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Imagine this. You're at the Hyatt Regency Chicago

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surrounded by the top minds in the ambulatory

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surgery center industry.

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Welcome to the Becker's 30th annual meeting, the

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business and operations of ASCs from October 30th

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to November second,

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2024. Picture the excitement as you collect business

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cards from over a 1000 executive level attendees

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forging priceless connections.

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Feel the buzz of conversations

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as you participate in more than 60 sessions

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led by over

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225 elite ASC speakers.

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Envision yourself gaining actionable insights on topics like

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private equity strategies,

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ASC business growth, and innovations in spine, orthopedics,

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GI, ophthalmology, and cardiology.

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Now imagine yourself listening to inspiring keynotes from

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Hall of Fame boxing world champion, Lila Ali,

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and professional basketball player, Caitlin Clark. Their stories

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will motivate you to take your business to

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new heights. You'll leave with a wealth of

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knowledge and a network of connections to help

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lead your ASC into the next year. Don't

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miss out. Get registered today. Visit beckershospitalreviewdot

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com and click on the events page to

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find the conference website. That's the beckershospitalreview.com

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events page. See you in Chicago.

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This is Alan Condon with the Becker's podcast,

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and I am thrilled to be on today

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by doctor Mark Kozlowski,

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who's the CEO of CarePoint Health, a physician

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owned and physician led practice headquartered

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in Colorado.

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Mark, a pleasure to have you on the

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podcast with us for your debut appearance of

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the Becker's podcast.

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Would like to hand it over to you

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1st and foremost to hear a little bit

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more about your role, your background, and what

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you're focusing on at CarePoint Health at the

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moment.

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Yeah. First, I really wanna thank you for

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having me today. It's our pleasure to come

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talk on,

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a talk with Becker's today. I I yeah.

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As you mentioned, CarePoint is a 100%,

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physician owned practice.

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We actually have 300,

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equal owners, which is a unique, unique structure.

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That entity came together in as a Colorado

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emergency medicine practice

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almost 30 years ago.

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And in my time with CarePoint, we've grown

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about tenfold,

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and eventually added hospitalist services,

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neurology, neurosurgery,

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and, rehab services as well.

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Over time, we we, grew into Kansas,

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and we also joined with a like minded

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practice in Utah, and we now have over

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500 clinicians.

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Our CarePoint team also has a neurology

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group,

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which does a lot of teleneurology

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called Blue Sky.

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And Blue Sky provides on the ground services

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in 7 states and telemedicine services in another,

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20 states

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and serves over a 125,000

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patients, including about 75,000

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patients with,

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suspected acute stroke.

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Together, we've grown from

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a really small Denver practice to about 1,300,000

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patients,

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that we should we'll see this year.

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My role in CarePoint, I started in in

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2000,

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shortly after the group came together, and I've

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worked there ever since.

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I started working as med director at the

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HCA

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Swedish site.

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And over the last decade, I've had the

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pleasure to work at actually 14 or maybe

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15 of our, separate emergency departments as our

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practice grew.

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After a couple decades on the board, I

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took over as CEO,

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last fall and really have enjoyed the time

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at, at CarePoint.

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Got it. I think,

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really interesting here. Firstly, the background, the the

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makeup of CarePoint Health, and then also your

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experience, your role there. I think

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almost 20 years, as you said, at CarePoint

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Health serving in various leadership roles, as you

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said, the medical director, then I believe chief

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operating officer for quite a while, and coming

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up on about your 1 year anniversary as

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CEO of the organization.

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I'm curious for can you give us a

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little bit of insight into

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making that step up to the CEO role

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for the first time? Is there any advice,

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if at all, for other COOs or CFOs,

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medical directors who might be looking to follow

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in their footsteps in terms of reaching the

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corner office or the CEO seat in their

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own organization?

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Yeah. Great great great question. For me for

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me, it was a big change. I my

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last decade really was spent focusing on operations

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on the on the growth we had across

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markets,

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on ensuring that we're meeting the health system

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needs,

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and really looking at kind of day to

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day operations. And the transition to to a

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CEO has been

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been a been a great one, but it

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it is a really entirely different job as

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as I've really focused on

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strategy of the organization.

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Where do we wanna be in in 2030?

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Where do we wanna be in in in

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2035?

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Much different than the COO job, which was

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really solely where are we gonna be next

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week.

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So,

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putting on that long term,

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long term glasses and making sure you're looking

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down the road at where you want the

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organization to be 5 years down the road,

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10 years down the road is is a

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big is a big change,

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for the job,

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from the CEO,

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role. It's one that I've really enjoyed, but

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it is a was a big shift.

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Yeah. Yeah. I can only imagine, and especially

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in this day and age with all the

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complexities of health care and evolving trends. But

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I I I curious to hear, I see,

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with your long term view as you're looking

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to 2030, 2035,

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the growth of the organization,

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what are 2 to 3 trends that you're

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really focusing on in health care today and

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why?

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Yeah. I I think the top,

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the top three trends are AI, AI, and

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AI.

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So so,

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I started yeah. I I did residency in

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the nineties in in Detroit, and I started

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medicine with, paper charts, clipboards,

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x-ray view boxes, and,

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textbooks for reference.

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I've seen a lot of changes in the

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almost, 30 years since I, since I started

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residency.

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And while

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things like the Internet and the iPhone did

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change medicine

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for the better,

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The current EHR is still up docs tied

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to a desktop.

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No change that I've seen in my, you

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know, 25 years really compares to the revolution

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that we're seeing in in AI and specifically

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with with ambient listening.

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When you go to one of our 40

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plus ERs, you'll see the docs, and majority

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of time, you'll see them at, at a

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desktop,

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where they do their charting. And if you

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look nationally,

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historically, about only a third of a doc's

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time has been on direct patient care, and

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about 50%

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has spent spent charting, particularly in in the

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many of the hospital based, based specialties.

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The EHR ties those docs to the desktop.

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And and, fortunately, I I really see that,

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changing, particularly as we look forward.

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We've we've began looking at,

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the future of of health care and the

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future of care delivery

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and,

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explored a couple different platforms, and we partnered

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with some some data science graduates from Yale

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and,

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who they developed, CLEO, which is an ER,

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ambient listening platform.

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We're piloting ambient listening across markets.

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I really think this will transform medicine

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in in a way that really nothing else

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has in in my career.

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The conversation with the patient is now becoming

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the record

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and the ability of

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AI not only to document, but also to

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ensure quality

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and minimize

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risk is unparalleled.

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Most importantly,

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from both a patient and physician perspective,

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the waste

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of charting is gradually going away.

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No one went to med school to spend

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half their time charting.

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Time at the bedside, I believe, is going

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to, already it's already increasing, and I think

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that's gonna continue to to do so.

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I think ambient listening will improve sepsis care.

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I think it will help identify high risk

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chief complaints, for example, the high risk back

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pain patients

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and ultimately provide what I would call cognitive

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offloads for the doc.

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Docs are gonna be happier and the patients

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are gonna be happier because instead of focusing

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on the chart or that clipboard I used

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to carry around or the piece of paper

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folded up with notes on it,

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docs are gonna be able to focus on

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the patients,

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and this is gonna be a huge win.

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Yeah. I think it's everything. I think we

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asked a lot of executives, a lot of

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physician providers this question. I think no surprise

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to you that AI definitely, at least, first

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or second then in terms of the biggest

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trend, the most exciting trend that everybody is

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keeping an eye on. And really interesting to

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hear those callouts in terms of the potential

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impact on clinical care, facilitating those position provider

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workflows, the impact on the HR. I mean,

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really so many opportunities to really, really improve

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organizations across the board there.

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So to jump in into my next question,

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no doubt that's one area of excitement as

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well. But is there anything,

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either on the clinical, the technical side, or

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even on the health care space in general,

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anything else that you're particularly excited about?

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Yeah.

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We are we are focused on,

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on RCM, and we think having

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a top,

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revenue cycle management is gonna be imperative to

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be, to be successful

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with the I don't know if I'm excited,

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but with the proposed

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Medicare reimbursement falling in 2024 or proposed cuts

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for 2025

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and many of our states facing a a

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post, COVID Medicaid disenrollment,

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the importance of being on top of your

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game from a from an RCM

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standpoint is is is never been more important.

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Whether you're doing internal billing or outsourcing your

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billing,

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you need your own RCM team to be,

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to to be to be competitive.

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And and we've, you know, invested in this,

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and we'll continue to invest in it. I

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I think it is is gonna be a

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top trend across all practices.

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It's just gonna be a necessity as the

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world becomes more competitive, as payers

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become more,

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aggressive and and and challenging,

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and as,

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reimbursement

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is, is,

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potentially

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falling.

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Yeah. It's it's so interesting that you say

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that just because it's not just practices or

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hospitals. It's entire health systems now which are

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really outsourcing

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or transitioning their entire revenue cycle departments out

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to,

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external partners to really help facilitate in some

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of these payer challenges that we're seeing in

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terms of low payments, excessively excessive prior authorization

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denials, and whatnot. I'm curious to hear just

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a little bit of more about the setup

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of your RCM team. Is it internal, external,

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and how are you looking to grow us?

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Yeah. We we always had an external

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billing entity that we've we've partnered with in

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the past, and what we found is, they

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did a great job. We're moving to automate

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things. But really to ensure

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we're getting the most value out of the

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process, we've invested in hiring our own internal

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RCM team in addition to our external external

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vendor. And this has really been an important

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part of our our success. So we've we've

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started with 1

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individual, and we're up to 5 individuals

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working on RCM at CarePoint.

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And they help manage the relationship with our,

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outsource,

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partner

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and ensure, really, we're getting we're getting value.

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And I see that as being key for

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every practice.

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Yeah. Really, really interesting to hear about the

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internal and external components of your revenue cycle

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operations.

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I'd love to go looking ahead, you you

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obviously talked earlier as you're in your CEO

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role looking to go ahead to 2030, 2035.

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But I'd love to kinda get, like, a

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little bit of a pulse check on the

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next 12 months at CarePoint Health. I know,

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like you said, multiple service lines high acuity

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service lines that you focus on including emergency

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medicine, spine, neurosurgery, neurology.

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But we'd love to hear, is there any,

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CarePoint considering at all into expanding into other

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high acuity service lines? Maybe just bolstering and

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strengthening in those service lines which you do

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perform so well in, or where are you

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looking to grow over the next 12 months?

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Yeah. We we completed strategic planning actually just,

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just last week. We had our board together.

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And as I mentioned, we'll see about 1,200,300,000

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patients this year.

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We have we're really at a transition point.

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We've grown from

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a medium sized regional practice with

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800 employees

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and 300 equal equal owners.

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But, really, we just hired, it's a little

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hard to believe, we just hired our 1st

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full time salesperson,

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just in the last year. So we're

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we've, you know, traditionally just relied on health

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systems coming to us based on our relationships

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and reputation,

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for growth.

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But, we see the future, and I think

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the future is gonna require,

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continued growth and there'll be, you know, hopefully,

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some economies of scale of of increasing size

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in our in our in our in our

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footprint

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and and leveraging our, our success. So we're

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looking forward to continue to grow.

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We are you know, believe that this is,

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we're unique.

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Our physician ownership, we have no debt,

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and our model has proven effective at retaining

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a a top talent, and our board is

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committed to committed to grow.

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In addition, we're we're beginning to explore innovative

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growth. I think our experience looking at

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AI has has

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really opened the door, and and we've we've

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found that there's it's,

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the company and the owners are willing and

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want to invest in early stage health care

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businesses that could potentially improve their practice

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and may bring, you know, future value to

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our patients

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and our and our team. So,

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we're looking forward to continued growth in the

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next 12 months.

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Perfect. So we're certainly excited to have you

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on the podcast today. Pick your brains a

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little bit, Mark, and hear a little bit

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more about some of the exciting things that

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are going on at CarePoint Health. A real

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pleasure to to speak to you today, and

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I look forward to connecting with you again

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down the line.

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Yeah. Thank you so much for your time.