> 00:17:10,144 of care in the home are demonstrating 478 00:17:10,599 --> 00:17:13,000 is that these models work, that you can 479 00:17:13,000 --> 00:17:15,000 help people stay home longer, they can actually 480 00:17:15,000 --> 00:17:17,899 deliver clinical services at scale across the country, 481 00:17:18,039 --> 00:17:20,539 and enable people to live more successful, 482 00:17:21,000 --> 00:17:23,740 healthier lives. And finally, we can use technology. 483 00:17:23,960 --> 00:17:26,174 We can actually use sensors in the home, 484 00:17:26,335 --> 00:17:28,414 whether that is a blood pressure cuff or 485 00:17:28,414 --> 00:17:30,174 a scale that's connected to the Internet and 486 00:17:30,174 --> 00:17:32,174 allows for a nurse at a distance to 487 00:17:32,174 --> 00:17:33,875 see if someone's health parameters, 488 00:17:34,255 --> 00:17:35,875 physiological parameters are okay, 489 00:17:36,255 --> 00:17:37,075 or even, 490 00:17:37,855 --> 00:17:40,414 technologies like personal emergency response systems, a button 491 00:17:40,414 --> 00:17:42,299 you can push when you need help. You 492 00:17:42,299 --> 00:17:43,740 can push that button and get help that 493 00:17:43,740 --> 00:17:47,119 way. And there are so many, interesting technologies 494 00:17:47,419 --> 00:17:49,980 emerging now even beyond that. There are companies 495 00:17:49,980 --> 00:17:51,980 that offer sort of what they call sound 496 00:17:51,980 --> 00:17:54,299 sensors or microphones in the home, and they 497 00:17:54,299 --> 00:17:56,399 use AI to determine, was that a fall? 498 00:17:56,494 --> 00:17:57,775 Was it on TV, was it in real 499 00:17:57,775 --> 00:17:59,455 life? They're able to kind of sort that 500 00:17:59,455 --> 00:17:59,955 out. 501 00:18:00,734 --> 00:18:02,654 So when we think about some of the 502 00:18:02,654 --> 00:18:05,055 challenges, Erica, to to your question, I think 503 00:18:05,055 --> 00:18:07,234 that we're one of many 504 00:18:07,615 --> 00:18:09,475 in home or home based 505 00:18:10,359 --> 00:18:11,259 health care companies 506 00:18:11,640 --> 00:18:12,140 that 507 00:18:12,839 --> 00:18:14,759 a health plan or risk bearing entity will 508 00:18:14,759 --> 00:18:16,919 rely on in order to provide and extend 509 00:18:16,919 --> 00:18:18,519 some of that care that they provide to 510 00:18:18,519 --> 00:18:19,259 their members. 511 00:18:20,119 --> 00:18:22,220 Challenges that come to mind are 512 00:18:22,679 --> 00:18:23,179 standards. 513 00:18:23,904 --> 00:18:25,825 How do you establish standards and how do 514 00:18:25,825 --> 00:18:26,884 you make sure that 515 00:18:27,265 --> 00:18:28,565 you are consistent 516 00:18:29,105 --> 00:18:31,345 in the delivery of those services and in 517 00:18:31,345 --> 00:18:32,565 the care in the home? 518 00:18:32,944 --> 00:18:33,444 Quality, 519 00:18:34,144 --> 00:18:34,644 accuracy. 520 00:18:35,585 --> 00:18:37,345 And this is something that, as I mentioned 521 00:18:37,345 --> 00:18:39,059 earlier, for a quarter of a century now, 522 00:18:39,519 --> 00:18:40,019 Matrix, 523 00:18:40,559 --> 00:18:43,519 has built its reputation through that unyielding commitment 524 00:18:43,519 --> 00:18:46,080 to quality and accuracy and the highest level 525 00:18:46,080 --> 00:18:48,019 of compliance and safety standard, 526 00:18:48,640 --> 00:18:50,500 for our nurse practitioners. 527 00:18:51,039 --> 00:18:51,539 They 528 00:18:52,080 --> 00:18:52,580 are 529 00:18:53,325 --> 00:18:54,464 probably closer 530 00:18:55,005 --> 00:18:55,664 to firefighters 531 00:18:56,125 --> 00:18:57,825 in their line of work versus 532 00:18:58,365 --> 00:19:00,224 a nurse that would operate in a facility 533 00:19:00,365 --> 00:19:03,644 considering that they walk into strangers' homes several 534 00:19:03,644 --> 00:19:05,345 times a day and they're on the road 535 00:19:05,849 --> 00:19:07,549 by themselves most of the time. 536 00:19:07,929 --> 00:19:10,490 These are the challenges really that we think 537 00:19:10,490 --> 00:19:11,950 about. So in order to 538 00:19:12,329 --> 00:19:12,829 maintain 539 00:19:13,130 --> 00:19:15,789 those levels of standard quality and accuracy, 540 00:19:16,650 --> 00:19:17,309 our organisation 541 00:19:17,609 --> 00:19:20,190 has and continues to really invest 542 00:19:20,490 --> 00:19:22,724 in our tools, our systems, 543 00:19:23,025 --> 00:19:23,525 training, 544 00:19:24,065 --> 00:19:26,484 auditing practices to make sure that 545 00:19:27,105 --> 00:19:28,325 every single visit 546 00:19:29,345 --> 00:19:31,984 adds value to that member's life and really 547 00:19:31,984 --> 00:19:35,285 helps reconnect that person with their care ecosystem. 548 00:19:36,519 --> 00:19:38,940 Yeah. I would imagine from a business standpoint, 549 00:19:39,160 --> 00:19:41,559 those assurances are so important. But also from 550 00:19:41,559 --> 00:19:43,960 the patient perspective, you want the most trusted 551 00:19:43,960 --> 00:19:45,880 person coming into your home. It's your private 552 00:19:45,880 --> 00:19:48,279 space. It's a very vulnerable position to be 553 00:19:48,279 --> 00:19:51,180 in. It is. Yeah. Appreciate that, Catherine. 554 00:19:51,694 --> 00:19:53,694 And I know our time together here is 555 00:19:53,694 --> 00:19:55,055 is winding down. I feel like we could 556 00:19:55,055 --> 00:19:56,994 really keep going for quite a while. 557 00:19:57,375 --> 00:19:59,375 But with this growing emphasis on in home 558 00:19:59,375 --> 00:19:59,875 care, 559 00:20:00,174 --> 00:20:02,335 what trends are you seeing really shaping the 560 00:20:02,335 --> 00:20:04,335 future of home based health care, and how 561 00:20:04,335 --> 00:20:06,595 do you think organizations can prepare to maximize 562 00:20:06,654 --> 00:20:08,099 its impact starting now? 563 00:20:08,720 --> 00:20:12,000 I mean, I'm obviously biased, but I firmly 564 00:20:12,000 --> 00:20:14,179 believe that home is where health happens. 565 00:20:14,880 --> 00:20:16,559 If you think about the health care industry 566 00:20:16,559 --> 00:20:19,279 today, it it is very fragmented. It's difficult 567 00:20:19,279 --> 00:20:21,759 to navigate as we've mentioned earlier. It's under 568 00:20:21,759 --> 00:20:24,684 tremendous pressure from a regulatory perspective, from a 569 00:20:24,684 --> 00:20:26,944 cost perspective, the costs are unsustainable. 570 00:20:28,444 --> 00:20:31,484 So what you're seeing is in home health 571 00:20:31,484 --> 00:20:32,224 care organizations 572 00:20:33,325 --> 00:20:35,884 that frankly are poised to help address the 573 00:20:35,884 --> 00:20:37,825 pressure points that we're seeing in the industry, 574 00:20:38,509 --> 00:20:40,509 and you're seeing them increase their capabilities and 575 00:20:40,509 --> 00:20:42,269 range of the services that they provide. The 576 00:20:42,269 --> 00:20:44,269 the key to success there is really, as 577 00:20:44,269 --> 00:20:46,109 I we mentioned a few times, the ability 578 00:20:46,109 --> 00:20:46,690 to coordinate, 579 00:20:47,230 --> 00:20:48,769 to communicate, to collaborate, 580 00:20:49,230 --> 00:20:51,869 and the key word in the industry today 581 00:20:51,869 --> 00:20:52,275 is 582 00:20:52,674 --> 00:20:53,174 interoperability. 583 00:20:53,714 --> 00:20:56,994 We're not quite there yet. Right? This, seamless 584 00:20:56,994 --> 00:20:57,494 integration 585 00:20:57,795 --> 00:20:59,634 of all of the actors along the care 586 00:20:59,634 --> 00:21:01,095 journey of of an individual, 587 00:21:02,115 --> 00:21:04,134 is not quite a a reality. 588 00:21:04,679 --> 00:21:05,419 But when 589 00:21:06,119 --> 00:21:07,879 we get there, not if. Right? When we 590 00:21:07,879 --> 00:21:08,519 get there, 591 00:21:09,000 --> 00:21:10,759 and and if you think about other industries 592 00:21:10,759 --> 00:21:12,940 such as the banking industry, which is also 593 00:21:13,240 --> 00:21:14,539 highly regulated, 594 00:21:15,000 --> 00:21:17,579 has a lot of personal and confidential information, 595 00:21:18,445 --> 00:21:20,305 That industry reinvented itself. 596 00:21:20,765 --> 00:21:23,164 Right? How is it that there are clearing 597 00:21:23,164 --> 00:21:26,065 houses that allow you to transfer money worldwide 598 00:21:26,285 --> 00:21:28,785 when we can't hear between two practitioners, 599 00:21:29,484 --> 00:21:31,724 a specialist in a primary care have real 600 00:21:31,724 --> 00:21:32,945 time information about 601 00:21:33,319 --> 00:21:35,000 not the bank account of that person, but 602 00:21:35,000 --> 00:21:37,720 the health status of that person. Right? So 603 00:21:37,720 --> 00:21:39,720 we're we're a component of that, and and 604 00:21:39,720 --> 00:21:42,119 we're definitely looking to, to be a a 605 00:21:42,119 --> 00:21:43,480 bigger part of of, 606 00:21:44,119 --> 00:21:46,220 the home experience because to your point, 607 00:21:47,284 --> 00:21:47,784 people 608 00:21:48,164 --> 00:21:50,164 wanna age at home, they wanna heal at 609 00:21:50,164 --> 00:21:50,664 home, 610 00:21:51,044 --> 00:21:51,365 and, 611 00:21:51,845 --> 00:21:53,784 we are uniquely positioned to do that. 612 00:21:55,284 --> 00:21:57,365 I think that the the greatest trend is 613 00:21:57,365 --> 00:21:59,204 just the recognition of the value of in 614 00:21:59,204 --> 00:22:00,184 home care models 615 00:22:00,509 --> 00:22:02,190 and the breadth of models that you can 616 00:22:02,190 --> 00:22:03,789 now bring to bear. And there is no 617 00:22:03,789 --> 00:22:06,830 better patient experience than a good house call 618 00:22:06,830 --> 00:22:09,330 where they really feel heard and seen. 619 00:22:10,830 --> 00:22:12,830 It's been such a great conversation. Thank you 620 00:22:12,830 --> 00:22:15,549 both for shedding so much important information, data, 621 00:22:15,549 --> 00:22:16,210 and insights 622 00:22:16,565 --> 00:22:19,204 on the importance of home based care. Before 623 00:22:19,204 --> 00:22:20,964 we hop off, is there anything else that 624 00:22:20,964 --> 00:22:22,744 you wanted to share? Any final thoughts? 625 00:22:24,404 --> 00:22:26,964 Well, as I said, home is where health 626 00:22:26,964 --> 00:22:27,464 happens. 627 00:22:27,765 --> 00:22:30,345 So I think that if we wanna maximize 628 00:22:30,484 --> 00:22:32,829 home based health care, the call to action 629 00:22:32,829 --> 00:22:34,349 is really for all of us in the 630 00:22:34,349 --> 00:22:36,690 healthcare industry to embrace the movement 631 00:22:36,990 --> 00:22:39,549 towards the home. To Doctor. Kantor's point, this 632 00:22:39,549 --> 00:22:42,190 is really a movement that started a while 633 00:22:42,190 --> 00:22:42,690 ago, 634 00:22:43,230 --> 00:22:45,409 putting the patient at the centre 635 00:22:45,710 --> 00:22:48,424 of all of the actions that different actors 636 00:22:48,644 --> 00:22:51,045 will be taking and working together to ensure 637 00:22:51,045 --> 00:22:53,525 that every care intervention is actually net accretive 638 00:22:53,525 --> 00:22:55,684 to the next one. That's how you improve 639 00:22:55,684 --> 00:22:57,945 the experience. That's how you lower the cost, 640 00:22:58,884 --> 00:23:00,965 and and improve also the satisfaction, I would 641 00:23:00,965 --> 00:23:01,865 say, of the care 642 00:23:02,170 --> 00:23:03,710 givers in this country. 643 00:23:04,570 --> 00:23:06,490 At the end of the day, everybody deserves 644 00:23:06,490 --> 00:23:08,250 to live their best possible life. It doesn't 645 00:23:08,250 --> 00:23:09,849 matter where they were born, it doesn't matter 646 00:23:09,849 --> 00:23:11,869 what chronic condition they may suffer from. 647 00:23:12,329 --> 00:23:14,250 They can live their best possible life, and 648 00:23:14,250 --> 00:23:16,170 today, the system doesn't really help them do 649 00:23:16,170 --> 00:23:16,910 that. So 650 00:23:17,434 --> 00:23:18,575 let's rally behind 651 00:23:19,115 --> 00:23:19,694 that movement. 652 00:23:20,154 --> 00:23:22,575 That's a great closing thought, Catherine. Thank you. 653 00:23:22,714 --> 00:23:23,214 Doctor, 654 00:23:23,835 --> 00:23:26,234 Kantor, anything else you'd like to add? I 655 00:23:26,234 --> 00:23:28,234 think Catherine really summed it up very nicely. 656 00:23:28,234 --> 00:23:29,994 And I think what's really interesting to me 657 00:23:29,994 --> 00:23:31,914 is from a clinical perspective, it's really full 658 00:23:31,914 --> 00:23:32,414 circle. 659 00:23:32,980 --> 00:23:34,819 Because in the old days, there were no 660 00:23:34,819 --> 00:23:37,940 hospitals. There were no doctors' offices. Doctors rode 661 00:23:37,940 --> 00:23:40,039 from house to house and made house calls, 662 00:23:40,339 --> 00:23:42,419 and it made a huge difference in the 663 00:23:42,419 --> 00:23:44,740 relationship that they had. And that's the thing 664 00:23:44,740 --> 00:23:47,234 about any in home service is it changes 665 00:23:47,234 --> 00:23:48,994 that relationship because you're not in a white 666 00:23:48,994 --> 00:23:51,515 coat sitting across the table from someone. You're 667 00:23:51,515 --> 00:23:53,234 a guest in their home. And I think 668 00:23:53,234 --> 00:23:54,214 that that recognition 669 00:23:54,674 --> 00:23:57,154 that people will engage more when they have 670 00:23:57,154 --> 00:23:59,429 a clinician in their home, that's going to 671 00:23:59,429 --> 00:24:01,589 continue to accelerate the drive towards home based 672 00:24:01,589 --> 00:24:02,970 models of care. Yeah. 673 00:24:03,349 --> 00:24:05,589 Fantastic. And it's fascinating thinking about how we're 674 00:24:05,589 --> 00:24:07,909 going back, to the models that were used 675 00:24:07,909 --> 00:24:09,130 so many years ago. 676 00:24:09,990 --> 00:24:11,990 Catherine, doctor Kantor, thank you again for all 677 00:24:11,990 --> 00:24:13,990 of your insights today. It's been a pleasure 678 00:24:13,990 --> 00:24:14,924 having you on the pod. 679 00:24:15,644 --> 00:24:17,644 Thank you. And we'd also like to thank 680 00:24:17,644 --> 00:24:21,085 our podcast sponsor, Matrix Medical Network. Listeners, be 681 00:24:21,085 --> 00:24:23,164 sure to tune into more podcasts from Becker's 682 00:24:23,164 --> 00:24:26,945 by visiting our podcast page at beckershospitalreview.com.