➡️ COVID-19 Simulation Summit Playlist: https://www.youtube.com/playlist?list=PLAJnaovHtaFR5puHCN4W_4o8cgIHdawDb. -- �� About the speaker. Eva Lee Professor and Director of the Center for Operations Research in Medicine and HealthCare at Georgia Institute of Technology, a center established through funds from the National Science Foundation and the Whitaker Foundation. The center focuses on biomedicine, public health, and defense, advancing domains from basic science to translational medical research; intelligent, personalized, quality, and cost-effective delivery; and medical preparedness and protection of critical infrastructures. She is a Distinguished Scholar in Health Systems, Health System Institute at Georgia Tech and Emory University School of Medicine. She previously served as the Senior Health Systems Engineer and Professor for the U.S. Department of Veterans Affairs. She has also served as Co-Director for ten years for the Center for Health Organization Transformation, an NSF Industry/University Cooperative Research Center.. Speaker’s Abstract: “SARs, bird flu, H1N1, Ebola crisis in W. Africa, Zika and current SARS-CoV-2 underscore the critical importance of emergency response and medical preparedness. Such needs are wide-spread as globalization and air transportation facilitate rapid disease spread across the world. Computational modeling of infectious disease outbreaks and epidemics offer insights in propagation patterns and facilitate policy makers to synthesize potential interventions. Current models include inclined decay with an exponential adjustment, SEIR (susceptible, exposed, infectious, recovered) compartmental model, discrete time stochastic processes, and transmission tree. While many of these models incorporate contact tracing to predict spread pattern, key elements on optimal usage of scarce resources and effective and efficient process performance (e.g., diagnostics and screening, non-pharmaceutical interventions, trained personnel/robots for treatment, decontamination) have not been included. This is particularly critical in the fight of COVID-19 containment due to lack of testing kits and the prevalence of asymptomatic transmission, and the long period of hospitalization required by severely sick patients.. . This work focuses on designing a system computational decision modeling framework that simultaneously i) captures disease spread characteristics, ii) incorporates day-to-day hospital and homecare processes and resource usage, iii) explores non-pharmaceutical intervention, social and human behavior and iv) allows for system optimization to minimize infection and mortality under time and labor constraints.”. -- On April 30th, 2020, the DAIA Foundation has organized an online COVID-19 Simulation Summit. The summit was focused on the use of agent based simulation models for more effective simulation of COVID-19 spread and evaluation of COVID-19 policies. Consisting of live video talks, Q&A sessions, and panel discussions, the event gathered together scientists with insight and experience in simulation modeling of complex systems (especially but not only agent based modeling) and complex systems dynamics; along with scientists and physicians with specific insight into COVID-19 and related epidemiological issues.. The agent based simulation paradigm allows a finer-grained sort of modeling, in which a region (or the world as a whole) is modeled as a specific geometry occupied by interacting autonomous agents with a diversity of specific behavior patterns. An in-depth agent based simulation of COVID-19 spreading would allow better-grounded policy choices to be made regarding how to manage, control and cope with the pandemic.. An agent based simulation, like any other model, depends on the underlying assumptions used to structure it. However, the agent based modeling paradigm provides a more flexible approach to evaluating the consequences of various assumptions, and thus exploring their validity.. -- .
Well visits are the cornerstone of every pediatric practice. They are essential to providing great care for your patients and ensuring financial success for your practice. Learn how to use people, processes, and technology to maximize your well visit rates.
Are you a consumer of behavioral health services, but are sometimes challenged to access them? Do you live in a remote area? How can you find a qualified online therapist? How do you make sure your private information remains confidential? Consumers of behavioral health services, especially those in sparsely-populated regions or those who have difficulty getting to a provider, should become aware of how this technology can improve access to care. Webinar participants will learn what kinds of issues can be safely addressed by an online therapist, how they can find a qualified online therapist, how to ensure the information they share remains confidential, and what they can expect to pay for a good online therapist.
This webinar on RHC Telehealth Medicare Part A Billing was recorded on April 26, 2020 and includes the full 55 minutes of Mark Lynn’s presentation on RHC Telehealth Billing. The webinar covers recent coding and reimbursement changes and the implementation of the distant site payment rules and guidance for independent and provider-based RHCs including the reprocessing of claims and the potential for recoupments of payments to provider-based RHCs. G2025, 95 modifier, CG modifier, and CS modifier will be discussed along with changes to the G0071 CPT Code for RHCs.
What the hell is Direct Primary Care (DPC)? Here’s why folks love it and some lessons we can learn for the full healthcare system. Warning: contains ALL the curse words, so maybe keep your kids and administrators away ;-). Join our Supporter Tribe on FB or Patreon to get CME credits on select episodes while supporting the show! http://facebook.com/becomesupporter/zdoggmd. http://patreon.com/zdoggmd. Videoshttps://ZDoggMD.com/. Facebookhttp://facebook.com/zdoggmd. Twitterhttp://twitter.com/zdoggmd. Instagramhttp://instagram.com/zdoggmd. And don’t forget to Subscribe, Comment, and CLICK THE NOTIFICATION BELL on YouTube to turn on notifications!
This is a recording of the 2-hour webinar on new Medicare Telehealth Billing for RHCs including payment for Telehphone only visits on May 1, 2020. Featured speakers include Nathan Baugh from the NARHC, Charles James from North American, Patty Harper from InQuiseek, LLC, Julie Quinn from HSA, Shannon Chambers from SCORH, Doug Swords, from Azalea Health, and Mark Lynn from Healthcare Business Specialists.
Telehealth Will Be Free, No Copays, They Said. But Angry Patients Are Getting Billed. Remote learning is costing parents a fortune America’s Cheesemakers Are in. Telehealth will be free, no copays because of the coronavirus, they said.
But angry patients are getting billed. Telehealth Will Be Free, No Copays, They Said. But Angry Patients Are Getting Billed. said it would waive out-of-pocket costs for “telehealth” patients seeking coronavirus screening. Telehealth Will Be Free, No Copays, They Said. But Angry Patients Are Getting Billed Despite what politicians have promised, insurers said they were not able to immediately eliminate telehealth copays for millions of members who carry their cards but receive coverage through self-insured employers.
Analysis. Telehealth Will be Free, No Copays, They Said. But Angry Patients Are Getting Billed. By Kaiser Health News | April 27, 2020. (COVID-19) Telehealth Will Be Free, No Copays, They Said.
But Angry Patients Are Getting Billed. Business of Medicine National Headlines (COVID-19) Telehealth Will Be Free, No Copays, They Said. But Angry Patients Are Getting Billed. April 27, 2020. newseditorinchief.
Telehealth will be free, no copays, they said. But angry patients are getting billed. to collect telehealth revenue immediately from patients rather than wait for insurance companies to pay. But “they said, ‘No, it goes toward your deductible and you’ve got to pay the whole $70,’” she said. Policymakers and insurers across the country say they are eliminating copayments, deductibles and other barriers to telemedicine for patients confined at home who need a doctor for any reason.
Telehealth will be free, no copays, they said. But angry patients are getting billed. Sound Health and Lasting Wealth Telehealth will be free, no copays, they said. Telehealth Will Be Free, No Copays, They Said. But Angry Patients Are Getting Billed. Kaiser Health News.
The Mighty. 27 April 2020. many practices may be eager to collect telehealth revenue immediately from patients rather than wait for insurance companies to pay, said Sabrina Corlette, a research professor and co-director of the Center on.
List of related literature:
Of course, patients can always seek care outside the network without approval and pay the bill themselves.
A patient with a $10 copayment must pay $10 for each instance of service provided (doctor visit, prescription refill, therapy session), with the insurance covering the remaining charge for each service.* Payers also use a variety of methods to control provider behavior.
For example, the average patient is unlikely to notice a $50 drug charge on a $1200 hospital bill, but even a $3 prescription fee may become the “last straw” if it follows charges for physician services and x-ray and laboratory studies.
However, any copay for some would prohibit their purchasing care they did need such as not filling prescriptions and/or postponing visits to healthcare providers.
An alternative is to inform the patient of the situation and then bill them for the full charges, explaining that they can use the insurance check to pay the bill.
Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.
I’m sorry that an obviously well educated person doesn’t have the ability or desire to communicate well without the constant use of vulgarities. A total turn off.
Can you talk more about how specialists or specifically women’s care can be a part of this? Would IUDs and arm implants be covered for free by this because a PCP can insert them? How would getting a vasectomy or tubal ligation be paid for? What about baby deliveries and c sections? I love the idea but it would be nice to see it done so that we can see how it works more in depth.
You say FVCK way too much,. So do I, and I fvcking love it!!!!! This was amazingly cathartic to hear! Much love from an RN who had a little more wine than she should have tonight, in order to numb the moral injury of being a floor nurse in 2019. PS “One Week” was playing as muzak while I was shopping the other day. I sang along, but I was singing “One Sikh” instead.:D:D
I totally get you Dr Z! I have practically foamed at the mouth talking about how the business sector has ruined healthcare. Licensed as an RN since 1984 with over 30,000 hours of direct care. I remember when doctors were in charge. It would be great to be a part of a series of conversations to repair our healthcare system. I have ideas and believe things can change for the better but people have to stop being afraid and get angry! The anger helps us prepare to fight rather than run from the problem. Stay angry my friend! <3
I will keep saying this as long as we have a for profit capitalist model for healthcare profit will always come before the lives of the patients it’s why Cuba has better patient outcomes than the US
Too bad you misrepresent Single Payer so badly. Single Payer is not for profit. Per Bernie’s plan, he takes on the corporate bureaucratic B’s that makes healthcare so expensive and time consuming. Your plan is more flushed out than when you were on TYT, but it still leaves too many people without care due to cost. If people can’t afford your subscription to medical access they still will not get the education and care they need.
Call the issue what it is capitalistic/opportunistic medicine. A concentration of quality care requires paying boucoup bucks to specialist and prevents people from being primary or community physicians.
What about a company that has employees spread out across the country? Is there a large enough network of direct care docs available to service an employer that wants to offer such a program?
I would love for my company to offer a catastrophic plan and then rather than sharing premiums like they do now, they just give a monthly stipend to go towards healthcare. They would then be able to reduce the amount they pay out to a managed care company and benefits coordinator because they reduce the amount of time spent handling insurance companies.
You assume people who have insurance have cash In hand to pay for primary care. M/care Advantage plan copays has gone up much faster than Social Security. On top of which all the pharmaceutical assistance program does not include us.
I had to get out of primary care specifically because of everything you said. Transferring to urgent care in 60-90 days (when my replacement gets credentialed).
Primary care is my passion and I’ve helped many take their A1c down from double digits to 5s/6s on just metformin and major diet/ exercise changes… but im crushed under all this paperwork. I can’t do it anymore. In the bay area though, it’s near impossible to start up a DPC while still paying off student loans. I feel stuck. It is a nice dream though.
A few other things: YES! We are mind, body, and spirit! It’s exactly why I only went the osteopathic route! I’ve had patients really change their anxiety/ depression around when I carefully went through each category with them during a visit. It’s amazing to see someone transform, it’s soul crushing to have to go back, jot it all down enough to reach a lvl4 visit, and find that all you’re doing every hour of every day is thinking about all the charts still not done.
Are there routes for you to go to Congress to tell them this??? I would be happy to sign anything in support of you being our voice, curses and all ��������
I never use my insurance, it doesnt cover anything anyway. I speak with my doctors and make a deal with them to pay as a cash pay patient. I can get any services i need at affordable prices. Doctors dont want insurance companies hindering them anymore. Talk to your doctors. Go zdogg!
I had my “physical” recently, it took all of maybe 15min. The doc listened to my lungs and heart, quickly looked over my skin, and checked my male parts (no prostate check). I know he couldn’t have really do a thorough check of everything that should be checked. Physicals I had in the past took around 45min. He did have a scribe listening in and doing the chart notes on the computer system, but still. It was obvious to me that the bare minimum was done and I know it is because the amount of time that is allocated to meet insurance guidelines.
3000 per panel was a dream. I had 5500 in FFS when I changed to DPC. Now I know all 600 by name and my team sees diabetes reversal every week because we have the time to invest in each one personally. #dpcftw
If you are looking for Medical billing services, OTB specializes in Telehealth Billing. You can start seeing your patients again today! (719) 301-9846
I signed up for a year with a direct primary care. But there is a per visit charge and he does no labs (I did not realize this when I signed). There is no team, only one dr who doesn’t remember me when I go in and advised me to go to the ER for a minor procedure. I don’t have health insurance. There just are not enough direct care options near here. It is close to impossible to find information on what doctors are good and not (how I ended up with the one I have now). There is one doctor in the town I live who sees patients with no insurance. I agree with you on these issues but can’t really use any of these things just due to lack of availability. Just so frustrating.
Yes! Get Andrew Yang on the show to discuss Healthcare solutions! If he wins you should be the Secretary of Health or whatever the leadership position for that is.
First things first. The per capita cost of health care in the U.S. is $11,000 a year. In Germany with universal access it is $6,000. Simply moving the “who pays” food around the plate is not “reform”. Any health care reform proposal that does not explicitly reduce the per capita cost of care is bogus. BTW, DPC as voiced here with the usual vulgarian overlay conveniently avoids the obvious unintended consequences. Like given the extended visit time, what happens to all of the patients who are not seen? And at 70 bucks a month, a relatively healthy person is paying $840 a year for one or two visits. Which implies a DPC practice death spiral when the healthy patients bail out.
Pretty sure you’re my spirit animal Zdog ❤️ I’m a baby RN, 4 years of experience was going to go for FNP, held off enrollment to plan my wedding and honestly glad that I did. I realized all the parts I despise now as an RN would only get worse when I became an NP especially now that I work for a private office and I see the affects of billing and insurance a lot more than I did when I worked for a big system.
I started with a Direct Primary Care doctor and it was by far the best thing I ever done in regards to my healthcare. In the past it was like an assembly line and the doctor dictated to me which doesn’t work and rushed me out. When the bill came it was huge for the 10 minutes he spent with me and I usually ended up paying since it fell out my deductible. Finally a doctor I can partner with working towards keeping me healthy. My new DPC doctor spent over an hour getting to know who I was and for me to get to know him. During my physical everything was explained to me and he had the courtesy to ask permission before touching me. That was my first appointment and every appointment since then has been great. He actually knows my name when I walk in and he ask me how I feel and how things are going. You are so right there is no personal connection with doctors today. How can someone ever feel comfortable enough to actually be open and truthful with someone who considers you a number or a cash cow. For a low monthly membership fee I have unlimited access to my DPC doc. Everything office related is covered under that fee (except bloodwork, vaccines etc.) and it ends up being much less expensive then using insurance that covers office visits etc. I now have a very high deductible with just catastrophic coverage and my insurance premium combined with my DPC membership fee is way less then before and the care is 1000 times better. Last week I saw my doc at the grocery store and he said “hey Mark how you doing?” Not many people can say there doctors would greet them away from the office.
This in no way challenges the power that greedy insurance and pharmaceutical companies have over average working people in our country. Just another snake oil salesman. Support Medicare for All.
YES����������KEEP ON Not Giving a Fuck. ���������� So tired of corporate healthcare. All the money people pay for big healthcare: The insurance, the co pays, the out of pocket fees, the procedures that insurance doesnt pay for, the $$ expensive drugs, the donations..healthcare can charge you what they want…all that $$$….so……. …��NURSES SHOULD NOT WORK UNDERSTAFFED.�� Do not expect to get what you pay for because your hard earned cash-ish lines those soft velvety pockets and pays for corporate retreats NOT SAFE STAFFING.
Decades ago I remember my parents having medical insurance and major medical. Routine procedures were paid out of pocket, up to an annual limit and then a lifetime limit (which we all hit as teenagers). Then things changed and EVERYTHING was through insurance. More and more paperwork was added, CYA procedures were mandated by malpractice insurers, etc.
Like your oil change example, we’d be paying $200 for an oil change if we did it that way. But we need to convince people that paying out of pocket for routine care is cheaper in the long run. Too many people think it is “free” when done via insurance.
It’s a fantastic premise. I get it…the support needed just to satisfy CMS and Big Insurance is crushing and awful and totally gets in the way. I left the bedside last year, and I’m a “quality improvement nurse.” This means I’m the one who has to tell the hospital how high CMS federal and state…and Joint Commission and all the damn certifying bodies say that we should jump. I’m interested in why you are no longer doing Turntable….did it not catch on? I’d like you to talk about that.
I’m sorry that an obviously well educated person doesn’t have the ability or desire to communicate well without the constant use of vulgarities. A total turn off.
Can you talk more about how specialists or specifically women’s care can be a part of this? Would IUDs and arm implants be covered for free by this because a PCP can insert them? How would getting a vasectomy or tubal ligation be paid for? What about baby deliveries and c sections? I love the idea but it would be nice to see it done so that we can see how it works more in depth.
You say FVCK way too much,. So do I, and I fvcking love it!!!!! This was amazingly cathartic to hear! Much love from an RN who had a little more wine than she should have tonight, in order to numb the moral injury of being a floor nurse in 2019.
PS “One Week” was playing as muzak while I was shopping the other day. I sang along, but I was singing “One Sikh” instead.:D:D
I totally get you Dr Z! I have practically foamed at the mouth talking about how the business sector has ruined healthcare. Licensed as an RN since 1984 with over 30,000 hours of direct care. I remember when doctors were in charge. It would be great to be a part of a series of conversations to repair our healthcare system. I have ideas and believe things can change for the better but people have to stop being afraid and get angry! The anger helps us prepare to fight rather than run from the problem. Stay angry my friend! <3
I will keep saying this as long as we have a for profit capitalist model for healthcare profit will always come before the lives of the patients it’s why Cuba has better patient outcomes than the US
Too bad you misrepresent Single Payer so badly. Single Payer is not for profit. Per Bernie’s plan, he takes on the corporate bureaucratic B’s that makes healthcare so expensive and time consuming. Your plan is more flushed out than when you were on TYT, but it still leaves too many people without care due to cost. If people can’t afford your subscription to medical access they still will not get the education and care they need.
Call the issue what it is capitalistic/opportunistic medicine. A concentration of quality care requires paying boucoup bucks to specialist and prevents people from being primary or community physicians.
What about a company that has employees spread out across the country? Is there a large enough network of direct care docs available to service an employer that wants to offer such a program?
I would love for my company to offer a catastrophic plan and then rather than sharing premiums like they do now, they just give a monthly stipend to go towards healthcare. They would then be able to reduce the amount they pay out to a managed care company and benefits coordinator because they reduce the amount of time spent handling insurance companies.
You assume people who have insurance have cash In hand to pay for primary care. M/care Advantage plan copays has gone up much faster than Social Security. On top of which all the pharmaceutical assistance program does not include us.
I had to get out of primary care specifically because of everything you said. Transferring to urgent care in 60-90 days (when my replacement gets credentialed).
Primary care is my passion and I’ve helped many take their A1c down from double digits to 5s/6s on just metformin and major diet/ exercise changes… but im crushed under all this paperwork. I can’t do it anymore. In the bay area though, it’s near impossible to start up a DPC while still paying off student loans. I feel stuck. It is a nice dream though.
A few other things: YES! We are mind, body, and spirit! It’s exactly why I only went the osteopathic route! I’ve had patients really change their anxiety/ depression around when I carefully went through each category with them during a visit. It’s amazing to see someone transform, it’s soul crushing to have to go back, jot it all down enough to reach a lvl4 visit, and find that all you’re doing every hour of every day is thinking about all the charts still not done.
Are there routes for you to go to Congress to tell them this??? I would be happy to sign anything in support of you being our voice, curses and all ��������
I never use my insurance, it doesnt cover anything anyway. I speak with my doctors and make a deal with them to pay as a cash pay patient. I can get any services i need at affordable prices. Doctors dont want insurance companies hindering them anymore. Talk to your doctors. Go zdogg!
I had my “physical” recently, it took all of maybe 15min. The doc listened to my lungs and heart, quickly looked over my skin, and checked my male parts (no prostate check). I know he couldn’t have really do a thorough check of everything that should be checked. Physicals I had in the past took around 45min. He did have a scribe listening in and doing the chart notes on the computer system, but still. It was obvious to me that the bare minimum was done and I know it is because the amount of time that is allocated to meet insurance guidelines.
3000 per panel was a dream. I had 5500 in FFS when I changed to DPC. Now I know all 600 by name and my team sees diabetes reversal every week because we have the time to invest in each one personally. #dpcftw
If you are looking for Medical billing services, OTB specializes in Telehealth Billing. You can start seeing your patients again today!
(719) 301-9846
This is solid content. I deeply appreciate the way you’ve taken time to innovate these ideas, validate them, and speak about them on here.
I signed up for a year with a direct primary care. But there is a per visit charge and he does no labs (I did not realize this when I signed). There is no team, only one dr who doesn’t remember me when I go in and advised me to go to the ER for a minor procedure. I don’t have health insurance. There just are not enough direct care options near here. It is close to impossible to find information on what doctors are good and not (how I ended up with the one I have now). There is one doctor in the town I live who sees patients with no insurance. I agree with you on these issues but can’t really use any of these things just due to lack of availability. Just so frustrating.
Yes! Get Andrew Yang on the show to discuss Healthcare solutions! If he wins you should be the Secretary of Health or whatever the leadership position for that is.
First things first. The per capita cost of health care in the U.S. is $11,000 a year. In Germany with universal access it is $6,000. Simply moving the “who pays” food around the plate is not “reform”. Any health care reform proposal that does not explicitly reduce the per capita cost of care is bogus. BTW, DPC as voiced here with the usual vulgarian overlay conveniently avoids the obvious unintended consequences. Like given the extended visit time, what happens to all of the patients who are not seen? And at 70 bucks a month, a relatively healthy person is paying $840 a year for one or two visits. Which implies a DPC practice death spiral when the healthy patients bail out.
Pretty sure you’re my spirit animal Zdog ❤️ I’m a baby RN, 4 years of experience was going to go for FNP, held off enrollment to plan my wedding and honestly glad that I did. I realized all the parts I despise now as an RN would only get worse when I became an NP especially now that I work for a private office and I see the affects of billing and insurance a lot more than I did when I worked for a big system.
I started with a Direct Primary Care doctor and it was by far the best thing I ever done in regards to my healthcare. In the past it was like an assembly line and the doctor dictated to me which doesn’t work and rushed me out. When the bill came it was huge for the 10 minutes he spent with me and I usually ended up paying since it fell out my deductible. Finally a doctor I can partner with working towards keeping me healthy. My new DPC doctor spent over an hour getting to know who I was and for me to get to know him. During my physical everything was explained to me and he had the courtesy to ask permission before touching me. That was my first appointment and every appointment since then has been great. He actually knows my name when I walk in and he ask me how I feel and how things are going. You are so right there is no personal connection with doctors today. How can someone ever feel comfortable enough to actually be open and truthful with someone who considers you a number or a cash cow. For a low monthly membership fee I have unlimited access to my DPC doc. Everything office related is covered under that fee (except bloodwork, vaccines etc.) and it ends up being much less expensive then using insurance that covers office visits etc. I now have a very high deductible with just catastrophic coverage and my insurance premium combined with my DPC membership fee is way less then before and the care is 1000 times better. Last week I saw my doc at the grocery store and he said “hey Mark how you doing?” Not many people can say there doctors would greet them away from the office.
This in no way challenges the power that greedy insurance and pharmaceutical companies have over average working people in our country. Just another snake oil salesman. Support Medicare for All.
YES����������KEEP ON Not Giving a Fuck. ���������� So tired of corporate healthcare.
All the money people pay for big healthcare: The insurance, the co pays, the out of pocket fees, the procedures that insurance doesnt pay for, the $$ expensive drugs, the donations..healthcare can charge you what they want…all that $$$….so…….
…��NURSES SHOULD NOT WORK UNDERSTAFFED.�� Do not expect to get what you pay for because your hard earned cash-ish lines those soft velvety pockets and pays for corporate retreats NOT SAFE STAFFING.
Decades ago I remember my parents having medical insurance and major medical. Routine procedures were paid out of pocket, up to an annual limit and then a lifetime limit (which we all hit as teenagers). Then things changed and EVERYTHING was through insurance. More and more paperwork was added, CYA procedures were mandated by malpractice insurers, etc.
Like your oil change example, we’d be paying $200 for an oil change if we did it that way. But we need to convince people that paying out of pocket for routine care is cheaper in the long run. Too many people think it is “free” when done via insurance.
It’s a fantastic premise. I get it…the support needed just to satisfy CMS and Big Insurance is crushing and awful and totally gets in the way. I left the bedside last year, and I’m a “quality improvement nurse.” This means I’m the one who has to tell the hospital how high CMS federal and state…and Joint Commission and all the damn certifying bodies say that we should jump. I’m interested in why you are no longer doing Turntable….did it not catch on? I’d like you to talk about that.
whose gonna pay for the unnecessary outpatient lab tests and scans that the PCP’s order under the Direct Primary Care Revolution.