1 00:00:00,240 --> 00:00:03,060 Imagine this. You're at the Hyatt Regency Chicago 2 00:00:03,439 --> 00:00:06,000 immersed in insightful discussions with the health care 3 00:00:06,000 --> 00:00:07,459 industry's top leaders. 4 00:00:07,839 --> 00:00:10,580 Welcome to Becker's 12th annual CEO 5 00:00:10,880 --> 00:00:14,740 and CFO roundtable from November 11th to 14th 6 00:00:15,134 --> 00:00:15,634 2024. 7 00:00:16,175 --> 00:00:19,315 Picture yourself networking with over a 1000 executive 8 00:00:19,454 --> 00:00:20,275 level attendees, 9 00:00:20,734 --> 00:00:23,795 collecting business cards, and forging valuable connections. 10 00:00:24,255 --> 00:00:26,654 Feel the excitement as you engage in 4 11 00:00:26,654 --> 00:00:28,675 days of sessions featuring 400 12 00:00:29,135 --> 00:00:30,870 elite health system speakers. 13 00:00:31,429 --> 00:00:35,049 Envision yourself diving deep into critical topics like 14 00:00:35,109 --> 00:00:37,450 rural health care, digital transformation, 15 00:00:38,070 --> 00:00:40,409 health equity, and c suite diversity. 16 00:00:41,190 --> 00:00:44,729 Now imagine being inspired by our celebrity keynotes, 17 00:00:45,195 --> 00:00:48,234 pro football hall of famers Troy Aikman and 18 00:00:48,234 --> 00:00:52,075 Emmett Smith, 43rd president George w Bush, and 19 00:00:52,075 --> 00:00:55,435 author and journalist Jenna Bush Hager. Their stories 20 00:00:55,435 --> 00:00:56,495 will leave you motivated 21 00:00:56,875 --> 00:00:57,695 and energized. 22 00:00:58,234 --> 00:00:59,535 Don't miss this unparalleled 23 00:00:59,995 --> 00:01:00,495 opportunity. 24 00:01:00,990 --> 00:01:03,329 Get registered today. Visit beckershospitalreview.com 25 00:01:05,230 --> 00:01:06,989 and click on the events page to find 26 00:01:06,989 --> 00:01:08,129 the conference website. 27 00:01:08,510 --> 00:01:09,489 That's the beckershospitalreview.com 28 00:01:11,709 --> 00:01:13,729 events page. See you in Chicago. 29 00:01:14,775 --> 00:01:17,655 Hello, and welcome to our Becker's podcast series, 30 00:01:17,655 --> 00:01:20,614 bringing value to value based care. I'm Angela 31 00:01:20,614 --> 00:01:23,415 Merritt. I'm the chief administrative officer in population 32 00:01:23,415 --> 00:01:24,395 health at Providence. 33 00:01:24,935 --> 00:01:27,674 Joining me today is my cohost, Deepak Saragopan. 34 00:01:28,829 --> 00:01:29,329 Hello. 35 00:01:29,629 --> 00:01:30,209 I'm Deepak. 36 00:01:30,590 --> 00:01:33,329 I serve as chief operating officer in population 37 00:01:33,390 --> 00:01:34,289 health at Providence. 38 00:01:34,670 --> 00:01:36,670 Today, we are going to talk about the 39 00:01:36,670 --> 00:01:39,810 intersections between health equity and value based care. 40 00:01:39,950 --> 00:01:41,729 Our guest today is a transformation 41 00:01:42,030 --> 00:01:42,530 specialist 42 00:01:42,989 --> 00:01:45,185 and an incredible thought leader for Providence. 43 00:01:45,564 --> 00:01:48,605 Tim Schell Tarvit leads health experience and equity 44 00:01:48,605 --> 00:01:50,224 within Providence Health Plan. 45 00:01:50,525 --> 00:01:51,584 Welcome, Tim Schell. 46 00:01:52,125 --> 00:01:53,905 Thanks. It's great to be here. 47 00:01:54,525 --> 00:01:56,939 So, Tim Schell, just to start this off, 48 00:01:57,420 --> 00:01:59,579 what does it mean to be the chief 49 00:01:59,579 --> 00:02:02,540 health care experience and equity officer at the 50 00:02:02,540 --> 00:02:05,100 Providence Health Plan? What do you spend most 51 00:02:05,100 --> 00:02:06,159 of your time doing? 52 00:02:07,740 --> 00:02:10,155 Well, most of my time is probably spent 53 00:02:10,155 --> 00:02:12,555 in meetings. I say that tongue in cheek, 54 00:02:12,555 --> 00:02:13,055 actually. 55 00:02:13,675 --> 00:02:14,175 Yeah. 56 00:02:14,555 --> 00:02:15,134 You know, 57 00:02:15,995 --> 00:02:17,134 as I think about 58 00:02:17,514 --> 00:02:19,675 my role, it's really trying to find ways 59 00:02:19,675 --> 00:02:21,215 to push innovative solutions, 60 00:02:21,754 --> 00:02:22,254 empowering, 61 00:02:23,610 --> 00:02:26,269 Providence Health Plan and the teams to improve 62 00:02:26,409 --> 00:02:28,830 both our health care experience for 63 00:02:29,370 --> 00:02:30,269 our our members, 64 00:02:31,289 --> 00:02:32,110 but addressing 65 00:02:32,569 --> 00:02:34,330 some of the equity challenges that we have 66 00:02:34,330 --> 00:02:34,830 also. 67 00:02:35,370 --> 00:02:37,370 We know in in health care, there there 68 00:02:37,370 --> 00:02:39,745 are many inequities. And so how can we 69 00:02:39,745 --> 00:02:40,405 find innovative 70 00:02:40,705 --> 00:02:42,485 solutions that will will address 71 00:02:42,784 --> 00:02:45,025 will address some of the the inequities that 72 00:02:45,025 --> 00:02:47,284 there are? And also, you know, 73 00:02:47,585 --> 00:02:49,604 working then with our internal caregivers, 74 00:02:49,985 --> 00:02:50,485 leading, 75 00:02:50,944 --> 00:02:53,039 some of these these innovative solutions 76 00:03:01,759 --> 00:03:03,840 empower and have a voice as we are 77 00:03:03,840 --> 00:03:05,780 looking at what we might want to do. 78 00:03:06,775 --> 00:03:08,935 Oh, that's great. So you're looking at not 79 00:03:08,935 --> 00:03:12,454 only the member population, but also our employees, 80 00:03:12,454 --> 00:03:13,194 our caregivers, 81 00:03:14,055 --> 00:03:14,555 because 82 00:03:14,854 --> 00:03:17,094 equity is is across it's 83 00:03:17,414 --> 00:03:19,020 it flows into both sides 84 00:03:20,219 --> 00:03:22,540 there. That's great. As an executive that's focused 85 00:03:22,540 --> 00:03:25,419 on achieving health equity, how do you see 86 00:03:25,419 --> 00:03:27,840 value based care supporting that effort? 87 00:03:29,180 --> 00:03:31,280 You know, that it's such a great question. 88 00:03:31,980 --> 00:03:33,824 When when I think about, you know, the 89 00:03:33,824 --> 00:03:37,185 traditional system of, you know, getting people through 90 00:03:37,185 --> 00:03:38,405 as quick as possible, 91 00:03:38,865 --> 00:03:39,745 that's really, 92 00:03:40,064 --> 00:03:41,824 one of the things that just continues to 93 00:03:41,824 --> 00:03:43,284 perpetuate the inequities. 94 00:03:43,745 --> 00:03:45,599 So then when we start thinking about value 95 00:03:45,599 --> 00:03:46,340 based care, 96 00:03:46,879 --> 00:03:49,060 I really believe it's a step towards addressing 97 00:03:49,199 --> 00:03:50,479 some of the inequities that there are in 98 00:03:50,479 --> 00:03:52,159 the health care system. What we're really doing 99 00:03:52,159 --> 00:03:53,780 is we're focusing on the outcomes. 100 00:03:54,240 --> 00:03:56,719 And when you start focusing on outcomes, what 101 00:03:56,719 --> 00:03:57,939 you realize is 102 00:03:58,455 --> 00:03:58,955 individuals, 103 00:03:59,495 --> 00:04:01,414 each of us is an n of 1. 104 00:04:01,414 --> 00:04:03,974 And so our outcomes could be different based 105 00:04:03,974 --> 00:04:04,474 on 106 00:04:04,854 --> 00:04:07,495 other circumstances that we might have based on 107 00:04:07,495 --> 00:04:10,375 our race, our ethnicity, our age, our sexual 108 00:04:10,375 --> 00:04:13,169 orientation, gender identity, or our disability status. 109 00:04:13,969 --> 00:04:16,370 And so as we start to try and 110 00:04:16,370 --> 00:04:17,350 drive to 111 00:04:17,889 --> 00:04:20,230 outcomes that are more positive, 112 00:04:20,689 --> 00:04:23,329 not just an a giant number or getting 113 00:04:23,329 --> 00:04:24,149 people through, 114 00:04:24,529 --> 00:04:26,895 what I really think is that's where that 115 00:04:26,895 --> 00:04:29,935 intersection is. We start to see changes in 116 00:04:29,935 --> 00:04:31,074 how we are engaging 117 00:04:31,535 --> 00:04:33,774 with the patient or from a health plan 118 00:04:33,774 --> 00:04:35,395 standpoint, we call them the member. 119 00:04:35,855 --> 00:04:38,095 And and I think that this is we're 120 00:04:38,095 --> 00:04:39,930 at a pivotal point in trying to drive 121 00:04:39,930 --> 00:04:42,129 to that because it's really a different approach 122 00:04:42,129 --> 00:04:44,770 in health care, and and it's focused on 123 00:04:44,770 --> 00:04:46,949 meeting the change in in our world. 124 00:04:47,330 --> 00:04:49,089 And as I think about, you know, the 125 00:04:49,089 --> 00:04:51,649 the health plan that I'm blessed enough to 126 00:04:51,649 --> 00:04:53,894 be part of, Providence Health Plan. You know, 127 00:04:53,894 --> 00:04:57,415 we're definitely committed to being affordable and making 128 00:04:57,415 --> 00:04:58,154 sure that 129 00:04:58,535 --> 00:05:02,154 individuals can access high quality care that's equitable 130 00:05:02,294 --> 00:05:02,954 to them. 131 00:05:03,334 --> 00:05:04,935 And that can mean something different for who 132 00:05:04,935 --> 00:05:06,294 you are. And so we really wanna lead 133 00:05:06,294 --> 00:05:06,535 with equity, 134 00:05:07,430 --> 00:05:09,910 and lead with thinking about how we can 135 00:05:09,910 --> 00:05:12,730 make sure that our our patients and members 136 00:05:12,870 --> 00:05:13,850 get the outcomes 137 00:05:14,310 --> 00:05:16,410 to live their best and most healthy lives. 138 00:05:17,430 --> 00:05:19,529 It it's almost like so 139 00:05:19,855 --> 00:05:22,754 that incentive for better patient outcomes 140 00:05:23,134 --> 00:05:23,535 that, 141 00:05:24,014 --> 00:05:26,274 is part of these value based care contracts 142 00:05:27,214 --> 00:05:27,714 supports 143 00:05:28,335 --> 00:05:31,134 really getting to the root cause of why 144 00:05:31,134 --> 00:05:32,194 those outcomes 145 00:05:32,654 --> 00:05:35,475 are less than desirable in the first place. 146 00:05:36,649 --> 00:05:39,050 Absolutely. You have to take the time to 147 00:05:39,050 --> 00:05:40,589 understand because right now, 148 00:05:40,969 --> 00:05:43,050 if you're just fixing or putting a Band 149 00:05:43,050 --> 00:05:44,889 Aid on it, it's not gonna fit 150 00:05:45,370 --> 00:05:47,849 over time, what we've continued to see is 151 00:05:47,849 --> 00:05:49,469 it doesn't really fix the problem. 152 00:05:49,769 --> 00:05:51,604 And so if we want to figure out 153 00:05:51,604 --> 00:05:53,604 a way to fix the problem, we have 154 00:05:53,604 --> 00:05:55,845 to focus on what's the root cause driving 155 00:05:55,845 --> 00:05:57,604 this. And it could be very different root 156 00:05:57,604 --> 00:05:59,925 causes based on who you are, where you 157 00:05:59,925 --> 00:06:02,084 live, what access you have, even the healthy 158 00:06:02,084 --> 00:06:04,800 things like food. Right? And so if we're 159 00:06:04,800 --> 00:06:07,759 putting in the value and based on the 160 00:06:07,759 --> 00:06:10,480 outcome and not how many individuals you can 161 00:06:10,480 --> 00:06:12,020 get through or process, 162 00:06:12,560 --> 00:06:14,720 it it I think that's where the the 163 00:06:14,720 --> 00:06:15,620 change happens. 164 00:06:16,985 --> 00:06:19,064 That's wonderful, Tim Shail. Thank you for sharing 165 00:06:19,064 --> 00:06:20,504 that. I think it's a it's such a 166 00:06:20,504 --> 00:06:22,045 refreshing approach to 167 00:06:22,425 --> 00:06:25,545 managing populations from a health plan perspective, which 168 00:06:25,545 --> 00:06:27,324 brings me to the next, 169 00:06:28,024 --> 00:06:30,264 question that occurs to me, which is, you 170 00:06:30,264 --> 00:06:32,379 know, in my role, I work on the 171 00:06:32,379 --> 00:06:34,960 health care delivery side, right, from a population 172 00:06:35,020 --> 00:06:35,759 health perspective, 173 00:06:36,220 --> 00:06:38,060 and you work on the health plan side 174 00:06:38,060 --> 00:06:38,720 of Providence. 175 00:06:39,899 --> 00:06:41,680 I'm wondering about your perspective 176 00:06:42,139 --> 00:06:43,279 on how organizations 177 00:06:43,899 --> 00:06:46,105 that are integrated like ours, 178 00:06:46,884 --> 00:06:48,725 can add more value to our community? I 179 00:06:48,725 --> 00:06:51,764 think it's, it probably leads from the from 180 00:06:51,764 --> 00:06:53,605 from the topic that you were just talking 181 00:06:53,605 --> 00:06:54,105 about. 182 00:06:55,444 --> 00:06:57,045 I I really think it does. One of 183 00:06:57,045 --> 00:06:58,740 the things that has been such a pleasant 184 00:06:58,740 --> 00:07:00,020 surprise to me this is the first time 185 00:07:00,020 --> 00:07:01,160 I've worked for an integrated, 186 00:07:01,939 --> 00:07:04,020 an integrated plan. And and one of the 187 00:07:04,020 --> 00:07:05,779 things that I have always thought and I 188 00:07:05,779 --> 00:07:08,420 have pushed is how can we find ways 189 00:07:08,420 --> 00:07:10,980 instead of working against each other to work 190 00:07:10,980 --> 00:07:11,415 together? 191 00:07:12,375 --> 00:07:15,175 And coming to Providence, I really see us 192 00:07:15,175 --> 00:07:17,095 as one providence. One of the things that 193 00:07:17,095 --> 00:07:18,855 I'm lucky enough to get to do is 194 00:07:18,855 --> 00:07:20,535 to do some outreach to some of our 195 00:07:20,535 --> 00:07:21,035 members. 196 00:07:21,574 --> 00:07:23,814 And when I do that outreach with the 197 00:07:23,814 --> 00:07:25,995 members and I'm I'm talking with them, 198 00:07:26,810 --> 00:07:28,170 there's a lot of times where, you know, 199 00:07:28,170 --> 00:07:29,610 I say, what are we doing well? And 200 00:07:29,610 --> 00:07:31,370 they talk to me about what the doctors 201 00:07:31,370 --> 00:07:33,610 and the nurses are doing, or they talk 202 00:07:33,610 --> 00:07:35,850 about what our customer service folks are doing. 203 00:07:35,850 --> 00:07:37,389 They don't see us as different. 204 00:07:38,009 --> 00:07:40,170 And I think that is key. Right? Instead 205 00:07:40,170 --> 00:07:42,615 of thinking of us as there's the insurer, 206 00:07:42,615 --> 00:07:44,935 there's the system side, and they're always going 207 00:07:44,935 --> 00:07:46,774 to be, you know, from a delivery side 208 00:07:46,774 --> 00:07:49,175 or an insurance side fighting against each other. 209 00:07:49,175 --> 00:07:51,435 Instead, we're partnering and 210 00:07:51,814 --> 00:07:55,194 walking together and, you know, presenting that unified 211 00:07:55,254 --> 00:07:55,740 presence 212 00:07:56,379 --> 00:07:58,139 and doing it in a way that the 213 00:07:58,139 --> 00:08:00,620 entire community sees us. And so it creates 214 00:08:00,620 --> 00:08:02,399 this level and this name 215 00:08:02,939 --> 00:08:05,419 of trust. They know who Providence is, and 216 00:08:05,419 --> 00:08:06,479 they trust us. 217 00:08:06,779 --> 00:08:08,954 In addition, there's such key things that 218 00:08:09,595 --> 00:08:11,214 I think we're able to do together, 219 00:08:11,754 --> 00:08:14,735 that are huge. So I'm sure everybody 220 00:08:15,754 --> 00:08:17,274 both of you are very much aware of, 221 00:08:17,274 --> 00:08:19,055 you know, the commitment, the Providence commitment, 222 00:08:19,754 --> 00:08:20,154 to, 223 00:08:20,634 --> 00:08:22,110 to put $50,000,000 224 00:08:22,889 --> 00:08:23,389 into, 225 00:08:24,169 --> 00:08:27,449 the community to address inequities. Well, we are 226 00:08:27,449 --> 00:08:27,949 actually 227 00:08:28,250 --> 00:08:29,310 one of the beneficiaries 228 00:08:29,769 --> 00:08:32,350 this year. We put in a a proposal 229 00:08:32,570 --> 00:08:33,629 to get some, 230 00:08:34,490 --> 00:08:37,225 in language care navigators that are gonna help 231 00:08:37,225 --> 00:08:39,884 navigate the the system, not just, 232 00:08:40,745 --> 00:08:43,945 a care delivery standpoint, but from a health 233 00:08:43,945 --> 00:08:44,925 plan standpoint. 234 00:08:45,384 --> 00:08:47,545 So now these care navigators are gonna have 235 00:08:47,545 --> 00:08:50,850 the opportunity to help individuals who English is 236 00:08:50,850 --> 00:08:52,070 not their first language, 237 00:08:53,570 --> 00:08:56,049 navigate it from dealing with the insurance side 238 00:08:56,049 --> 00:08:57,809 and the system side. So that I mean, 239 00:08:57,809 --> 00:08:59,250 that's just a way right there where we're 240 00:08:59,250 --> 00:09:02,644 trying to, you know, integrate but be innovative. 241 00:09:03,424 --> 00:09:05,345 And I I I wish that there were 242 00:09:05,345 --> 00:09:06,245 more opportunities 243 00:09:06,705 --> 00:09:09,125 for other organizations to do that also. 244 00:09:09,985 --> 00:09:12,644 Yeah. And, you know, the the care navigator 245 00:09:12,785 --> 00:09:15,105 initiative, I'm super excited about because one of 246 00:09:15,105 --> 00:09:17,830 the gaps we've already heard about in our 247 00:09:17,830 --> 00:09:20,250 communities is the challenges of, 248 00:09:21,029 --> 00:09:23,110 of people who are not native English speakers 249 00:09:23,110 --> 00:09:24,789 to actually get access to the type of 250 00:09:24,789 --> 00:09:26,730 care that they need and be able to 251 00:09:26,789 --> 00:09:28,250 access the health care system. 252 00:09:28,654 --> 00:09:30,654 And it's it's exciting that we're able to 253 00:09:30,654 --> 00:09:33,054 partner on this very important initiative for our 254 00:09:33,054 --> 00:09:33,554 communities. 255 00:09:34,894 --> 00:09:37,134 Just a great opportunity. And I think it's 256 00:09:37,134 --> 00:09:39,215 a first step. Right? I mean, there's so 257 00:09:39,215 --> 00:09:41,490 many other things that as I think about 258 00:09:41,710 --> 00:09:44,529 Providence overall that we we have the opportunity 259 00:09:44,830 --> 00:09:47,309 to just partner on, and I think this 260 00:09:47,309 --> 00:09:49,550 is gonna be one one proof point, but 261 00:09:49,550 --> 00:09:50,910 I am sure that as I think about 262 00:09:50,910 --> 00:09:52,750 One Providence, there's gonna be a lot more 263 00:09:52,750 --> 00:09:54,910 that we we can elaborate on in in 264 00:09:54,910 --> 00:09:55,970 that same vein. 265 00:09:57,245 --> 00:09:59,985 Yeah. You know, I health care is so 266 00:10:00,365 --> 00:10:00,865 difficult 267 00:10:01,644 --> 00:10:04,044 to navigate in general. And then to add, 268 00:10:04,365 --> 00:10:06,144 not being a native English speaker, 269 00:10:07,565 --> 00:10:08,065 it's, 270 00:10:08,919 --> 00:10:12,059 just so complex and what a great initiative. 271 00:10:12,279 --> 00:10:14,679 So, I mean, kudos to Providence Health Plan 272 00:10:14,679 --> 00:10:15,240 and to yourself for, 273 00:10:17,240 --> 00:10:19,259 for putting this into place and implementing, 274 00:10:20,279 --> 00:10:21,419 just really exciting. 275 00:10:23,034 --> 00:10:24,495 And speaking of complexity, 276 00:10:25,274 --> 00:10:27,914 contract and payment models are complex even for 277 00:10:27,914 --> 00:10:30,955 those who live and breathe this work every 278 00:10:30,955 --> 00:10:31,455 day. 279 00:10:32,394 --> 00:10:35,115 We have an obligation to not transfer that 280 00:10:35,115 --> 00:10:35,549 complex 281 00:10:38,509 --> 00:10:39,309 communities. What do health systems need to prioritize 282 00:10:39,309 --> 00:10:40,480 to ensure we're easing the way for all? 283 00:10:40,480 --> 00:10:42,750 Yeah. I mean, as I think about, the 284 00:10:42,750 --> 00:10:44,769 complexity, I even get confused sometimes. 285 00:10:45,470 --> 00:10:45,970 Right? 286 00:10:50,544 --> 00:10:52,945 Yeah. I think we need to we need 287 00:10:52,945 --> 00:10:54,945 to start with as as I think about 288 00:10:54,945 --> 00:10:57,024 it, you know, the contracting side on the 289 00:10:57,024 --> 00:10:59,264 back, one of the things that as I 290 00:10:59,264 --> 00:11:00,404 think about the evolution 291 00:11:00,865 --> 00:11:01,845 of I don't 292 00:11:02,304 --> 00:11:03,665 know how many of y'all have bought a 293 00:11:03,665 --> 00:11:05,779 house over the last, I don't know, 30 294 00:11:05,779 --> 00:11:08,259 years, but it has gotten a lot easier 295 00:11:08,259 --> 00:11:10,199 even though there's a lot to sign. 296 00:11:11,139 --> 00:11:13,539 It's gotten easier. Right? And so I think 297 00:11:13,539 --> 00:11:16,419 part of it is, you know, thinking about 298 00:11:16,419 --> 00:11:18,199 a way to, you know, 299 00:11:18,740 --> 00:11:19,959 break down the silos, 300 00:11:20,514 --> 00:11:23,315 between, you know, the the delivery system side 301 00:11:23,315 --> 00:11:25,634 and and the health insurer side, and then 302 00:11:25,634 --> 00:11:28,294 really finding a way to put the patient 303 00:11:28,754 --> 00:11:30,514 or the member at the center of it. 304 00:11:30,514 --> 00:11:32,214 Right? So when I think about the Providence 305 00:11:32,274 --> 00:11:34,195 promise of knowing, caring for, and ease in 306 00:11:34,195 --> 00:11:35,894 the way of our members and our patients, 307 00:11:36,480 --> 00:11:37,840 I really think that that's the way that 308 00:11:37,840 --> 00:11:39,840 we have to do it. So that's gonna 309 00:11:40,000 --> 00:11:42,080 that will help us to solve for the 310 00:11:42,080 --> 00:11:45,139 complexities and prioritize that patient experience. 311 00:11:46,240 --> 00:11:48,080 Yes. We're a business. Yes. We have to 312 00:11:48,080 --> 00:11:49,759 make sure that we we take care of 313 00:11:49,759 --> 00:11:51,575 all of that. But if we are really 314 00:11:51,575 --> 00:11:53,975 centering it around the patient and what their 315 00:11:53,975 --> 00:11:55,355 experience is gonna be, 316 00:11:55,815 --> 00:11:57,334 also think that we need to find better 317 00:11:57,334 --> 00:11:58,875 ways to communicate and collaborate. 318 00:11:59,575 --> 00:12:01,575 I think that there's you know, as as 319 00:12:01,575 --> 00:12:03,735 we think about even just you know, we're 320 00:12:03,735 --> 00:12:04,475 very regulated, 321 00:12:05,600 --> 00:12:08,240 and there's a lot of mandatory notices and 322 00:12:08,240 --> 00:12:10,240 things that we have to send out. But 323 00:12:10,240 --> 00:12:10,740 when 324 00:12:11,199 --> 00:12:13,839 the the the delivery system has to send 325 00:12:13,839 --> 00:12:15,679 them out and the insurance system has to 326 00:12:15,679 --> 00:12:17,379 send them out, how can we find ways 327 00:12:17,795 --> 00:12:19,575 to not have it be so siloed 328 00:12:20,035 --> 00:12:22,375 and to make it easier for the individual 329 00:12:22,514 --> 00:12:24,855 and the patient and the member to understand? 330 00:12:26,514 --> 00:12:29,315 Amen to that. Well, thank you so much, 331 00:12:29,315 --> 00:12:31,370 Tim Schall. I really appreciate your conversation. 332 00:12:32,389 --> 00:12:34,485 I'm really excited for this to launch and 333 00:12:34,485 --> 00:12:34,629 for others to hear, what you have to 334 00:12:34,629 --> 00:12:36,169 say and, have 335 00:12:36,620 --> 00:12:37,690 a wonderful day. 336 00:12:46,337 --> 00:12:48,037 Yeah. Thanks. It's been great.