WEBVTT 00:00:00.350 --> 00:00:02.333 You're listening to the PT Pinecast, 00:00:02.452 --> 00:00:04.477 where smart people in healthcare come to 00:00:04.517 --> 00:00:05.357 make noise. 00:00:05.698 --> 00:00:07.141 Here's your host, Jimmy McKay. 00:00:09.948 --> 00:00:10.128 All right, 00:00:10.169 --> 00:00:11.589 if you've ever called the clinic and 00:00:11.628 --> 00:00:11.968 thought, 00:00:12.310 --> 00:00:14.630 how is this still the process in twenty 00:00:14.669 --> 00:00:15.210 twenty six? 00:00:15.230 --> 00:00:16.911 You pressed one, got transferred, 00:00:17.411 --> 00:00:18.890 left a voicemail, never heard back. 00:00:18.971 --> 00:00:20.972 Who's left a voicemail in the last three 00:00:21.012 --> 00:00:21.231 years? 00:00:21.731 --> 00:00:22.111 Meanwhile, 00:00:22.152 --> 00:00:23.692 patients can order groceries in twelve 00:00:23.751 --> 00:00:26.233 seconds and get a car delivered in three 00:00:26.272 --> 00:00:26.593 minutes. 00:00:26.652 --> 00:00:28.393 Health care didn't fall behind. 00:00:28.914 --> 00:00:31.373 It just stayed still. 00:00:32.134 --> 00:00:34.695 Today's guest believes health care clinics 00:00:34.734 --> 00:00:36.515 are losing revenue, leverage and control, 00:00:36.854 --> 00:00:38.676 not because they're bad clinicians, 00:00:39.710 --> 00:00:41.030 because they're running two thousand and 00:00:41.070 --> 00:00:43.213 eight systems in twenty twenty six. 00:00:43.814 --> 00:00:45.075 He's built companies before. 00:00:45.115 --> 00:00:46.075 He understands venture. 00:00:46.136 --> 00:00:48.017 And now he's building AI that answers 00:00:48.057 --> 00:00:49.457 phones, text patients, books, 00:00:49.478 --> 00:00:52.341 visits and removes the friction that's 00:00:52.381 --> 00:00:54.442 quietly draining clinics every day. 00:00:54.682 --> 00:00:56.363 If PTs want to be the first stop 00:00:56.384 --> 00:00:57.685 for musculoskeletal care, 00:00:58.146 --> 00:00:59.146 not the afterthought. 00:00:59.860 --> 00:01:02.045 He believes operations need to catch up. 00:01:02.585 --> 00:01:04.448 Please welcome Albert Katz. 00:01:04.709 --> 00:01:06.272 Albert, welcome to the show, man. 00:01:07.933 --> 00:01:08.135 Hello, man. 00:01:08.155 --> 00:01:08.695 Nice to see you. 00:01:08.756 --> 00:01:09.417 How did I do on the intro? 00:01:09.436 --> 00:01:10.478 Was anything in there wrong? 00:01:10.539 --> 00:01:11.319 Anything false? 00:01:11.480 --> 00:01:12.581 Did I oversell? 00:01:13.396 --> 00:01:15.316 The only thing that would have changed is 00:01:15.557 --> 00:01:17.197 rather than two thousand eight this time, 00:01:17.257 --> 00:01:19.019 thinking of nineteen ninety eight windows. 00:01:19.519 --> 00:01:20.219 Yeah, I mean, 00:01:20.500 --> 00:01:22.200 it does sort of feel like that. 00:01:22.260 --> 00:01:22.540 Right. 00:01:22.600 --> 00:01:24.522 So I think I like the way that 00:01:24.542 --> 00:01:25.423 you sort of phrased it. 00:01:25.442 --> 00:01:26.962 And that's where I paraphrase it for the 00:01:27.084 --> 00:01:27.724 for the intro, 00:01:27.763 --> 00:01:30.284 which is it's not that we stepped back. 00:01:30.706 --> 00:01:32.807 It maybe feels that we stood still. 00:01:33.447 --> 00:01:35.147 while the while the world sort of 00:01:35.487 --> 00:01:38.429 progressed and progressed quickly you said 00:01:38.629 --> 00:01:40.730 most tech though and i love bold claims 00:01:40.769 --> 00:01:41.891 i love starting the episode with bold 00:01:41.930 --> 00:01:45.111 claims you say most tech is actually bs 00:01:45.591 --> 00:01:48.552 so my question to you is what separates 00:01:48.673 --> 00:01:50.793 gimmicks from game changers what is the 00:01:50.953 --> 00:01:53.174 actual separation from sort of bs and 00:01:53.234 --> 00:01:55.475 fluff to the things that can really 00:01:55.555 --> 00:01:56.837 deliver i think 00:01:59.031 --> 00:02:02.632 Any tech in healthcare that requires the 00:02:03.153 --> 00:02:03.492 user, 00:02:03.753 --> 00:02:06.433 AKA the provider or the administrator to 00:02:06.474 --> 00:02:09.514 change their workflow will more often than 00:02:09.534 --> 00:02:10.175 not fail. 00:02:11.036 --> 00:02:12.417 And so when you have technology, 00:02:14.462 --> 00:02:16.945 Often they have very bold claims and often 00:02:17.686 --> 00:02:20.088 they require a complete change in the way 00:02:20.128 --> 00:02:22.330 that you've structured your clinic for the 00:02:22.350 --> 00:02:23.771 past ten, twenty years. 00:02:24.413 --> 00:02:26.153 And so what ends up happening is there's 00:02:26.175 --> 00:02:27.355 just simply no usage. 00:02:27.536 --> 00:02:30.359 So the tech is useless. 00:02:31.719 --> 00:02:32.561 And something that we've 00:02:34.091 --> 00:02:35.771 solely been focusing on is just 00:02:36.111 --> 00:02:38.711 understanding what is the current workflow 00:02:38.812 --> 00:02:40.532 and how do we work within the workflow 00:02:40.673 --> 00:02:42.734 so that there's no additional buttons, 00:02:43.234 --> 00:02:44.993 there's no dashboard to look at, 00:02:45.334 --> 00:02:47.375 there's no additional clicks, right? 00:02:47.754 --> 00:02:48.936 It just works seamlessly. 00:02:50.735 --> 00:02:50.855 Yeah, 00:02:50.876 --> 00:02:52.197 this reminds me when I was in PT 00:02:52.217 --> 00:02:52.537 school, 00:02:52.697 --> 00:02:55.397 I was also by accident training for a 00:02:55.437 --> 00:02:58.217 triathlon and I realized somebody took a 00:02:58.758 --> 00:02:59.818 look at me on my bike 00:03:00.549 --> 00:03:01.909 and how I was holding my arms at 00:03:01.930 --> 00:03:03.230 the end of like the triathlon. 00:03:03.270 --> 00:03:04.793 I'm like, why do you curl your wrists? 00:03:04.872 --> 00:03:06.093 Is that like a strategy thing? 00:03:06.133 --> 00:03:06.974 I go, well, no, 00:03:07.034 --> 00:03:08.515 my arms are a little too long for 00:03:08.536 --> 00:03:09.015 this bike. 00:03:09.036 --> 00:03:09.896 And they literally just said, 00:03:10.176 --> 00:03:12.538 there's a screw right there that you can 00:03:12.598 --> 00:03:13.120 lengthen these. 00:03:13.159 --> 00:03:14.741 I remember thinking, wow, 00:03:14.860 --> 00:03:17.663 like I didn't know that I adjusted myself 00:03:17.683 --> 00:03:20.186 to the bike instead of the bike adjusting 00:03:20.225 --> 00:03:20.566 to me. 00:03:20.605 --> 00:03:22.108 And that was like sort of a learning 00:03:22.127 --> 00:03:23.408 moment in PT school, which was, 00:03:23.929 --> 00:03:24.889 and this is for patients, 00:03:25.189 --> 00:03:27.292 never ask them anything. 00:03:27.431 --> 00:03:29.235 to sort of adapt to the technology, 00:03:29.414 --> 00:03:30.997 the technology is supposed to adapt to 00:03:31.016 --> 00:03:31.137 them. 00:03:31.198 --> 00:03:32.620 It sounds like you're saying the exact 00:03:32.639 --> 00:03:33.981 same thing, but for workflows. 00:03:34.382 --> 00:03:35.403 Exactly, exactly. 00:03:35.424 --> 00:03:37.145 I mean, that's how technology works today. 00:03:37.907 --> 00:03:39.128 And that's how it should work in 00:03:39.149 --> 00:03:39.729 healthcare. 00:03:39.789 --> 00:03:40.591 And unfortunately, 00:03:41.132 --> 00:03:42.394 it hasn't been the case largely. 00:03:43.092 --> 00:03:43.431 Yeah. 00:03:44.052 --> 00:03:46.554 So we're specifically talking to physical 00:03:46.593 --> 00:03:47.193 therapists, 00:03:47.274 --> 00:03:49.055 but the organization you work with touches 00:03:49.256 --> 00:03:50.635 many aspects of healthcare. 00:03:50.675 --> 00:03:51.937 But we'll stay in PT today. 00:03:52.437 --> 00:03:53.997 You said PTs are actually holding 00:03:54.018 --> 00:03:57.159 themselves back. 00:03:57.360 --> 00:03:58.360 It's always fear, though. 00:03:58.661 --> 00:03:59.822 What are they afraid of? 00:03:59.942 --> 00:04:02.203 And then bonus question afterward, 00:04:02.223 --> 00:04:03.204 how do we get them past that? 00:04:05.205 --> 00:04:06.305 Yeah. 00:04:06.324 --> 00:04:10.328 So just a little bit more context. 00:04:10.367 --> 00:04:12.348 Flagler solely focuses on 00:04:14.379 --> 00:04:16.541 AI layer for musculoskeletal. 00:04:16.802 --> 00:04:19.944 So PT, ortho, pain, podiatry, 00:04:19.985 --> 00:04:21.245 we're in thirty six states. 00:04:21.346 --> 00:04:25.329 We started off in pain and ortho and 00:04:25.389 --> 00:04:27.932 now we're really growing into PT after 00:04:27.973 --> 00:04:29.673 seeing our technology work really well 00:04:29.694 --> 00:04:31.956 with the multispecialty musculoskeletal 00:04:31.975 --> 00:04:32.437 practices. 00:04:34.346 --> 00:04:35.586 And what we've noticed, 00:04:35.666 --> 00:04:37.827 and I can't really speak so much for 00:04:38.528 --> 00:04:39.249 all of PT, 00:04:39.269 --> 00:04:40.649 just the PTs that I've seen in these 00:04:40.709 --> 00:04:42.310 multi-specialty practices, 00:04:42.971 --> 00:04:45.791 and this is true for most of 00:04:45.951 --> 00:04:46.773 musculoskeletal, 00:04:48.153 --> 00:04:51.375 is typically a lot of the people that 00:04:51.415 --> 00:04:55.516 go into medicine are more risk averse and 00:04:56.158 --> 00:04:58.699 their path has always been paved for them, 00:04:58.899 --> 00:04:59.259 right? 00:04:59.339 --> 00:05:02.180 So you need this type of GPA to 00:05:02.321 --> 00:05:03.781 get into undergrad, 00:05:04.720 --> 00:05:05.221 And from there, 00:05:05.240 --> 00:05:07.242 you need a specific GPA and an MCAT 00:05:07.262 --> 00:05:08.764 score to get into this medical school. 00:05:09.144 --> 00:05:09.584 And from there, 00:05:09.605 --> 00:05:12.267 you need whatever to score on, 00:05:12.528 --> 00:05:14.269 get whatever GPA and score whatever on 00:05:14.290 --> 00:05:16.312 your test to get into this specialty. 00:05:17.153 --> 00:05:19.714 And you know exactly what the next step 00:05:19.896 --> 00:05:20.956 ahead is, right? 00:05:21.276 --> 00:05:22.899 They never stop and train them on, 00:05:23.499 --> 00:05:26.644 You know, how to manage a clinic, 00:05:27.524 --> 00:05:29.788 when to take risks in business. 00:05:30.269 --> 00:05:32.192 And largely the ones that seem to 00:05:32.312 --> 00:05:33.112 outperform, 00:05:33.514 --> 00:05:34.776 at least from the business angle, 00:05:35.175 --> 00:05:38.261 are those that go above and beyond their 00:05:38.300 --> 00:05:38.901 comfort zone. 00:05:39.795 --> 00:05:42.137 And so something that I have seen 00:05:42.177 --> 00:05:45.619 providers do more and more as payers and 00:05:45.858 --> 00:05:48.341 CMS has been squeezing them on rates is 00:05:48.360 --> 00:05:50.521 they've been forced to reach out and see 00:05:51.083 --> 00:05:54.564 where can I generate more revenue and save 00:05:55.086 --> 00:05:56.367 more money? 00:05:56.447 --> 00:05:58.887 And AI seems to be that really easy 00:05:58.947 --> 00:05:59.809 valve that they can 00:06:02.932 --> 00:06:05.432 but it just takes a little bit of 00:06:05.494 --> 00:06:07.495 time for them to go out and explore 00:06:08.095 --> 00:06:10.355 what company is best suited for them. 00:06:11.096 --> 00:06:11.637 Right. 00:06:12.497 --> 00:06:12.577 Yeah. 00:06:12.598 --> 00:06:13.298 About a year ago, 00:06:13.317 --> 00:06:14.619 I felt like everything just had, 00:06:15.079 --> 00:06:16.560 it felt like cereal boxes. 00:06:17.100 --> 00:06:18.620 Everything had AI inside. 00:06:18.641 --> 00:06:21.043 It was like, we've got AI in everything. 00:06:21.502 --> 00:06:24.043 And I'm sure like you, 00:06:24.064 --> 00:06:25.024 the clinicians out there, 00:06:25.045 --> 00:06:26.425 the practice owners just started thinking, 00:06:27.165 --> 00:06:28.206 I'm just saturated. 00:06:28.346 --> 00:06:29.848 I don't understand what it can do. 00:06:29.867 --> 00:06:31.228 You're talking about the feature or the 00:06:31.288 --> 00:06:31.569 how, 00:06:32.144 --> 00:06:33.704 but not the what or the why. 00:06:34.466 --> 00:06:37.346 So how do you typically talk to a 00:06:37.406 --> 00:06:38.867 practice owner when you've said, 00:06:39.387 --> 00:06:40.728 we've identified the fact that there's 00:06:40.848 --> 00:06:42.627 fear or that they're risk averse, 00:06:43.548 --> 00:06:44.908 how do you sort of speak to them 00:06:44.928 --> 00:06:46.228 when you see that light bulb moment in 00:06:46.249 --> 00:06:48.110 their eyes once they realize, okay, 00:06:48.430 --> 00:06:50.189 here are the things that I should be 00:06:50.230 --> 00:06:50.831 looking for? 00:06:51.511 --> 00:06:52.050 A second ago, 00:06:52.091 --> 00:06:53.290 if it's not in my workflow or it 00:06:53.310 --> 00:06:54.132 makes me do extra work, 00:06:54.151 --> 00:06:54.971 I'm not gonna do it. 00:06:55.572 --> 00:06:56.593 What are the things that you think 00:06:56.632 --> 00:06:58.233 practice owners who are typically risk 00:06:58.274 --> 00:07:00.315 averse need to hear before they'll start 00:07:00.336 --> 00:07:03.017 to consider adapting or adopting 00:07:03.598 --> 00:07:03.918 something? 00:07:05.119 --> 00:07:07.100 Yeah. 00:07:07.120 --> 00:07:07.701 Two things. 00:07:08.502 --> 00:07:10.923 One, very simple. 00:07:11.023 --> 00:07:13.225 The second one is a bit more complex 00:07:13.305 --> 00:07:15.045 and we rarely will see companies do this. 00:07:16.307 --> 00:07:16.747 But one, 00:07:16.807 --> 00:07:19.430 you want one company to do as many 00:07:19.470 --> 00:07:21.350 things for you as possible because you 00:07:21.370 --> 00:07:23.211 don't want to undergo vendor fatigue and, 00:07:23.692 --> 00:07:23.913 you know, 00:07:24.314 --> 00:07:25.696 Downloading all these different point 00:07:25.735 --> 00:07:27.536 solutions that don't communicate with one 00:07:27.576 --> 00:07:30.137 another is going to be challenging, right? 00:07:30.158 --> 00:07:30.918 And then you're going to ask them to 00:07:30.937 --> 00:07:32.358 connect to these APIs and you're going to 00:07:32.399 --> 00:07:33.899 have to deal with six different account 00:07:33.939 --> 00:07:34.839 managers and whatever. 00:07:35.459 --> 00:07:37.120 And one of the things that we've just 00:07:37.661 --> 00:07:39.101 been able to do is because we don't 00:07:39.122 --> 00:07:41.322 go after every specialty and we just hyper 00:07:41.382 --> 00:07:43.242 focus on MSK, 00:07:43.684 --> 00:07:45.884 we're able to offer all of these products 00:07:46.165 --> 00:07:48.305 to you because every one of the features 00:07:48.365 --> 00:07:49.685 is specialized to the specialty. 00:07:51.997 --> 00:07:52.658 And then two, 00:07:52.817 --> 00:07:54.038 as far as the risk aversion, 00:07:54.439 --> 00:07:56.180 something that we've realized our customer 00:07:56.240 --> 00:07:58.401 makes our customers feel a lot safer is 00:07:58.422 --> 00:08:00.442 we take the risk on with them. 00:08:00.483 --> 00:08:02.545 So we pay for the initial installation, 00:08:02.764 --> 00:08:03.024 right? 00:08:03.064 --> 00:08:04.286 The ten thousand dollars, 00:08:04.326 --> 00:08:08.709 let's say we make sure that when we 00:08:08.769 --> 00:08:11.211 go in prior to us even installing our 00:08:11.271 --> 00:08:11.790 software, 00:08:11.951 --> 00:08:15.093 we do deep diligence on the account to 00:08:15.134 --> 00:08:17.074 show them, hey, we're only going to, 00:08:17.214 --> 00:08:18.415 for example, the call center. 00:08:19.314 --> 00:08:20.576 We're not going to charge you a dime 00:08:21.175 --> 00:08:23.036 unless we're able to schedule patients for 00:08:23.055 --> 00:08:23.197 you. 00:08:23.817 --> 00:08:25.297 Once we schedule a patient, 00:08:25.778 --> 00:08:27.218 we'll charge you, let's say, 00:08:27.517 --> 00:08:29.639 two dollars per scheduled patient. 00:08:29.778 --> 00:08:29.999 Right. 00:08:30.559 --> 00:08:32.480 Same thing with RTM. 00:08:32.940 --> 00:08:34.120 You'll see some solutions. 00:08:35.105 --> 00:08:36.547 or they'll charge you about seventy 00:08:36.567 --> 00:08:39.570 dollars per provider per month right that 00:08:39.630 --> 00:08:42.572 requires the provider to take risk what we 00:08:42.592 --> 00:08:44.554 do instead is we say we're going to 00:08:44.595 --> 00:08:47.597 charge you absolutely nothing and we're 00:08:47.618 --> 00:08:49.740 going to use our care management team to 00:08:49.779 --> 00:08:51.982 take care of the patients we'll identify 00:08:52.003 --> 00:08:53.703 the patients you just sign one order form 00:08:53.744 --> 00:08:55.346 a month and. 00:08:56.453 --> 00:08:59.195 We will bill you once we've offered the 00:08:59.235 --> 00:09:01.557 service to that patient, right? 00:09:01.917 --> 00:09:04.118 And we'll bill you ninety to one hundred 00:09:04.138 --> 00:09:04.837 twenty days out. 00:09:04.857 --> 00:09:06.479 So you've already collected the money from 00:09:06.599 --> 00:09:07.600 payers and Medicare. 00:09:08.159 --> 00:09:10.821 So that gives a certain amount of 00:09:11.022 --> 00:09:12.881 confidence and safety to the provider, 00:09:13.163 --> 00:09:13.783 because really, 00:09:13.863 --> 00:09:15.504 if you have a tech company that's telling 00:09:15.524 --> 00:09:16.945 you they're going to save you X amount 00:09:16.965 --> 00:09:18.465 of dollars and make you X amount of 00:09:18.485 --> 00:09:18.905 dollars, 00:09:19.405 --> 00:09:21.726 they should be putting their money where 00:09:21.746 --> 00:09:23.268 their mouth is and taking that risk with 00:09:23.307 --> 00:09:23.467 you. 00:09:23.847 --> 00:09:25.288 And that's something we've decided to do. 00:09:26.976 --> 00:09:28.538 So don't be a point solution and ask 00:09:28.557 --> 00:09:29.357 the questions like, 00:09:29.418 --> 00:09:31.038 how does this work on cashflow? 00:09:31.099 --> 00:09:32.359 These are a couple of different questions 00:09:32.379 --> 00:09:33.919 that maybe weren't brought up in syllabus 00:09:33.940 --> 00:09:35.700 when you were going through your clinical 00:09:35.740 --> 00:09:36.260 education, 00:09:36.321 --> 00:09:38.221 but you sort of have to ask like 00:09:38.260 --> 00:09:39.121 the point solution. 00:09:39.782 --> 00:09:41.682 I mean, if you look at really, 00:09:41.702 --> 00:09:43.342 really popular companies that have 00:09:43.363 --> 00:09:45.004 achieved adoption, which really is, 00:09:45.683 --> 00:09:47.424 I would guess like one of the high 00:09:47.445 --> 00:09:49.306 watermarks of success in technology, 00:09:50.105 --> 00:09:51.927 you look at like Apple or Amazon or 00:09:51.986 --> 00:09:52.386 Google, 00:09:53.297 --> 00:09:56.999 if it's a solution that solves a lot 00:09:57.058 --> 00:09:58.379 of my problems and I don't need to 00:09:58.460 --> 00:10:00.620 hunt and peck, 00:10:00.980 --> 00:10:02.542 that seems like something I should lean 00:10:02.581 --> 00:10:02.942 into. 00:10:03.043 --> 00:10:04.482 So I guess one of the things a 00:10:04.503 --> 00:10:06.144 clinician should ask himself or a practice 00:10:06.183 --> 00:10:08.385 owner is, how many problems do I have? 00:10:08.426 --> 00:10:09.145 Can I list them? 00:10:09.206 --> 00:10:10.886 And how many does this check off under 00:10:11.086 --> 00:10:14.028 one umbrella or one login or one simple 00:10:14.229 --> 00:10:15.690 or one organization or one flag? 00:10:16.476 --> 00:10:16.636 Right, 00:10:16.657 --> 00:10:17.977 and you also want to make sure the 00:10:17.998 --> 00:10:19.178 systems work well, right? 00:10:19.198 --> 00:10:21.519 So like operating system, OS, same thing. 00:10:22.740 --> 00:10:24.922 Mac has a great OS, right? 00:10:24.961 --> 00:10:26.182 Like you download a MacBook, 00:10:26.243 --> 00:10:27.703 you can send texts from there and those 00:10:27.744 --> 00:10:30.105 texts also auto-populate to your iPhone, 00:10:30.326 --> 00:10:30.645 right? 00:10:31.166 --> 00:10:32.626 And the more things you have, 00:10:32.667 --> 00:10:34.888 whether it's an iPhone, iPad, Mac, 00:10:35.188 --> 00:10:36.769 they all work really well together. 00:10:37.570 --> 00:10:39.530 And that's kind of the beauty of what 00:10:39.591 --> 00:10:41.613 we've been going for, right? 00:10:42.393 --> 00:10:44.934 All these solutions will magnify the 00:10:45.014 --> 00:10:45.294 others. 00:10:47.135 --> 00:10:48.857 There's no good story without tension. 00:10:49.578 --> 00:10:52.241 So what are the hidden costs of not 00:10:52.302 --> 00:10:52.982 modernizing? 00:10:53.163 --> 00:10:54.485 What are the things that maybe clinic 00:10:54.544 --> 00:10:58.129 owners aren't even thinking about in terms 00:10:58.269 --> 00:11:00.231 of still operating in nineteen ninety 00:11:00.292 --> 00:11:01.793 eight windows ninety eight? 00:11:04.878 --> 00:11:05.437 Hidden costs. 00:11:05.577 --> 00:11:05.839 I mean, 00:11:05.979 --> 00:11:07.600 the amount of patients here that are 00:11:07.639 --> 00:11:09.721 falling through the care plan for certain, 00:11:09.961 --> 00:11:10.240 right? 00:11:10.341 --> 00:11:11.741 Like that's additional revenue you're 00:11:11.761 --> 00:11:12.663 leaving on the table. 00:11:13.143 --> 00:11:14.764 The additional hidden costs that I guess 00:11:14.844 --> 00:11:17.706 most people oversee the future projection 00:11:17.765 --> 00:11:21.048 of is your expenses aren't stagnant, 00:11:21.248 --> 00:11:23.168 but your revenue is decreasing, right? 00:11:23.188 --> 00:11:26.451 So the amount that you pay for salaries, 00:11:26.490 --> 00:11:28.192 for benefits, right? 00:11:28.293 --> 00:11:30.214 Health insurance, for example, for one K, 00:11:30.254 --> 00:11:32.075 if you match even rent, 00:11:32.628 --> 00:11:34.469 that will continue to increase over time. 00:11:34.808 --> 00:11:37.451 It's forced to do inflation. 00:11:37.490 --> 00:11:41.854 But reimbursement, crazy statistic. 00:11:41.913 --> 00:11:45.056 Between between two thousand to twenty 00:11:45.176 --> 00:11:45.956 twenty four, 00:11:46.657 --> 00:11:48.538 Medicare reimbursement has decreased by 00:11:48.738 --> 00:11:50.678 over twenty three percent for physical. 00:11:50.759 --> 00:11:52.179 Right. 00:11:52.900 --> 00:11:55.381 And if you look at inflation year over 00:11:55.442 --> 00:11:55.763 year, 00:11:56.023 --> 00:11:57.683 it's been two and a half to three 00:11:57.724 --> 00:11:58.104 percent. 00:11:58.524 --> 00:11:59.264 Doing the math, 00:11:59.384 --> 00:12:00.525 the margins are going to continue 00:12:00.566 --> 00:12:01.025 squeezing. 00:12:01.544 --> 00:12:01.684 Right. 00:12:02.005 --> 00:12:03.467 And that's why more and more often than 00:12:03.488 --> 00:12:03.687 not, 00:12:03.707 --> 00:12:04.889 you see the majority of these physical 00:12:04.909 --> 00:12:07.413 therapists having to care for four to five 00:12:08.293 --> 00:12:10.037 patients at the same time. 00:12:10.297 --> 00:12:10.576 Right. 00:12:11.298 --> 00:12:13.120 But that can only go so far. 00:12:13.782 --> 00:12:15.344 So you really have to. 00:12:16.044 --> 00:12:17.807 I'm seeing more and more provider groups 00:12:17.886 --> 00:12:19.149 really turn to technology. 00:12:19.703 --> 00:12:21.485 to relieve of all of the stress. 00:12:21.525 --> 00:12:21.885 Yeah. 00:12:21.946 --> 00:12:22.105 Yeah. 00:12:22.147 --> 00:12:23.528 Clean up the things that fall through the 00:12:23.567 --> 00:12:23.888 cracks. 00:12:23.927 --> 00:12:25.549 Like you just said, 00:12:25.990 --> 00:12:27.331 I'm thinking missed calls. 00:12:28.212 --> 00:12:29.594 Even if the call goes through, 00:12:29.673 --> 00:12:31.056 the intake is slow. 00:12:31.755 --> 00:12:33.638 It's slower to get someone through. 00:12:33.677 --> 00:12:35.860 And I bet the longer it takes someone 00:12:35.880 --> 00:12:37.461 to get through and booked and started, 00:12:38.243 --> 00:12:39.303 They fall off somewhere, 00:12:40.085 --> 00:12:42.486 lost valuations completely, 00:12:43.688 --> 00:12:45.529 and then lower patient lifetime value. 00:12:45.650 --> 00:12:47.131 If you lose a patient now, 00:12:47.692 --> 00:12:48.592 that would have been someone that 00:12:48.634 --> 00:12:50.095 converted and stayed with you for five or 00:12:50.134 --> 00:12:50.716 ten years. 00:12:51.235 --> 00:12:52.638 I bet you clinic owners don't even want 00:12:52.658 --> 00:12:53.778 to start doing the math on that. 00:12:54.139 --> 00:12:56.542 Never mind burnout on your staff. 00:12:56.721 --> 00:12:57.001 Yeah. 00:12:58.020 --> 00:12:59.642 Yeah, a hundred percent. 00:13:00.022 --> 00:13:01.863 I used to be the CFO of a 00:13:01.903 --> 00:13:03.043 musculoskeletal practice, 00:13:03.703 --> 00:13:06.485 and it is certainly hard to see 00:13:06.804 --> 00:13:08.865 reimbursement go down and to look at your 00:13:08.905 --> 00:13:09.726 expenses go up. 00:13:09.866 --> 00:13:12.768 It's very painful to have to open up 00:13:13.668 --> 00:13:16.110 that balance sheet and see exactly what's 00:13:16.129 --> 00:13:16.570 happening. 00:13:16.809 --> 00:13:17.950 Yeah, real painful. 00:13:18.730 --> 00:13:19.870 All right. 00:13:20.071 --> 00:13:20.750 Here's a question. 00:13:20.811 --> 00:13:22.951 If someone out there runs a five clinic 00:13:23.350 --> 00:13:25.091 PT practice, will stay in PT, 00:13:25.631 --> 00:13:27.792 where do they even start with AI without 00:13:27.851 --> 00:13:29.711 blowing up their workflow? 00:13:30.532 --> 00:13:30.711 Really, 00:13:30.731 --> 00:13:32.572 we want to move from theory to tactical. 00:13:32.633 --> 00:13:34.232 Where does someone even start if they're 00:13:34.273 --> 00:13:35.373 sitting in front of you and go, okay, 00:13:35.393 --> 00:13:36.693 man, I believe everything you're saying. 00:13:36.714 --> 00:13:37.514 I'm nodding along. 00:13:38.614 --> 00:13:39.214 But right now, 00:13:40.394 --> 00:13:42.134 the fear of even getting started is 00:13:42.215 --> 00:13:43.475 overwhelming and paralyzing. 00:13:43.514 --> 00:13:44.735 Where would you have someone start? 00:13:46.740 --> 00:13:49.023 I think they need to, 00:13:50.624 --> 00:13:52.885 it varies depending on the practice, 00:13:52.905 --> 00:13:53.466 to be honest. 00:13:53.485 --> 00:13:56.009 Like what is the largest issue, right? 00:13:56.649 --> 00:13:58.691 Where are they having the biggest 00:13:58.931 --> 00:13:59.510 bottleneck? 00:13:59.610 --> 00:14:01.753 Is it where they just want to make 00:14:02.214 --> 00:14:03.955 more money right away as quickly as 00:14:03.995 --> 00:14:05.235 possible, lowest risk? 00:14:05.735 --> 00:14:08.038 Then I would say download RTM, 00:14:08.097 --> 00:14:09.139 but download, 00:14:09.578 --> 00:14:11.520 make sure you use RTM that's not, 00:14:12.081 --> 00:14:13.602 that doesn't require your staff to do 00:14:13.663 --> 00:14:14.823 extra work, right? 00:14:15.244 --> 00:14:16.404 Because if it does, it's going to fail. 00:14:17.129 --> 00:14:19.331 But let's say that they also have a 00:14:19.371 --> 00:14:21.134 lot of patients falling through scheduling 00:14:21.354 --> 00:14:23.655 or not following up on their care plan, 00:14:23.676 --> 00:14:25.057 the six visits that they're supposed to 00:14:25.077 --> 00:14:26.318 have, right? 00:14:26.999 --> 00:14:28.520 Then you would probably want an AI call 00:14:28.581 --> 00:14:30.142 center to keep up with those patients, 00:14:30.201 --> 00:14:31.604 bring them back into the practice. 00:14:32.945 --> 00:14:34.306 And then let's just say now, 00:14:34.466 --> 00:14:35.947 because it's becoming a bigger issue than 00:14:35.988 --> 00:14:37.129 ever in the past three years, 00:14:37.188 --> 00:14:38.330 it's prior authorization. 00:14:39.620 --> 00:14:42.621 Then you want to look at a specific 00:14:42.861 --> 00:14:45.484 AI company that can also do your prior 00:14:45.604 --> 00:14:47.186 auth that's more seamless, 00:14:47.206 --> 00:14:49.006 that doesn't require your people to do it. 00:14:49.567 --> 00:14:50.168 Because again, 00:14:51.288 --> 00:14:53.490 the number of hoops you're going to have 00:14:53.510 --> 00:14:56.072 to jump through because of payers is only 00:14:56.092 --> 00:14:57.634 going to increase and it's only going to 00:14:57.653 --> 00:14:58.654 be more complex. 00:14:59.154 --> 00:15:01.738 So you can't have these short-term 00:15:01.778 --> 00:15:03.519 solutions where you just put more work on 00:15:03.558 --> 00:15:05.360 your administration because something's 00:15:05.380 --> 00:15:05.821 going to give. 00:15:08.068 --> 00:15:08.328 Yeah, 00:15:08.349 --> 00:15:09.690 looking to be less of a point solution 00:15:09.710 --> 00:15:11.331 and more of a thing that could help 00:15:11.351 --> 00:15:12.932 you out with operational efficiency. 00:15:14.833 --> 00:15:15.455 Yeah. 00:15:16.034 --> 00:15:16.515 Oh, sorry. 00:15:17.035 --> 00:15:18.157 No, go ahead. 00:15:18.197 --> 00:15:20.438 The goal of this and the way that 00:15:21.620 --> 00:15:24.442 me and my co-founders looked at the future 00:15:24.481 --> 00:15:29.946 clinic of tomorrow is clinics back in the 00:15:29.985 --> 00:15:32.148 day were really just... 00:15:34.303 --> 00:15:36.085 didn't really have many operators outside 00:15:36.105 --> 00:15:37.465 of, let's say, just one office manager, 00:15:37.504 --> 00:15:37.644 right? 00:15:37.664 --> 00:15:38.826 It was just like the doctor, 00:15:39.285 --> 00:15:41.147 maybe an MA, a nurse, 00:15:41.508 --> 00:15:42.288 and the real estate. 00:15:42.888 --> 00:15:45.068 And now you have this entire back office 00:15:45.089 --> 00:15:49.032 team that has to manage all of these 00:15:49.971 --> 00:15:53.874 extra administrative, I guess, hurdles. 00:15:54.754 --> 00:15:56.294 And our goal is to go back to 00:15:56.355 --> 00:15:57.775 the sixties, seventies and eighties, 00:15:57.816 --> 00:16:00.477 where AI will handle all of that for 00:16:00.498 --> 00:16:00.618 you. 00:16:01.365 --> 00:16:02.926 And you can go back to the way 00:16:02.985 --> 00:16:03.785 things were, 00:16:03.806 --> 00:16:05.206 where you just really have to focus on 00:16:05.246 --> 00:16:05.626 the medicine. 00:16:06.207 --> 00:16:09.328 Like a PT's goal should only be recruiting 00:16:09.369 --> 00:16:12.250 more PTs, finding the right real estate, 00:16:12.791 --> 00:16:14.792 making sure that their staff is trained, 00:16:15.491 --> 00:16:17.754 and that's it, right? 00:16:17.974 --> 00:16:20.115 Let everything else be handled by an 00:16:20.174 --> 00:16:20.735 automated tool. 00:16:22.859 --> 00:16:25.000 If PTs truly want to be first response 00:16:25.059 --> 00:16:27.039 for musculoskeletal issues, 00:16:27.639 --> 00:16:30.520 what operational standards do they need to 00:16:30.581 --> 00:16:30.860 hit? 00:16:30.941 --> 00:16:32.760 What are the things that they need to 00:16:32.821 --> 00:16:36.001 make sure are smooth from a consumer 00:16:36.042 --> 00:16:37.302 facing perspective? 00:16:37.743 --> 00:16:40.722 They need to be really good with referrals 00:16:40.743 --> 00:16:42.524 and bringing patients back in and 00:16:42.563 --> 00:16:44.323 establishing the right connections with 00:16:44.844 --> 00:16:46.085 primary care. 00:16:46.605 --> 00:16:48.784 What we've seen is primary care seems to 00:16:49.144 --> 00:16:51.265 more often than not send patients directly 00:16:51.285 --> 00:16:51.966 to orthopedics. 00:16:52.909 --> 00:16:54.951 which is wrong because the orthos, 00:16:54.990 --> 00:16:56.192 most of those patients don't need 00:16:56.231 --> 00:16:56.732 procedures. 00:16:56.753 --> 00:16:57.653 The orthos will see them. 00:16:57.732 --> 00:16:59.274 Ninety percent of the patients that go to 00:16:59.354 --> 00:17:01.956 ortho for initial visit don't need surgery 00:17:01.975 --> 00:17:03.037 and don't get surgery. 00:17:03.517 --> 00:17:03.756 Right. 00:17:04.137 --> 00:17:05.878 So you have that wasted amount of money 00:17:05.999 --> 00:17:07.339 that could be sent directly to PT. 00:17:07.983 --> 00:17:08.785 Sure. 00:17:08.865 --> 00:17:10.506 And then following that, of course, 00:17:10.546 --> 00:17:12.048 is just making sure they don't fall 00:17:12.067 --> 00:17:12.788 through the care plan. 00:17:13.348 --> 00:17:16.172 The most difficult part of the care plan 00:17:16.432 --> 00:17:18.493 is really just that, you know, 00:17:18.713 --> 00:17:20.695 keeping up with the patients because you 00:17:20.715 --> 00:17:23.117 guys will and do already have a large 00:17:23.157 --> 00:17:24.118 influx of patients. 00:17:24.619 --> 00:17:26.201 But you need someone to continue calling 00:17:26.221 --> 00:17:27.241 them and bringing them back. 00:17:27.682 --> 00:17:28.723 And if not that, 00:17:28.844 --> 00:17:30.965 at least offering some telehealth 00:17:31.006 --> 00:17:31.665 alternative. 00:17:31.807 --> 00:17:32.027 Right. 00:17:32.980 --> 00:17:34.923 And that's a bit more difficult. 00:17:35.424 --> 00:17:36.546 But what you can do, 00:17:36.707 --> 00:17:37.969 and this is one of the things we're 00:17:37.989 --> 00:17:38.449 going to, 00:17:39.009 --> 00:17:41.815 that's slated for us in Q three of 00:17:41.855 --> 00:17:42.536 twenty twenty six. 00:17:43.924 --> 00:17:46.965 is allowing PT providers to essentially 00:17:47.586 --> 00:17:48.846 hire one of our ten ninety nine 00:17:48.886 --> 00:17:52.288 contractors that will see their patients 00:17:52.327 --> 00:17:55.328 that essentially refuse to come in to the 00:17:55.368 --> 00:17:58.951 clinic to see them virtually, 00:17:59.611 --> 00:18:02.392 essentially allowing that clinic who 00:18:03.251 --> 00:18:06.414 had initial contact with the patient to 00:18:07.035 --> 00:18:09.257 now have a revenue share agreement with 00:18:09.297 --> 00:18:11.598 the ten ninety nine PTs that we hire. 00:18:12.019 --> 00:18:14.122 So they're still able to treat the 00:18:14.162 --> 00:18:15.742 patient, go through the care plan, 00:18:16.103 --> 00:18:17.163 let's say on their third, fourth, 00:18:17.203 --> 00:18:17.924 fifth visit, 00:18:18.345 --> 00:18:20.606 because otherwise the patient would have 00:18:20.626 --> 00:18:21.188 fallen through. 00:18:21.832 --> 00:18:23.952 So the original clinic is benefiting 00:18:24.393 --> 00:18:26.373 monetarily and medically because their 00:18:26.413 --> 00:18:27.232 patient's getting better. 00:18:27.733 --> 00:18:29.193 And all of the notes is brought back 00:18:29.253 --> 00:18:30.094 into the EMR. 00:18:30.634 --> 00:18:32.434 And then the PT just needs to have 00:18:32.454 --> 00:18:35.275 a really good form of communication with 00:18:35.295 --> 00:18:37.256 the initial provider. 00:18:38.016 --> 00:18:39.457 And so one of the tools we built, 00:18:39.497 --> 00:18:40.416 and I don't want to... 00:18:41.451 --> 00:18:42.932 I'm happy to take any call with any 00:18:43.272 --> 00:18:44.554 potential PT that would like to have a 00:18:44.634 --> 00:18:45.375 conversation on this. 00:18:45.974 --> 00:18:47.455 One of the additional tools we've built is 00:18:47.476 --> 00:18:51.039 essentially this referral system front 00:18:51.160 --> 00:18:53.442 office tool where it takes in all of 00:18:53.461 --> 00:18:56.084 these e-faxes, scans them, 00:18:56.263 --> 00:18:57.545 creates a patient chart, 00:18:58.086 --> 00:18:59.767 and then reaches out to the patient within 00:18:59.807 --> 00:19:02.349 the first eighteen minutes to book an 00:19:02.369 --> 00:19:02.890 appointment. 00:19:03.230 --> 00:19:03.451 Right. 00:19:04.230 --> 00:19:07.472 um and that's something that further 00:19:07.534 --> 00:19:10.194 amplifies pts to be the de facto 00:19:10.395 --> 00:19:12.977 quarterback in msk because it is true like 00:19:12.997 --> 00:19:14.417 it's a large part of the spend you 00:19:14.458 --> 00:19:17.540 need someone uh to take charge and pts 00:19:17.580 --> 00:19:19.362 are best suited for it right they're the 00:19:19.422 --> 00:19:24.164 most conservative yeah um where does ai go 00:19:24.224 --> 00:19:26.586 wrong in healthcare most often where do 00:19:26.606 --> 00:19:29.868 you see it either failing or not living 00:19:29.929 --> 00:19:31.891 up to what was what was just what 00:19:31.911 --> 00:19:33.612 was what was um promised 00:19:34.266 --> 00:19:34.566 Billing. 00:19:37.387 --> 00:19:41.971 So right now it is just not ready 00:19:42.330 --> 00:19:43.912 to be fully hands-off. 00:19:44.451 --> 00:19:47.193 It certainly can improve billing and prior 00:19:47.233 --> 00:19:47.974 authorization, 00:19:49.105 --> 00:19:50.266 But you still need a human in the 00:19:50.306 --> 00:19:51.527 loop, right? 00:19:51.586 --> 00:19:53.929 So think of it more like a steroid 00:19:54.989 --> 00:19:57.611 and less of like just like a terminator 00:19:57.651 --> 00:20:00.212 that's like able to combat payers. 00:20:01.653 --> 00:20:04.076 And so I would be very weary of 00:20:04.336 --> 00:20:07.278 companies that come and advertise 00:20:07.298 --> 00:20:09.199 themselves as fully autonomous revenue 00:20:09.239 --> 00:20:11.181 cycle management because it's not true. 00:20:11.840 --> 00:20:12.000 Yeah, 00:20:12.582 --> 00:20:14.045 I think that description of the Terminator 00:20:14.085 --> 00:20:15.226 was how a lot of things, 00:20:15.487 --> 00:20:17.028 eighteen months ago, were sold. 00:20:17.730 --> 00:20:18.711 And I think a lot of the early 00:20:18.751 --> 00:20:22.096 adopters felt burned and might be a little 00:20:22.116 --> 00:20:23.798 gun-shy with jumping back in after what 00:20:23.818 --> 00:20:26.063 was promised and what wasn't delivered. 00:20:26.666 --> 00:20:27.487 Yeah, I mean, look, 00:20:27.527 --> 00:20:31.347 like I think you'll see a constant pattern 00:20:31.407 --> 00:20:34.909 of what companies have promised and under 00:20:34.949 --> 00:20:35.388 delivered. 00:20:36.189 --> 00:20:37.568 And it's really just a Google search, 00:20:37.628 --> 00:20:40.049 like, you know, typing X, 00:20:40.589 --> 00:20:42.289 just think of a company that does billing 00:20:42.430 --> 00:20:45.490 type in X company and type in made 00:20:45.530 --> 00:20:46.391 mistakes billing. 00:20:46.451 --> 00:20:48.030 And you'll see multiple articles of 00:20:48.211 --> 00:20:50.071 different practices that have tried and 00:20:50.571 --> 00:20:51.692 unfortunately even failed. 00:20:51.751 --> 00:20:52.672 And yeah, 00:20:52.872 --> 00:20:55.192 I think we're maybe a year or two 00:20:55.212 --> 00:20:55.893 away from, 00:20:56.718 --> 00:20:57.417 being closer, 00:20:57.478 --> 00:20:59.679 but still it's something so sensitive and 00:20:59.699 --> 00:21:00.799 it affects your cashflow. 00:21:01.740 --> 00:21:03.961 You want someone there the whole time 00:21:04.060 --> 00:21:05.602 overseeing it, right? 00:21:05.642 --> 00:21:07.362 That's not something you put down easily. 00:21:08.643 --> 00:21:10.784 If you walked into a PT clinic tomorrow, 00:21:11.584 --> 00:21:13.484 what would make you nervous? 00:21:13.565 --> 00:21:15.026 Either something that's there or something 00:21:15.046 --> 00:21:15.965 that's not there. 00:21:16.006 --> 00:21:17.666 If you were gonna go work with a 00:21:17.727 --> 00:21:19.727 PT clinic for the next year and you 00:21:19.767 --> 00:21:20.667 walked in on day one, 00:21:20.728 --> 00:21:22.368 what would make you nervous? 00:21:22.388 --> 00:21:23.808 What would you look around to hopefully 00:21:23.909 --> 00:21:25.609 see and or not see? 00:21:26.723 --> 00:21:27.984 Well, one, if they don't have an EMR, 00:21:28.025 --> 00:21:29.025 that would make you very nervous. 00:21:29.065 --> 00:21:29.486 But I'm assuming. 00:21:31.906 --> 00:21:32.587 Let's not assume. 00:21:32.627 --> 00:21:33.667 My last job in PT, 00:21:33.907 --> 00:21:35.368 we used paper and pens. 00:21:35.409 --> 00:21:37.109 But yes, hopefully by twenty twenty six, 00:21:37.150 --> 00:21:37.810 we're still doing that. 00:21:37.851 --> 00:21:39.912 That's horrible. 00:21:39.932 --> 00:21:41.492 We saw one practice doing that and they 00:21:41.512 --> 00:21:42.834 had this massive filing cabinet. 00:21:42.874 --> 00:21:43.173 I'm like. 00:21:44.961 --> 00:21:46.163 I brought my dad to an appointment a 00:21:46.202 --> 00:21:47.682 few months ago and I literally leaned in. 00:21:47.722 --> 00:21:49.124 I was like, you have an entire room. 00:21:49.384 --> 00:21:49.624 I mean, 00:21:50.384 --> 00:21:51.423 I guess you could pull that off in 00:21:51.463 --> 00:21:52.443 areas where real estate isn't that 00:21:52.463 --> 00:21:52.845 expensive, 00:21:52.865 --> 00:21:55.224 but this woman had two different rooms 00:21:55.904 --> 00:21:56.905 with file folders. 00:21:56.986 --> 00:21:57.865 And I was just like, man, 00:21:57.885 --> 00:21:59.727 what if a fire happened? 00:21:59.826 --> 00:22:00.567 I also don't even... 00:22:02.494 --> 00:22:03.674 I do wonder, I'm like, 00:22:04.055 --> 00:22:07.175 if you are adopting at least an EMR, 00:22:07.336 --> 00:22:09.037 are you reading into like the latest 00:22:09.096 --> 00:22:11.458 medical literature or something like that? 00:22:11.498 --> 00:22:13.458 Like there has to be, 00:22:13.857 --> 00:22:15.439 something's wrong there, you know? 00:22:15.479 --> 00:22:16.459 But whatever. 00:22:17.519 --> 00:22:17.778 I digress. 00:22:17.798 --> 00:22:18.659 What would make you nervous, 00:22:18.700 --> 00:22:20.160 seeing there or not seeing it? 00:22:20.240 --> 00:22:21.140 An EMR is one. 00:22:21.900 --> 00:22:27.862 I think it's less about what the practice 00:22:27.922 --> 00:22:30.403 has and more of the ethos of the 00:22:30.462 --> 00:22:31.022 practice. 00:22:32.167 --> 00:22:35.808 like if you go into an account and 00:22:36.309 --> 00:22:41.991 everyone is very weary of technology or 00:22:42.271 --> 00:22:44.113 they're very stuck in their ways and 00:22:44.153 --> 00:22:46.193 haven't changed anything since like, 00:22:46.334 --> 00:22:47.753 you know, the, let's say, 00:22:48.335 --> 00:22:51.056 the early two thousands, things like that, 00:22:52.135 --> 00:22:54.916 then I would be quite worried because 00:22:54.997 --> 00:22:56.278 there seems to just be a bunch of 00:22:56.317 --> 00:22:58.578 hesitation with AI is gonna take your job, 00:22:59.759 --> 00:23:00.078 right? 00:23:01.200 --> 00:23:01.839 And those that, 00:23:04.922 --> 00:23:07.222 the capabilities and the benefits of it i 00:23:07.262 --> 00:23:10.505 think are going to be more so enemies 00:23:10.924 --> 00:23:13.346 to the cause rather than supporters all 00:23:13.365 --> 00:23:16.826 right uh last question before we hit you 00:23:16.846 --> 00:23:18.347 with the parting shot what's something 00:23:18.387 --> 00:23:22.049 clinic owners think matters but it 00:23:22.109 --> 00:23:23.871 actually doesn't what is something that 00:23:23.891 --> 00:23:25.570 clinic owners buy into that they think 00:23:25.611 --> 00:23:28.673 matters but when it all is said and 00:23:28.692 --> 00:23:30.012 done it really doesn't matter it's not 00:23:30.032 --> 00:23:33.234 that big of a deal oh man oh 00:23:33.414 --> 00:23:33.515 man 00:23:34.755 --> 00:23:37.556 that's really hard i would have to think 00:23:37.596 --> 00:23:39.416 about that because there's a couple things 00:23:39.436 --> 00:23:42.317 there are you can pick you can pick 00:23:42.357 --> 00:23:48.560 more than one that's all right i i 00:23:48.601 --> 00:23:49.882 would have to get back to you on 00:23:49.922 --> 00:23:52.803 that i i really i don't 00:23:54.298 --> 00:23:54.417 Well, 00:23:54.438 --> 00:23:56.518 I guess I think you might have already 00:23:56.538 --> 00:23:57.398 answered this one too, 00:23:57.439 --> 00:23:59.699 which was if it has AI in it, 00:23:59.739 --> 00:24:00.419 then it's good. 00:24:00.598 --> 00:24:02.559 And I feel like that's not actually true. 00:24:03.259 --> 00:24:03.980 Oh, I see. 00:24:04.259 --> 00:24:06.700 Yeah, I see. 00:24:06.779 --> 00:24:08.721 I mean, I think a lot of people... 00:24:11.921 --> 00:24:13.221 Oh, here's one. 00:24:13.241 --> 00:24:15.301 This is the one I learned myself. 00:24:16.001 --> 00:24:17.461 Yes, obviously, if it has AI, 00:24:17.541 --> 00:24:18.782 it doesn't mean it's true. 00:24:19.962 --> 00:24:20.942 But it's also... 00:24:23.273 --> 00:24:26.515 People look at administrators, right? 00:24:26.555 --> 00:24:28.977 And they see like these fancy MBA business 00:24:28.997 --> 00:24:29.557 degrees. 00:24:30.457 --> 00:24:34.118 Like I went to Wharton and they typically 00:24:34.378 --> 00:24:37.480 associate you with being able to just be 00:24:37.500 --> 00:24:39.141 standardly good at business and knowing 00:24:39.181 --> 00:24:40.342 how to operate a clinic. 00:24:41.061 --> 00:24:42.102 And that's also false. 00:24:42.603 --> 00:24:43.623 That's completely false. 00:24:44.502 --> 00:24:47.023 I think that to be honest, 00:24:48.704 --> 00:24:49.986 I made a lot of mistakes early on 00:24:50.006 --> 00:24:52.247 when I was operating and I, 00:24:53.532 --> 00:24:56.354 realize that it doesn't matter what school 00:24:56.413 --> 00:24:58.253 or program you graduated from. 00:24:58.615 --> 00:25:00.595 It's really just a combination of 00:25:00.835 --> 00:25:02.276 experience and creativity. 00:25:03.215 --> 00:25:05.396 And if you're able, 00:25:05.957 --> 00:25:07.576 like health care in itself is a separate 00:25:07.596 --> 00:25:08.357 monster, right? 00:25:08.417 --> 00:25:11.759 Like the way that our system works is 00:25:12.278 --> 00:25:12.939 like none other. 00:25:14.032 --> 00:25:17.034 And what you really need is just to 00:25:17.173 --> 00:25:18.815 understand the system in and out, 00:25:19.355 --> 00:25:21.555 understand how your specific clinic works, 00:25:22.096 --> 00:25:23.875 and then figure out what are the levers 00:25:23.895 --> 00:25:26.457 you can pull and be very creative. 00:25:27.057 --> 00:25:29.577 Don't follow everything you hear from 00:25:29.657 --> 00:25:30.298 other people. 00:25:30.577 --> 00:25:32.398 Take bits and pieces and figure out how 00:25:32.419 --> 00:25:35.259 to incorporate it into your own. 00:25:35.279 --> 00:25:36.500 That's, I would say, 00:25:38.039 --> 00:25:38.820 that's one thing that 00:25:40.528 --> 00:25:42.849 I think that stuck with me, right? 00:25:42.910 --> 00:25:44.310 Fancy degrees are fancy degrees and 00:25:44.351 --> 00:25:44.851 nothing else. 00:25:45.352 --> 00:25:45.551 Yeah. 00:25:45.571 --> 00:25:46.633 Can you execute or not? 00:25:47.252 --> 00:25:47.532 Yeah. 00:25:48.134 --> 00:25:48.413 All right. 00:25:48.453 --> 00:25:49.714 Last thing we do on each episode is 00:25:49.755 --> 00:25:51.316 called the parting shot. 00:25:52.356 --> 00:25:54.398 This is the parting shot. 00:25:54.919 --> 00:25:56.319 One last mic drop moment. 00:25:57.000 --> 00:25:57.800 No pressure. 00:25:58.240 --> 00:26:00.343 Just your legacy on the line. 00:26:02.355 --> 00:26:04.116 Parting Shot is brought to you by our 00:26:04.176 --> 00:26:06.759 friends at Empower EMR. 00:26:07.499 --> 00:26:08.439 Oh, it slows you down. 00:26:08.479 --> 00:26:10.480 If you've chosen an EMR that slows you 00:26:10.520 --> 00:26:12.382 down, that is a personal choice. 00:26:12.402 --> 00:26:14.482 They give you speed at Empower, 00:26:14.603 --> 00:26:16.463 clean workflows and features PTs actually 00:26:16.523 --> 00:26:17.284 ask for, better notes, 00:26:17.324 --> 00:26:19.605 faster documentation, smoother operations, 00:26:19.644 --> 00:26:21.046 and customer support that doesn't ghost 00:26:21.086 --> 00:26:21.246 you. 00:26:21.686 --> 00:26:22.767 Upgrade your clinic's brand at 00:26:22.807 --> 00:26:24.887 EmpowerEMR.com. 00:26:25.008 --> 00:26:26.048 Albert, Parting Shot, 00:26:26.068 --> 00:26:27.210 just the last thing you'd want to leave 00:26:27.230 --> 00:26:27.750 with the audience. 00:26:28.210 --> 00:26:30.030 Mic drop moment, soapbox statement, 00:26:30.490 --> 00:26:31.692 can be anything, it's yours. 00:26:35.996 --> 00:26:38.018 If you're looking to bring your practice 00:26:38.097 --> 00:26:39.818 in the the twenty second century, 00:26:40.179 --> 00:26:40.980 just give us a call. 00:26:42.019 --> 00:26:42.820 Yeah. 00:26:43.121 --> 00:26:45.403 Say it one more time. 00:26:45.942 --> 00:26:46.604 FlaglerHealth.io. 00:26:47.845 --> 00:26:48.224 Perfect. 00:26:48.644 --> 00:26:48.944 Excellent. 00:26:49.266 --> 00:26:50.686 We'll put all that information and the 00:26:50.727 --> 00:26:52.007 link in the show notes as well. 00:26:52.107 --> 00:26:52.307 Albert, 00:26:52.327 --> 00:26:54.848 appreciate you for the time and for the 00:26:54.890 --> 00:26:55.269 insights. 00:26:56.130 --> 00:26:56.790 Thank you, Jimmy. 00:26:58.755 --> 00:26:59.836 That's it for this one, 00:27:00.096 --> 00:27:01.777 but we're just getting warmed up. 00:27:02.257 --> 00:27:04.178 Smash follow, send it to a friend, 00:27:04.378 --> 00:27:06.039 or crank up the next episode. 00:27:06.559 --> 00:27:07.580 Want to go deeper? 00:27:07.721 --> 00:27:10.041 Hit us at pgpinecast.com. 00:27:11.303 --> 00:27:13.284 Or find us on YouTube and socials at 00:27:13.304 --> 00:27:14.565 pgpinecast. 00:27:14.964 --> 00:27:17.247 And legally, none of this was advice. 00:27:17.326 --> 00:27:19.067 It's for entertainment purposes only. 00:27:20.749 --> 00:27:21.328 See, Keith? 00:27:21.528 --> 00:27:22.589 We read the script. 00:27:22.890 --> 00:27:23.570 Happy now?