1 00:00:00,080 --> 00:00:02,159 Hi, everyone. This is Lucas Voss with Becker's 2 00:00:02,159 --> 00:00:03,759 Healthcare. Thanks so much for tuning in to 3 00:00:03,759 --> 00:00:06,500 the Becker's Healthcare podcast series. It's fantastic 4 00:00:06,960 --> 00:00:10,400 to have you. Very exciting topic today, virtual 5 00:00:10,400 --> 00:00:11,859 care, innovation, adoption, 6 00:00:12,160 --> 00:00:15,425 and what's next with MD Life, which we'll 7 00:00:15,425 --> 00:00:17,105 talk about in a second. And joining me 8 00:00:17,105 --> 00:00:20,144 for today's discussion is Tony Calistra, president MD 9 00:00:20,144 --> 00:00:22,385 Life by Evernorth. Tony, thanks so much for 10 00:00:22,385 --> 00:00:24,085 being here today. It's great to have you. 11 00:00:24,384 --> 00:00:26,339 Hi, Lucas. Thanks so much for having me. 12 00:00:26,420 --> 00:00:28,019 Yeah. It's great to have you. If you 13 00:00:28,019 --> 00:00:30,019 could introduce yourself to our audience and just 14 00:00:30,019 --> 00:00:31,579 share a little bit about your role, your 15 00:00:31,699 --> 00:00:34,280 the organization, and your background in health care. 16 00:00:34,579 --> 00:00:36,100 Yeah. I'd be happy to. So I have 17 00:00:36,100 --> 00:00:38,340 the pleasure of leading the team at Evity 18 00:00:38,340 --> 00:00:40,420 Live. We're a virtual care company. We provide 19 00:00:40,420 --> 00:00:40,920 access 20 00:00:41,354 --> 00:00:44,155 of our services to more than 62,000,000 members 21 00:00:44,155 --> 00:00:46,895 throughout our national network of board certified physicians 22 00:00:47,434 --> 00:00:50,314 and licensed therapists, and they are all specially 23 00:00:50,314 --> 00:00:52,234 trained to deliver care virtually. So we partner 24 00:00:52,234 --> 00:00:53,774 with health plans, health systems, 25 00:00:54,440 --> 00:00:57,179 and employers, and we provide urgent care, behavioral 26 00:00:57,240 --> 00:00:59,179 health, primary care, and dermatology. 27 00:00:59,560 --> 00:01:00,780 And we do so across 28 00:01:01,159 --> 00:01:03,880 a variety of different modalities on our platform. 29 00:01:03,880 --> 00:01:06,939 So whether it's telephonic, video, or chat functionality. 30 00:01:07,239 --> 00:01:07,739 And, 31 00:01:08,704 --> 00:01:10,545 our members and our customers, they rely on 32 00:01:10,545 --> 00:01:12,545 us to solve some of the the common 33 00:01:12,545 --> 00:01:14,704 barriers that they face in the industry today. 34 00:01:14,704 --> 00:01:18,245 So that's easily accessible health care, cost effective, 35 00:01:18,625 --> 00:01:20,944 high quality care, and and a compliment to 36 00:01:20,944 --> 00:01:23,685 their more traditional care care delivery models. 37 00:01:24,620 --> 00:01:25,980 Yeah. Tony, it's so great to have you 38 00:01:25,980 --> 00:01:28,140 because, again, it's this is such an interesting 39 00:01:28,140 --> 00:01:29,280 topic, and it certainly 40 00:01:29,740 --> 00:01:31,819 developed so much over the last couple of 41 00:01:31,819 --> 00:01:33,740 years. Again, if we think about the pandemic, 42 00:01:33,740 --> 00:01:35,740 right, completely different to what it is today. 43 00:01:35,740 --> 00:01:38,025 And and last year, we were hearing a 44 00:01:38,025 --> 00:01:40,444 lot of talk on on the consumer enthusiasm 45 00:01:40,584 --> 00:01:43,144 for virtual k waning a little bit with 46 00:01:43,144 --> 00:01:44,045 post pandemic. 47 00:01:44,584 --> 00:01:47,564 Now it's sort of changing. Right? More resurgent 48 00:01:47,625 --> 00:01:50,364 of interest, again, with direct to consumer offerings 49 00:01:50,504 --> 00:01:53,129 being more prevalent for for folks. Right? Weight 50 00:01:53,129 --> 00:01:54,989 loss, hair loss, sexual health, 51 00:01:55,290 --> 00:01:56,109 other conditions 52 00:01:56,409 --> 00:01:58,890 that impact overall health and lifestyles. There's a 53 00:01:58,890 --> 00:02:00,030 lot happening 54 00:02:00,329 --> 00:02:01,069 right now. 55 00:02:01,530 --> 00:02:03,629 Where does MD Live see consumers 56 00:02:03,930 --> 00:02:06,795 leaning into using virtual care as we head 57 00:02:06,795 --> 00:02:08,074 into 2026 58 00:02:08,074 --> 00:02:08,574 here? 59 00:02:09,115 --> 00:02:10,955 Yeah. Lucas, it's a it's a really important 60 00:02:10,955 --> 00:02:14,155 question, and we're we discuss this with many 61 00:02:14,155 --> 00:02:15,754 of our clients every day. I think it's 62 00:02:15,754 --> 00:02:17,594 important to start with a few statistics. First 63 00:02:17,594 --> 00:02:20,949 of all, virtual care utilization is almost 30% 64 00:02:20,949 --> 00:02:23,349 higher than it was pre pandemic. Yes. So 65 00:02:23,349 --> 00:02:24,709 while it's not as high as it was 66 00:02:24,709 --> 00:02:27,030 during the pandemic when there were literally no 67 00:02:27,030 --> 00:02:27,849 other options, 68 00:02:28,229 --> 00:02:30,389 we still are significantly higher because of that 69 00:02:30,389 --> 00:02:30,889 acceleration 70 00:02:31,189 --> 00:02:31,849 and adoption 71 00:02:32,354 --> 00:02:35,074 during the pandemic. In fact, we just recently 72 00:02:35,074 --> 00:02:37,875 did a consumer research study that showed that 73 00:02:37,875 --> 00:02:39,495 forty three percent of all insured 74 00:02:39,794 --> 00:02:42,534 adults are open to receiving care virtually. But, 75 00:02:43,155 --> 00:02:45,209 actually, I think the more important statistic that 76 00:02:45,209 --> 00:02:47,129 we learned from that study was that thirty 77 00:02:47,129 --> 00:02:48,909 percent prefer it to be 78 00:02:49,209 --> 00:02:51,049 over in person care. Mhmm. So we know 79 00:02:51,049 --> 00:02:52,650 that there's demand out there, and you mentioned 80 00:02:52,650 --> 00:02:54,669 a couple of the reasons whether it's 81 00:02:54,969 --> 00:02:57,689 this increased demand for the popularity of the 82 00:02:57,689 --> 00:03:00,715 the weight loss medications or lifestyle conditions. But 83 00:03:00,715 --> 00:03:02,655 there are also opportunities to go well beyond 84 00:03:02,715 --> 00:03:04,395 just those conditions that we see on the 85 00:03:04,395 --> 00:03:06,415 on the television every day and every night. 86 00:03:06,715 --> 00:03:09,034 There's a lot more demand that we're seeing 87 00:03:09,034 --> 00:03:09,534 for 88 00:03:09,915 --> 00:03:12,335 those conditions that are not low acuity, episodic, 89 00:03:12,555 --> 00:03:15,275 or those lifestyle conditions that that we we 90 00:03:15,275 --> 00:03:17,849 discussed. There's a tremendous demand for much more 91 00:03:17,849 --> 00:03:18,989 longitudinal products 92 00:03:19,289 --> 00:03:22,009 like our virtual primary care or behavioral health 93 00:03:22,009 --> 00:03:24,969 solutions that are ongoing and not episodic one 94 00:03:24,969 --> 00:03:25,689 and done, 95 00:03:26,009 --> 00:03:27,289 or some of the things that we're seeing 96 00:03:27,289 --> 00:03:28,109 on the television. 97 00:03:28,745 --> 00:03:30,584 Couple of things we're we're trying to do, 98 00:03:30,584 --> 00:03:31,564 Lucas, to 99 00:03:31,864 --> 00:03:33,944 continue to drive that adoption. I think it's 100 00:03:33,944 --> 00:03:34,685 really important. 101 00:03:35,144 --> 00:03:37,224 We're focused on a lot of innovations that 102 00:03:37,224 --> 00:03:39,784 enhance that patient experience. So if you think 103 00:03:39,784 --> 00:03:41,840 about how do we increase the value that 104 00:03:41,840 --> 00:03:44,240 we deliver very specifically, we have to expand 105 00:03:44,240 --> 00:03:45,379 our clinical capabilities 106 00:03:45,840 --> 00:03:47,599 Mhmm. To meet some of the demands that 107 00:03:47,599 --> 00:03:50,800 that we've already alluded to. Primary care, behavioral 108 00:03:50,800 --> 00:03:53,680 care, chronic condition management, weight loss, the sexual 109 00:03:53,680 --> 00:03:56,085 health men's and women's health, etcetera. But there's 110 00:03:56,085 --> 00:03:58,405 also other things like preventive screenings and other 111 00:03:58,405 --> 00:03:58,905 specialized 112 00:03:59,604 --> 00:04:02,104 conditions that we see demand in the marketplace, 113 00:04:02,165 --> 00:04:04,485 not just through d two c channels, but 114 00:04:04,485 --> 00:04:06,645 also through through our channels with our health 115 00:04:06,645 --> 00:04:08,585 plan and and health system partners. 116 00:04:09,620 --> 00:04:11,939 You've touched on what you're trying to do, 117 00:04:11,939 --> 00:04:13,879 right, to drive that adoption 118 00:04:14,180 --> 00:04:16,580 or continuing to drive that adoption as it 119 00:04:16,580 --> 00:04:18,040 as it again picks up. 120 00:04:18,660 --> 00:04:20,980 I'd be curious to know what you're hearing 121 00:04:20,980 --> 00:04:21,480 from 122 00:04:21,824 --> 00:04:24,144 payers too about sort of the current and 123 00:04:24,144 --> 00:04:25,125 future challenges 124 00:04:25,824 --> 00:04:28,884 with virtual care for virtual care providers. 125 00:04:30,064 --> 00:04:31,824 Yeah. This is probably not a novel answer. 126 00:04:31,824 --> 00:04:33,345 I think I've heard this answer on a 127 00:04:33,345 --> 00:04:35,264 few of your your other podcasts in the 128 00:04:35,264 --> 00:04:37,060 past, but one thing that we hear all 129 00:04:37,060 --> 00:04:38,740 the time is there's way too many point 130 00:04:38,740 --> 00:04:39,240 solutions. 131 00:04:39,620 --> 00:04:41,939 Yeah. There's too many options. Members don't know 132 00:04:41,939 --> 00:04:43,220 where to go. They don't know what to 133 00:04:43,220 --> 00:04:44,980 do when they get overwhelmed. They just revert 134 00:04:44,980 --> 00:04:47,160 back to what they know, which 135 00:04:47,620 --> 00:04:49,300 when you're relating it to virtual care, they 136 00:04:49,300 --> 00:04:50,740 go back to brick and mortar or they 137 00:04:50,740 --> 00:04:51,764 just delay care. 138 00:04:52,725 --> 00:04:54,025 So there's also 139 00:04:54,564 --> 00:04:57,365 a huge lack of coordination and data sharing 140 00:04:57,365 --> 00:04:59,605 amongst those providers, which puts that onus on 141 00:04:59,605 --> 00:05:01,605 the patient when there are too many different 142 00:05:01,605 --> 00:05:02,345 point solutions. 143 00:05:03,125 --> 00:05:05,205 Where we feel fortunate where we can help 144 00:05:05,205 --> 00:05:07,509 a lot of our our customers is our 145 00:05:07,509 --> 00:05:09,589 physicians can help unlock the value of all 146 00:05:09,589 --> 00:05:12,149 those different phone solutions and get them to 147 00:05:12,149 --> 00:05:13,689 the most appropriate clinically 148 00:05:14,709 --> 00:05:17,189 appropriate referral as opposed to just throwing them 149 00:05:17,189 --> 00:05:19,289 back into the to the ocean, and 150 00:05:19,675 --> 00:05:22,735 those members often have options of 12 or 151 00:05:22,795 --> 00:05:23,855 or even more 152 00:05:24,155 --> 00:05:27,055 different point solutions to choose from. The clinical 153 00:05:27,275 --> 00:05:29,275 provider guided care, we think, is a real 154 00:05:29,275 --> 00:05:29,775 differentiator. 155 00:05:31,275 --> 00:05:31,775 Yeah. 156 00:05:32,209 --> 00:05:34,370 Are there any other challenges that stick stick 157 00:05:34,370 --> 00:05:36,850 out for you in the market itself that 158 00:05:36,850 --> 00:05:37,830 that are important? 159 00:05:38,930 --> 00:05:40,850 Yeah. There's there's another that I mentioned because 160 00:05:40,850 --> 00:05:42,689 I think, again, this is prevalent across the 161 00:05:42,689 --> 00:05:43,910 entire industry is 162 00:05:44,224 --> 00:05:47,204 our payer partners specifically are asking for help 163 00:05:47,264 --> 00:05:50,224 in educating the members to change the this 164 00:05:50,224 --> 00:05:52,464 evolving perception of what is virtual care and 165 00:05:52,464 --> 00:05:55,185 what can virtual care do. Yes. So as 166 00:05:55,185 --> 00:05:57,104 we continue to educate them that the range 167 00:05:57,104 --> 00:05:59,444 of services is much more than just this 168 00:05:59,980 --> 00:06:00,720 very low 169 00:06:01,259 --> 00:06:02,800 acute episodic care. It's 170 00:06:03,339 --> 00:06:04,860 so much more than we can provide in 171 00:06:04,860 --> 00:06:07,740 a convenient virtual setting. And knowing now that 172 00:06:07,740 --> 00:06:10,460 statistic I I alluded to earlier, that 30 173 00:06:10,460 --> 00:06:12,985 would prefer a virtual setting, We need to 174 00:06:12,985 --> 00:06:15,084 make sure that we help our our partners 175 00:06:15,144 --> 00:06:16,685 communicate to their member bases 176 00:06:17,225 --> 00:06:18,044 about longitudinal 177 00:06:18,504 --> 00:06:21,704 services like behavioral health or virtual primary care, 178 00:06:21,704 --> 00:06:24,664 some of the wellness exams and laboratory referrals 179 00:06:24,664 --> 00:06:26,524 that we do for our members every day. 180 00:06:27,360 --> 00:06:29,520 Tony, we've talked a lot about challenges. Right? 181 00:06:29,520 --> 00:06:31,199 We wanna talk about the positive tool a 182 00:06:31,199 --> 00:06:31,860 little bit 183 00:06:32,639 --> 00:06:34,819 or at least the the the opportunities 184 00:06:35,120 --> 00:06:36,020 that we're seeing. 185 00:06:36,400 --> 00:06:38,020 What are some of those opportunities, 186 00:06:38,960 --> 00:06:41,540 that you're hearing from payers specifically for 187 00:06:42,115 --> 00:06:43,415 virtual care providers? 188 00:06:44,675 --> 00:06:46,995 Yeah. Again, probably not a novel answer, but 189 00:06:46,995 --> 00:06:48,675 it's something we're focused on every day is 190 00:06:48,675 --> 00:06:50,834 how do we become more personalized with our 191 00:06:50,834 --> 00:06:53,394 members with every visit and every interaction that 192 00:06:53,394 --> 00:06:55,919 we have. So the members want that, and 193 00:06:55,919 --> 00:06:57,439 they expect that. They see that in every 194 00:06:57,439 --> 00:06:59,680 other facet of their lives today. So how 195 00:06:59,680 --> 00:07:00,579 do we make it 196 00:07:00,959 --> 00:07:03,279 more personalized at every turn, whether it be 197 00:07:03,279 --> 00:07:05,539 the initial intake to follow-up care, 198 00:07:05,839 --> 00:07:06,979 down the line after 199 00:07:07,279 --> 00:07:08,339 treatment is delivered? 200 00:07:08,974 --> 00:07:11,634 Our ability to offer several different modalities 201 00:07:12,175 --> 00:07:14,175 is the start of that. So whether it's 202 00:07:14,175 --> 00:07:16,414 telephonic or if a member prefers just to 203 00:07:16,414 --> 00:07:18,654 chat or prefers to be on video, the 204 00:07:18,654 --> 00:07:21,714 ability to meet them in a preferred modality 205 00:07:21,935 --> 00:07:24,354 is obviously one really important, 206 00:07:25,350 --> 00:07:27,350 aspect of starting off on the right foot 207 00:07:27,350 --> 00:07:28,889 with the members. The second is 208 00:07:29,189 --> 00:07:32,410 there is a huge opportunity for chronic condition 209 00:07:32,709 --> 00:07:35,110 management and behavioral care. As all of us 210 00:07:35,110 --> 00:07:37,110 have heard many times in the industry, the 211 00:07:37,110 --> 00:07:40,305 shortages with with providers and also the the 212 00:07:40,305 --> 00:07:42,084 rising epidemic of 213 00:07:42,785 --> 00:07:45,105 these chronic conditions across the country. We have 214 00:07:45,105 --> 00:07:46,464 to be there and and make sure that 215 00:07:46,464 --> 00:07:48,705 our members that have access to us understand 216 00:07:48,705 --> 00:07:50,404 that we can help take care of those 217 00:07:50,464 --> 00:07:52,625 those conditions as well as the sore throat 218 00:07:52,625 --> 00:07:54,884 and the and the pink eye that typically 219 00:07:55,230 --> 00:07:57,389 people think of when they think of urgent 220 00:07:57,389 --> 00:07:58,529 telephonic care. 221 00:07:58,990 --> 00:08:01,310 Yeah. And lastly, the one other thing I 222 00:08:01,310 --> 00:08:03,069 would mention that's coming up more and more 223 00:08:03,069 --> 00:08:05,710 often is our ability to provide fast access 224 00:08:05,710 --> 00:08:08,129 to care as that first point of contact. 225 00:08:08,394 --> 00:08:09,834 Mhmm. So when a member is not sure 226 00:08:09,834 --> 00:08:12,175 of the severity of whatever their condition might 227 00:08:12,555 --> 00:08:13,995 be, we can either treat that or we 228 00:08:13,995 --> 00:08:16,154 can help triage the member to that, again, 229 00:08:16,154 --> 00:08:18,954 clinically appropriate, either full solution or site of 230 00:08:18,954 --> 00:08:21,534 care if necessary. And I think those are 231 00:08:21,949 --> 00:08:23,949 just three things that our our partners are 232 00:08:23,949 --> 00:08:26,610 asking us for help with as as opportunities 233 00:08:26,829 --> 00:08:27,569 for the future. 234 00:08:28,430 --> 00:08:29,729 Yeah. And I think, again, 235 00:08:30,350 --> 00:08:32,029 all three of them are in general are 236 00:08:32,029 --> 00:08:33,884 are very important. I think two of them 237 00:08:33,965 --> 00:08:35,825 come back to what we started our conversation 238 00:08:36,205 --> 00:08:38,684 with, right, is that consumer attention of, like, 239 00:08:38,684 --> 00:08:41,485 fast access, that consumer experience. But then the 240 00:08:41,485 --> 00:08:42,865 other thing, the personalization 241 00:08:43,165 --> 00:08:44,924 piece is so important as well that you've 242 00:08:44,924 --> 00:08:46,764 mentioned. And and what plays a big role, 243 00:08:46,764 --> 00:08:49,004 I feel like, in that personalization piece is 244 00:08:49,004 --> 00:08:49,665 the use 245 00:08:50,100 --> 00:08:52,419 of AI right now, and and we'd be 246 00:08:52,419 --> 00:08:53,940 remiss not to talk about it. I think 247 00:08:53,940 --> 00:08:56,419 it's an important piece to to providing more 248 00:08:56,419 --> 00:08:58,120 personalized care in certain instances, 249 00:08:58,740 --> 00:09:00,820 and it can certainly play a transformative role 250 00:09:00,820 --> 00:09:02,595 in health care. We're seeing that right now. 251 00:09:02,595 --> 00:09:04,274 I'd love to get your thoughts on this 252 00:09:04,274 --> 00:09:05,894 and how you are 253 00:09:06,274 --> 00:09:10,274 applying GenAI to upper GenAI to operations with 254 00:09:10,274 --> 00:09:12,434 MD Life and and again, just your general 255 00:09:12,434 --> 00:09:14,134 thoughts on on how this is going. 256 00:09:15,009 --> 00:09:17,829 Of course. So AI is obviously it's unlocking 257 00:09:17,889 --> 00:09:20,610 new levels of efficiency across every different industry. 258 00:09:20,610 --> 00:09:22,690 Again, pick up the paper and not hear 259 00:09:22,690 --> 00:09:24,529 about the latest in AI and and some 260 00:09:24,529 --> 00:09:25,269 of the new 261 00:09:25,730 --> 00:09:28,445 innovations that are occurring across across the world 262 00:09:28,445 --> 00:09:30,045 today. So we use it to improve the 263 00:09:30,045 --> 00:09:32,205 patient and provider experience. We we have the 264 00:09:32,205 --> 00:09:35,325 ability to process now enormous amounts of just 265 00:09:35,325 --> 00:09:37,805 unstructured data Mhmm. In tasks that may have 266 00:09:37,805 --> 00:09:39,805 taken hours or even days to complete can 267 00:09:39,805 --> 00:09:40,945 now be done in seconds. 268 00:09:41,480 --> 00:09:42,840 So the key is how do we make 269 00:09:42,840 --> 00:09:45,240 sure that we use AI responsibly and ethically, 270 00:09:45,240 --> 00:09:46,680 and we have a whole center of excellence 271 00:09:46,680 --> 00:09:49,660 that's that's committed to making sure anything that 272 00:09:49,960 --> 00:09:51,960 we incorporate AI into is done in the 273 00:09:51,960 --> 00:09:54,779 right way as efficiently as possible, but also 274 00:09:54,934 --> 00:09:56,934 keeping in mind the the responsibility we have 275 00:09:56,934 --> 00:09:58,394 to our members and to our 276 00:09:58,934 --> 00:09:59,514 our customers. 277 00:10:00,214 --> 00:10:02,714 We use that to streamline those provider tasks. 278 00:10:03,574 --> 00:10:05,414 In essence, it allows them to spend more 279 00:10:05,414 --> 00:10:07,754 time with the patient. Instead of doing administrative 280 00:10:07,815 --> 00:10:10,074 duties or tasks that they would have otherwise 281 00:10:10,134 --> 00:10:11,700 had to do, we can 282 00:10:12,080 --> 00:10:14,080 solve a lot of those issues and give 283 00:10:14,080 --> 00:10:16,080 the patient more time with the doctor as 284 00:10:16,080 --> 00:10:17,519 opposed to getting them in and out real 285 00:10:17,519 --> 00:10:18,799 quickly. And and, 286 00:10:19,360 --> 00:10:20,879 we we know what that can turn into, 287 00:10:20,879 --> 00:10:22,740 a lesser lesser quality care. 288 00:10:23,045 --> 00:10:25,285 So I I absolutely see AI as an 289 00:10:25,285 --> 00:10:26,585 incredible opportunity. 290 00:10:26,965 --> 00:10:28,264 It's going to make 291 00:10:28,644 --> 00:10:30,965 providers' lives easier. It's gonna deliver better care 292 00:10:30,965 --> 00:10:32,184 to the member. And, ultimately, 293 00:10:33,045 --> 00:10:34,965 we all have the same goal of improving 294 00:10:34,965 --> 00:10:37,365 that member experience and improving the outcomes, and 295 00:10:37,365 --> 00:10:38,504 AI will absolutely, 296 00:10:39,419 --> 00:10:40,480 help us do so. 297 00:10:41,179 --> 00:10:42,779 Yeah. Tony, I feel like with all of 298 00:10:42,779 --> 00:10:44,860 these changes and all of these developments, we'll 299 00:10:44,860 --> 00:10:46,139 we'll just have to meet again in a 300 00:10:46,139 --> 00:10:48,460 couple months and talk again. Right? I would 301 00:10:48,460 --> 00:10:50,220 look forward to it. It's changing by the 302 00:10:50,220 --> 00:10:52,139 day. Yep. There'll be something new to talk 303 00:10:52,139 --> 00:10:53,764 about. Again, Tony, thank you so much for 304 00:10:53,764 --> 00:10:55,764 your time and insights today. It's fantastic to 305 00:10:55,764 --> 00:10:57,605 have you, and we also want to thank 306 00:10:57,605 --> 00:11:00,004 our podcast sponsor MD live by Evernorth. You 307 00:11:00,004 --> 00:11:01,845 can tune in to more podcasts from Becker's 308 00:11:01,845 --> 00:11:03,924 Health Care by visiting our podcast page at 309 00:11:03,924 --> 00:11:06,424 beckershospitalreview.com.