1 00:02:56,300 --> 00:02:58,120 I'm so proud to be here with you. 2 00:03:22,070 --> 00:03:22,590 I'm so proud to be here with you. 3 00:03:22,590 --> 00:03:23,290 I felt cold. 4 00:03:24,010 --> 00:03:24,870 That was a 5 00:03:27,140 --> 00:03:27,360 good feeling. 6 00:03:28,960 --> 00:03:31,460 I just went right and right, and I was going to 7 00:03:41,130 --> 00:03:41,750 tell you a story. 8 00:03:41,990 --> 00:03:42,910 I was going to tell you a story. 9 00:03:46,960 --> 00:03:48,240 You live in the cold. 10 00:03:50,040 --> 00:03:50,620 Yeah, I agree. 11 00:03:52,280 --> 00:03:52,640 Okay. 12 00:03:52,780 --> 00:03:53,080 Okay, I do. 13 00:03:54,560 --> 00:03:55,740 All my thoughts 14 00:04:05,780 --> 00:04:06,220 on it? 15 00:04:06,300 --> 00:04:06,760 Yes. 16 00:04:07,160 --> 00:04:08,680 It was the first time I went to the hospital. 17 00:04:08,680 --> 00:04:11,900 And then I changed it. 18 00:04:14,920 --> 00:04:15,120 Yes. 19 00:04:15,260 --> 00:04:16,120 All right. 20 00:04:38,780 --> 00:04:39,620 What are you all doing? 21 00:04:40,180 --> 00:04:41,560 What are you doing? 22 00:04:50,760 --> 00:04:51,400 I'm ready. 23 00:04:52,020 --> 00:04:52,780 I'm ready. 24 00:04:53,100 --> 00:04:53,780 I'm ready. 25 00:04:55,100 --> 00:04:57,360 I'm going to get it. 26 00:04:58,940 --> 00:04:59,780 I'm going to get it. 27 00:05:22,470 --> 00:05:23,390 I 28 00:05:29,440 --> 00:05:35,460 have an ambulance. I have an ambulance. I don't play business, I don't work. 29 00:08:08,420 --> 00:08:10,060 I guess I ended up as a female. 30 00:15:07,560 --> 00:15:13,380 Thank you so much for having us today and for giving us the ability to come and visit with you today. 31 00:15:15,220 --> 00:15:27,000 You guys are talking about health care. That's what we do. Health care is very volatile right now. We all live in a very volatile health care system right now where 32 00:15:27,000 --> 00:15:32,480 opportunities for us to get quality care, accessible care, and affordable care are 33 00:15:32,480 --> 00:15:34,980 a few and far between at this point in time. 34 00:15:35,180 --> 00:15:41,360 And we've wanted to introduce Dr. Chris Suttath, who's the owner of Remedy, owner and founder 35 00:15:41,360 --> 00:15:48,620 of Remedy Health, who has come up with a program to address the ability for individuals and families 36 00:15:48,620 --> 00:15:55,000 to receive quality care as well as accessible and affordable health care through our direct 37 00:15:55,000 --> 00:15:56,220 primary care system. 38 00:15:56,220 --> 00:16:07,620 He's developed this program back in 2018, right now we run about seven municipalities in the state of Oklahoma and about 75 employer groups that are on board with remedy health 39 00:16:07,620 --> 00:16:12,260 We are moving the needle when it comes to health care in the state of Oklahoma 40 00:16:12,260 --> 00:16:21,040 And so we wanted to visit with you for a few minutes today about what our program entails and how we can help you your employees and their families here at Cleveland County 41 00:16:21,040 --> 00:16:25,160 get back to controlling really their own health care, you know, at this point in time. 42 00:16:25,340 --> 00:16:27,220 Because right now, health care 43 00:16:29,460 --> 00:16:30,080 is a suitable company. 44 00:16:30,240 --> 00:16:31,880 And we feel that that's just unacceptable. 45 00:16:32,680 --> 00:16:36,000 So we appreciate the opportunity to spend a few minutes with you to discuss. 46 00:16:36,540 --> 00:16:39,480 I'm not sure if he had the opportunity to get online. 47 00:16:40,060 --> 00:16:40,640 Dr. Settis? 48 00:16:42,920 --> 00:16:43,440 Okay. 49 00:16:45,280 --> 00:16:45,740 Fantastic. 50 00:16:48,140 --> 00:16:54,320 So I will, with that being said, you know, I'll introduce you to Dr. Settis. 51 00:16:54,320 --> 00:16:56,400 I think we've got, if it's okay with you folks, 52 00:16:56,760 --> 00:16:59,180 we've got a quick slide show that we can present to you 53 00:16:59,180 --> 00:17:02,040 to talk to you a little bit about kind of healthcare now. 54 00:17:02,080 --> 00:17:06,520 Just so you know, we are a Tulsa-based group, 55 00:17:06,860 --> 00:17:08,580 but we have moved into Oklahoma City. 56 00:17:08,600 --> 00:17:12,460 We moved into Oklahoma City about a year and a half ago 57 00:17:13,020 --> 00:17:16,000 because we won the City of Edmund's contract. 58 00:17:16,280 --> 00:17:19,240 So we run the City of Edmund's healthcare right now 59 00:17:19,240 --> 00:17:22,340 and we've been expanding down in this area 60 00:17:22,340 --> 00:17:24,780 for the last year and a half. 61 00:17:25,020 --> 00:17:27,220 And we're getting ready to open up. 62 00:17:27,340 --> 00:17:29,780 We have a more location that we're opening up. 63 00:17:29,940 --> 00:17:32,860 So we have two locations in Edmunds 64 00:17:32,860 --> 00:17:36,900 that we run here in this part of the state. 65 00:17:37,180 --> 00:17:40,220 And then we're getting ready to open up a more location 66 00:17:40,220 --> 00:17:43,040 as well as a Norman location as well. 67 00:17:43,420 --> 00:17:44,900 Not too far from here. 68 00:17:45,280 --> 00:17:48,260 So with regards to it, but we've actually also started 69 00:17:48,260 --> 00:17:50,520 working with school districts as well. 70 00:17:50,520 --> 00:17:56,400 And we know that your plan is through the state plan through OMES from what I understand. 71 00:17:56,920 --> 00:17:58,580 So this is going to fit perfectly. 72 00:17:58,840 --> 00:18:02,780 We're here not to try and pull you away from what you're doing right now, 73 00:18:02,780 --> 00:18:07,880 but we're here to add to what you're doing right now to help you take this program 74 00:18:07,880 --> 00:18:13,340 and really partner it with the state program that you guys have at this point in time as well 75 00:18:13,340 --> 00:18:14,720 to help you with regards to that. 76 00:18:14,720 --> 00:18:21,280 So we feel it's a very, very great program to help you partner with what you're currently doing, 77 00:18:21,640 --> 00:18:27,160 but most importantly, the quality, the affordability, and the accessibility of healthcare, 78 00:18:27,560 --> 00:18:28,600 you can get through us. 79 00:18:29,120 --> 00:18:34,100 And so, and we give you the ability to include the families as well for the county, as well, 80 00:18:34,240 --> 00:18:36,180 which we think is very, very important. 81 00:18:36,700 --> 00:18:38,980 So, when we still try to figure that out, 82 00:18:41,250 --> 00:18:42,310 technical difficulties. 83 00:18:45,950 --> 00:18:47,070 So, what, 84 00:18:49,690 --> 00:18:53,690 as far as the employer groups that we work with, I talked to you about, we're 85 00:18:53,690 --> 00:18:56,070 running seven municipalities right now. 86 00:18:56,110 --> 00:19:02,570 Most of the municipalities are in the Tulsa area, but we are running Edmund's health care 87 00:19:02,570 --> 00:19:08,650 right now, and we're happy to, when we're done, anything that you need from us with regards 88 00:19:08,650 --> 00:19:15,790 to individuals that you need to visit with and talk to about our health care program, we're happy 89 00:19:15,790 --> 00:19:21,410 to provide as far as that. So, all right, I'm going to turn, we're ready to go. Dr. Sutter, 90 00:19:27,720 --> 00:19:29,900 that's okay, you want to just do it. 91 00:19:34,710 --> 00:19:43,830 Well, why don't I work on that for you while he kind of explains to you a little bit about what 92 00:19:43,830 --> 00:19:49,690 philosophy is the other thing that's important to know is that we are not an investment group owned 93 00:19:50,930 --> 00:19:56,510 office, a primary care group. We are owned by one individual, and that's Dr. Satis. So what you're going 94 00:19:56,510 --> 00:19:59,970 to hear today is probably going to blow you away a little bit with the... 95 00:20:00,000 --> 00:20:05,640 Regards to what we're providing with regards to health care. So, but we are a one entity, one physician, 96 00:20:05,900 --> 00:20:14,380 own not part of a group. So we don't have anybody to satisfy. So we basically develop the program 97 00:20:14,380 --> 00:20:20,340 to make sure that we can pass all of the cost savings and the quality onto the patients that 98 00:20:20,340 --> 00:20:23,900 we have. So, okay. Dr. Sarfora, let me take over. 99 00:20:28,240 --> 00:20:32,180 Thank you, the Garrett, for you not to be worked out there. 100 00:20:32,360 --> 00:20:32,960 Good job, Garrett. 101 00:20:34,120 --> 00:20:38,400 Okay, it's good to be here with you all this morning, apologies for the technical difficulties 102 00:20:38,400 --> 00:20:43,280 getting set up, but it's good to be here and glad that we are set up and I would call your 103 00:20:43,280 --> 00:20:46,800 attention to one of the two screens with our slideshow. 104 00:20:47,180 --> 00:20:51,640 Scott's going to run this to show in the back, so Scott I'll just say events lie when we're 105 00:20:51,640 --> 00:20:52,020 ready. 106 00:20:52,660 --> 00:20:54,440 And once you go ahead and advance this slide one more time. 107 00:20:55,080 --> 00:21:01,360 I'm Dr. Chris Satith. I'm an Oki fourth generation. In fact, my great-grandmother said that she was always 108 00:21:01,360 --> 00:21:08,080 issues born in Indian country, not Oklahoma, but nevertheless, some from southeast part of the state, 109 00:21:08,600 --> 00:21:13,560 in the small town of Savannah, South McAllister Pittsburgh County, Oklahoma Babs University on the 110 00:21:13,560 --> 00:21:19,380 grad, and then spent nine years of my life at the University of Oklahoma. Woo, boomersaner, I like the 111 00:21:19,380 --> 00:21:24,860 in here. It's been a lot of time down here and with my family, my kids, my boys, especially 112 00:21:24,860 --> 00:21:33,860 in fall, but not just in the fall. Anyway, we might like OU athletics. So, I started 113 00:21:33,860 --> 00:21:39,060 a room of health in 2018. I've very excited to talk about room of health, what we've done 114 00:21:39,060 --> 00:21:42,760 for many others. What we love to have opportunity to do for all of your folks here at Cleveland 115 00:21:42,760 --> 00:21:49,360 County. As you all know, just a couple slides on health care system as it exists right now. 116 00:21:49,380 --> 00:21:53,800 Now, health care systems broken, fewer and fewer folks are able to get in to see it from 117 00:21:53,800 --> 00:21:58,880 a care position, they're relying on urgent cares and ERs as they're primary care, and 118 00:21:58,880 --> 00:22:04,740 that's just not a good plan, it's not a good solution, only about one in four Americans, 119 00:22:04,740 --> 00:22:06,960 they don't even have a primary care position, okay? 120 00:22:07,600 --> 00:22:14,520 And then over half of the visits in an ER are even for emergency issues, but those are for 121 00:22:14,520 --> 00:22:18,520 care issues and that's really really expensive and fragmented 122 00:22:19,360 --> 00:22:23,300 primary care and as you know it's not true primary care. 123 00:22:23,540 --> 00:22:25,080 Let's go ahead and advance to the next slide Scott. 124 00:22:25,980 --> 00:22:30,500 So we know that when it comes to employer groups especially employees 125 00:22:31,120 --> 00:22:36,580 care a lot about health benefits, you all know about that 126 00:22:36,580 --> 00:22:38,320 to much better than I do. 127 00:22:38,320 --> 00:22:51,140 Okay, and you know how important it is to offer a benefit that is not just for the employee but for their entire family, so we'll get to that. 128 00:22:51,600 --> 00:22:55,380 When folks go to the emergency room, hey, those emergency room dogs to do a great job. 129 00:22:55,680 --> 00:23:00,580 I have many friends colleagues who are in emergency medicine. They're not there to manage your diabetes. 130 00:23:01,460 --> 00:23:06,920 Okay, they're not there to provide you with any preventive care or holistic care, any mental health care. 131 00:23:06,920 --> 00:23:09,060 That's not what they're there for, okay? 132 00:23:09,400 --> 00:23:13,620 They're not there to provide any sort of life coaching whatsoever. 133 00:23:13,880 --> 00:23:17,200 They're there to fix the acute issue in the movie on down the road. 134 00:23:17,660 --> 00:23:19,460 They do a really good job at that. 135 00:23:20,220 --> 00:23:23,720 Furthermore, even with a teledox service, hey, better than nothing, 136 00:23:24,360 --> 00:23:27,760 but often, as many of the experience you're talking to a stranger, 137 00:23:28,580 --> 00:23:31,260 who is in many cases going to send you to urgent carrying away, 138 00:23:31,440 --> 00:23:36,660 isn't often that urgent case going to send you to ER, so it's not a great 139 00:23:36,660 --> 00:23:45,660 experience overall. So, next slide's got, and then of course, that care and the ER so expensive. 140 00:23:46,860 --> 00:23:53,920 It's on average 12 times the cost of receiving that same care in a primary care environment. 141 00:23:54,820 --> 00:23:58,320 Okay, so those ER claims are killer. 142 00:24:01,100 --> 00:24:11,720 And so, I'm sorry, oh wow, somebody's back here on Fort Nam, that's awesome, that's cool, I'll 143 00:24:11,720 --> 00:24:12,680 better do you. 144 00:24:13,980 --> 00:24:15,480 I mean, it doesn't have a little fortnight, 145 00:24:18,420 --> 00:24:21,360 I have four boys and two girls, so it's just 146 00:24:21,360 --> 00:24:28,540 a constant, it's chaos, all right, next slide's got, I want to talk to you about something 147 00:24:28,540 --> 00:24:35,240 very different. This whole model of care is called direct primary care. We have two graphics 148 00:24:35,240 --> 00:24:43,860 on the screen, and as you can see in the picture on the right, that's a graphic of a doc who just 149 00:24:43,860 --> 00:24:51,240 hates his life. And if you look closely, he's actually contemplating how he's going into his life. 150 00:24:51,240 --> 00:24:59,960 He is very depressed and I kind of say that jokingly and but then I really don't the fact the matter the very 151 00:25:00,000 --> 00:25:08,680 A sad fact, the matter is, the suicide rate in the position population is double the suicide rate in the general population. 152 00:25:10,140 --> 00:25:25,760 General is speaking, doctors in America hate being doctors in America. And when you look at young female physicians, that rate of suicide is four times as high as the suicide rate in the general population. 153 00:25:26,580 --> 00:25:33,060 That's a problem, that's a very clear indicator, something's not working like it should be, okay? 154 00:25:33,760 --> 00:25:40,540 And it doesn't help when the national average office visit time is only 7.7 minutes in primary care, it's all you get. 155 00:25:41,360 --> 00:25:48,700 And these docs are seen 30, 40, 50 people every day arriving the clinic and hour, hour and a half early to get started. 156 00:25:48,700 --> 00:25:52,440 and then staying into the evening, laying in bed, 157 00:25:52,880 --> 00:25:54,500 rotting their notes, to clinic notes, 158 00:25:54,680 --> 00:25:56,320 just to do it all again the next day, 159 00:25:56,640 --> 00:25:58,420 while they're missing out on their kids, activities 160 00:25:59,760 --> 00:26:05,440 on school events, field trips, you know, athletic events, 161 00:26:06,000 --> 00:26:09,080 they're hating their life, okay, doctors are demoralized. 162 00:26:10,100 --> 00:26:12,700 Furthermore, they spend the majority of their time 163 00:26:12,700 --> 00:26:16,360 dealing with paperwork for interns, companies, and third parties. 164 00:26:17,520 --> 00:26:20,060 instead of time face-to-face with their patients. 165 00:26:20,860 --> 00:26:22,100 And that's what they wanted to do. 166 00:26:22,540 --> 00:26:24,500 Doctors wanted to spend time with their patients. 167 00:26:26,820 --> 00:26:30,360 When I was just up to road in Med School at OU, 168 00:26:31,660 --> 00:26:34,700 looking around at all the guys and gals and my class, 169 00:26:35,200 --> 00:26:39,620 none of us were there with excitement about doing paperwork. 170 00:26:41,440 --> 00:26:44,700 We were all there because we were so excited 171 00:26:44,700 --> 00:26:48,160 to be able to do medicine with and for people. 172 00:26:49,580 --> 00:26:52,180 At Remedy Health, we've taken back the control of healthcare 173 00:26:53,320 --> 00:26:56,520 from all these third parties in middle-men, 174 00:26:56,720 --> 00:27:00,000 insurance companies. We try to tell us how to doctor 175 00:27:00,000 --> 00:27:03,960 and try to tell you when we're in how to get the healthcare you want 176 00:27:03,960 --> 00:27:08,500 in need. It's not, it's not their job. They should not be the ones 177 00:27:08,500 --> 00:27:12,800 in driver's seat. You deserve to be in the driver's seat 178 00:27:12,800 --> 00:27:18,960 of your own health. Okay? We've taken back that control, put it in the hands of our patients, 179 00:27:20,120 --> 00:27:24,840 and our remedy health, we operate entirely outside of insurance for all of our services that we provide, 180 00:27:25,440 --> 00:27:34,040 okay? So that 99% of our time is spent just caring for the patient. That's it. 181 00:27:35,120 --> 00:27:40,720 We take care of the person that sits across from us in the exam room instead of paperwork, 182 00:27:40,720 --> 00:27:47,240 we get to do people work. And that is the only way of restoring the joy of the practice of medicine 183 00:27:47,240 --> 00:27:56,520 for doctors. Our mission at Remedy Health is to rescue patients and other physicians from the 184 00:27:56,520 --> 00:28:03,960 broken abusive harmful greedy predatory healthcare system. And ladies and gentlemen, we've done that 185 00:28:03,960 --> 00:28:08,720 for thousands and thousands of patients. We've done that for a lot of docs and we're going to 186 00:28:08,720 --> 00:28:15,360 for a whole lot more. Across this entire state, every county by 2030. Okay, that's our moonshot. 187 00:28:15,860 --> 00:28:21,040 We're going to do it. We have eight clinics operating right now, many more that are in the process 188 00:28:21,040 --> 00:28:28,900 of opening, including one to set the road here, which I'll talk about in a moment. Fundamental 189 00:28:28,900 --> 00:28:34,940 difference is our chief product is a relationship, a relationship between the patient and the 190 00:28:34,940 --> 00:28:41,020 a personal primary care position period. So instead of that 7 or 10 minutes to be generous, 191 00:28:42,500 --> 00:28:48,720 we spend 90 minutes on new-page visits. 45 minutes for follow-up visits. If it's a 192 00:28:48,720 --> 00:28:53,920 middle-health follow-up or a middle-health visit, we walk out of an hour. But hey, if it's in the 193 00:28:53,920 --> 00:28:59,020 queue issue, we'll get you in and out. We guarantee same day next day visits. You bet, we can do that. 194 00:28:59,020 --> 00:29:04,300 And the access to our care is not just in the eighth to five, 195 00:29:06,400 --> 00:29:09,520 the access is anytime, and it's unlimited. 196 00:29:10,920 --> 00:29:16,400 Patients can direct text their physician, not a stranger in some third-party service. 197 00:29:17,960 --> 00:29:22,400 Patients can do a virtual visit with their personal physician. 198 00:29:24,040 --> 00:29:38,520 And whether they're in Norman or North Dakota or Tuscaloosa, whatever, I mean, if they're on a boat in the Caribbean, they have access to the internet, they have access to their remedy health physician. 199 00:29:39,440 --> 00:29:47,000 And that's amazing. Heck, if they're on a beach and Florida, something happens, something comes up and they need a prescription. 200 00:29:47,000 --> 00:29:52,500 And while we get this message, we can correspond about it, we can send it to the pharmacy 201 00:29:52,500 --> 00:29:54,660 closest to them. 202 00:29:54,960 --> 00:29:55,120 Done. 203 00:29:55,220 --> 00:29:55,840 Take care of. 204 00:29:55,860 --> 00:29:59,200 Easy, simple direct, then cost them a dime. 205 00:30:00,500 --> 00:30:01,840 Next slide please. 206 00:30:05,310 --> 00:30:12,070 The application we use for communication is called spruce health. That's just the name of the app. It's called spruce health. 207 00:30:12,830 --> 00:30:20,270 It is hippocompliant. It's secure. Patients can direct text, their physician, and their entire healthcare team. 208 00:30:20,610 --> 00:30:25,970 At any time they are not in this graphic on the slide, you can see a little video icon, top right corner. 209 00:30:25,970 --> 00:30:34,670 It's a simple as clicking on that icon to engage in that virtual visit with their patients or with their physician. 210 00:30:36,290 --> 00:30:42,690 After every office visit, a detailed care plan is typed up and shared with the patient in spruce. 211 00:30:43,890 --> 00:30:47,970 So they can easily go back and see, what do we talk about? What are we doing about it? 212 00:30:47,970 --> 00:30:53,390 When I'm going to be seeing next, lab reports, imaging reports, 213 00:30:53,990 --> 00:30:57,970 consultation reports, diagnostic reports, that work note, 214 00:30:58,370 --> 00:31:01,430 that school notes, that immunization record for your kids, 215 00:31:01,510 --> 00:31:05,890 for school, I mean, all of that, everything is in that app. 216 00:31:06,370 --> 00:31:06,790 Real simple. 217 00:31:08,150 --> 00:31:10,150 And, you know what, if you have a rash, you can take a picture, 218 00:31:10,370 --> 00:31:11,210 you can send it in that. 219 00:31:12,290 --> 00:31:13,810 When you're provided, you can see that. 220 00:31:13,810 --> 00:31:20,830 If you have sore throat and fever and you know take a picture and good light and focus 221 00:31:20,830 --> 00:31:21,590 to the back of your throat. 222 00:31:21,870 --> 00:31:22,130 Yep. 223 00:31:22,670 --> 00:31:32,450 Consular exudates, posterior, palatal, fatigue GI symptoms are suggested and what we can 224 00:31:32,450 --> 00:31:35,870 see in the foe is clearly evident, you got strep throat. 225 00:31:36,730 --> 00:31:38,770 We'll provide you the prescription which is free. 226 00:31:39,050 --> 00:31:40,010 I'll get to that in a moment. 227 00:31:41,050 --> 00:31:43,210 That is unbelievable convenience. 228 00:31:44,230 --> 00:31:46,210 It removes all the barriers to access. 229 00:31:47,610 --> 00:31:54,050 The two key ingredients for that relationship are access to care. 230 00:31:54,670 --> 00:31:57,670 Any time they're not virtual or in person. 231 00:31:58,890 --> 00:32:00,750 And time with your dog. 232 00:32:01,630 --> 00:32:02,210 Lots of time. 233 00:32:02,350 --> 00:32:02,970 You've got two issues. 234 00:32:03,030 --> 00:32:03,490 Ten issues. 235 00:32:03,770 --> 00:32:04,190 Doesn't matter. 236 00:32:04,330 --> 00:32:05,650 We're going to address all of them. 237 00:32:05,950 --> 00:32:06,970 No more of this nonsense. 238 00:32:06,970 --> 00:32:09,410 And so, well, no, you fit your two or three issue limit. 239 00:32:10,270 --> 00:32:14,270 You want to talk about more things, schedule another office, office visit, take another half 240 00:32:14,270 --> 00:32:18,050 day off of work to sit in the way to room for an hour and a half for another 10 minute visit 241 00:32:18,050 --> 00:32:23,910 and oh, by the way, another copay, that's nonsense, that makes, that's not oriented around 242 00:32:23,910 --> 00:32:28,650 doing what's best for people, for patients, but that's not our health care systems designed. 243 00:32:30,070 --> 00:32:33,270 You know, we often, you often hear the health care system is broken, and I've said that, 244 00:32:33,270 --> 00:32:34,170 I believe it is broken. 245 00:32:34,170 --> 00:32:45,710 Some would argue that it's actually operating exactly how it's designed to, which highlights 246 00:32:45,710 --> 00:32:50,610 the fact that there is a severely perverse incentive baked into how health care is delivered 247 00:32:50,610 --> 00:32:51,070 in America. 248 00:32:52,790 --> 00:32:54,510 Okay, next slide. 249 00:32:55,860 --> 00:33:06,560 At Remedy Health, patients walk in the exam room and unlike other places where the doc says, 250 00:33:06,880 --> 00:33:09,680 hey, you got a problem, I got a pill, here's your prescription, see you later. 251 00:33:10,640 --> 00:33:13,160 You know how many people have experienced that, right? 252 00:33:14,320 --> 00:33:20,200 And since those medications are needed, we provide those, but at Remedy Health we're going 253 00:33:20,200 --> 00:33:21,520 to address the root of the problem. 254 00:33:22,180 --> 00:33:26,720 And this goes back to actually to my training, not just in medicine, but in public health. 255 00:33:28,000 --> 00:33:33,640 It wasn't just the med school at OEO went to, it was also the College of Public Health at OEO, 256 00:33:33,780 --> 00:33:34,200 I went to. 257 00:33:34,260 --> 00:33:37,580 So the master's degree in public health and health administration and health policy. 258 00:33:39,120 --> 00:33:45,980 And we know when we look at what determines the health of a person, traditional healthcare 259 00:33:45,980 --> 00:33:49,280 and medication is the smallest of all determinants. 260 00:33:49,280 --> 00:33:57,200 It only counts for 10%, 20% or genetics, well mom and dad grandparents had. 261 00:33:57,520 --> 00:34:03,640 Another 20% are a variety of social drivers of health. 262 00:34:04,220 --> 00:34:10,100 Okay, I'm like, access to first produce and you know, education status and work status 263 00:34:10,100 --> 00:34:18,240 and even personal transportation and many other factors, but 50% of a person's self is 264 00:34:18,240 --> 00:34:23,780 by their own lifestyle. So if we're going to get serious about partnering with you to 265 00:34:23,780 --> 00:34:28,560 achieve your best health, we've got to touch on each one of those lifestyle determinants. 266 00:34:30,180 --> 00:34:37,240 Beginning with your relationships and health relationships and community as opposed to 267 00:34:37,240 --> 00:34:41,600 loneliness which has the same health effects as smoking actually. 268 00:34:44,120 --> 00:34:44,880 Of course nutrition, 269 00:34:44,880 --> 00:34:50,320 what you put in your body, food is the foremost medicine and all together more powerful 270 00:34:50,320 --> 00:34:57,860 than medication, physical activity, mental health and wellness, stress mitigation, recreational 271 00:34:57,860 --> 00:34:58,980 screen use. 272 00:35:00,000 --> 00:35:16,380 Talk, especially in schools about kids having access to screens and scrolling and doing scrolling. It's a real problem, but also sleep, it's sleep counseling, it's the habits and even assessing for sleep apnea. 273 00:35:17,260 --> 00:35:24,220 You know, that third of your life significantly determines how well you live the other two thirds of your life. So we got to focus on that. 274 00:35:24,220 --> 00:35:29,980 And then, of course, the traditional boxes of tobacco alcohol drugs, these are lifestyle 275 00:35:29,980 --> 00:35:30,960 in terms of health. 276 00:35:33,340 --> 00:35:35,780 We cannot do our job as primary care dogs. 277 00:35:37,420 --> 00:35:42,720 If we do not focus on the lifestyle in terms of health, medications alone will not move 278 00:35:42,720 --> 00:35:43,220 the needle. 279 00:35:44,040 --> 00:35:48,640 And for you all, with your employees, and all the members in your plan, those claims are 280 00:35:48,640 --> 00:35:49,940 going to be sky high. 281 00:35:49,940 --> 00:35:59,020 So, long as lifestyle is not adequately addressed and such a huge lever that can be pulled, 282 00:35:59,620 --> 00:36:01,200 is focusing on what really matters. 283 00:36:01,600 --> 00:36:02,420 This is what matters. 284 00:36:03,680 --> 00:36:04,180 Next slide, please. 285 00:36:06,860 --> 00:36:10,900 This slide represents the majority of the services we provide. 286 00:36:11,380 --> 00:36:14,460 I've already mentioned that our visits are not heard. 287 00:36:14,540 --> 00:36:15,900 We don't rush people in and out. 288 00:36:16,340 --> 00:36:18,880 We guarantee they'll send their next-day office to visits. 289 00:36:18,880 --> 00:36:25,680 We take care of the whole family, all ages, newborn, and up. 290 00:36:25,820 --> 00:36:30,580 We have internists, family physicians, pediatricians on staff. 291 00:36:30,960 --> 00:36:32,900 We have a few PAs and of practitioners. 292 00:36:33,880 --> 00:36:38,180 Rim and Health is certainly a physician-led organization, okay? 293 00:36:39,780 --> 00:36:45,680 We often, and even on educational front, we often have medical students from OU, OSU, 294 00:36:45,680 --> 00:36:48,880 who are rotating through Human Health's part of the medical education. 295 00:36:49,760 --> 00:36:52,180 We do have PA students as well, from Oakland City University, 296 00:36:53,000 --> 00:36:54,100 soon to be from Oklahoma University, 297 00:36:55,400 --> 00:36:57,420 and other institutions rotating through. 298 00:36:58,020 --> 00:36:59,760 We care a lot about medical education, 299 00:37:01,120 --> 00:37:02,500 but it's important to note, 300 00:37:02,600 --> 00:37:05,540 Human Health is a physician-led, a doctor-led, 301 00:37:05,760 --> 00:37:08,060 deos-animities organization. 302 00:37:08,980 --> 00:37:11,240 And we take care of all ages newborn, 303 00:37:12,400 --> 00:37:15,520 even folks who are north of 100 years old. 304 00:37:16,300 --> 00:37:18,840 We have the direct position messaging as I've made clear. 305 00:37:19,800 --> 00:37:23,600 We provide care not just for the acute issues that come up. 306 00:37:23,780 --> 00:37:25,100 You know if you have a cut, you need stitches, 307 00:37:25,800 --> 00:37:27,520 touched in gear off, right? 308 00:37:28,900 --> 00:37:31,000 Or if you have sniff holes, you need a strip test, 309 00:37:31,200 --> 00:37:35,140 flu COVID testing, your impregnancy test, we do all that. 310 00:37:35,480 --> 00:37:37,900 We also do the preventive and holistic care. 311 00:37:37,900 --> 00:37:42,540 The newborn check, the will, if it check, the will, child checks, the will, adolescent checks, 312 00:37:42,760 --> 00:37:49,020 adults, women's health care, including public exams, and pap smearers, all of that, we do. 313 00:37:50,280 --> 00:37:57,080 Excuse me, and then we've made us to chronic conditions, diabetes, heart disease, autoimmune disease, 314 00:37:57,300 --> 00:38:02,420 thyroid disease, upper liver damage, hypertension, et cetera, the list goes on and on and on, 315 00:38:02,420 --> 00:38:05,400 and even especially the complex diseases. 316 00:38:07,480 --> 00:38:10,720 I alone, I'm just one of many docks at Remedy Health. 317 00:38:12,080 --> 00:38:14,400 I alone care for patients who have 318 00:38:14,400 --> 00:38:16,280 esoteric conditions like the loin pain, 319 00:38:16,280 --> 00:38:20,340 hematurious syndrome, or stiff person syndrome. 320 00:38:21,540 --> 00:38:23,580 Some of you may note that Celine Dion 321 00:38:24,200 --> 00:38:26,020 has made that a little bit more prominent 322 00:38:26,020 --> 00:38:29,320 because she suffers from stiff person syndrome. 323 00:38:29,320 --> 00:38:41,780 And many other odd, I mean, even recently I diagnosed somebody with chemo-induced COVID-exasper 324 00:38:41,780 --> 00:38:53,260 exacerbated barrel reflex dysfunction, and which was confirmed at the Mayo Clinic. 325 00:38:54,860 --> 00:39:08,130 And you have to have a physician-led organization to be able to manage some of these more complex conditions, especially because if you don't, you're going to miss things. 326 00:39:09,550 --> 00:39:18,930 And we don't, we're not going to miss anything. Because we're thorough, we take the time, and we have the greatest experts in the planet in the exam rooms with our patients. 327 00:39:18,930 --> 00:39:22,670 We have an onsite pharmacy, 328 00:39:24,730 --> 00:39:28,590 and we have about 100 or so of the most common prescribed generic 329 00:39:28,590 --> 00:39:29,770 medications available. 330 00:39:31,150 --> 00:39:34,650 And those are also available via the mail order, some for acute issues, some for chronic 331 00:39:34,650 --> 00:39:35,170 diseases. 332 00:39:36,110 --> 00:39:43,150 We do all blood work on site, blood and urine, and all the labs are included for free. 333 00:39:44,030 --> 00:39:46,450 All the meds we have on site, a mail order, free. 334 00:39:47,890 --> 00:39:53,710 Most of our clinics have imaging or we contract with a local hospital for that imaging or a local 335 00:39:53,710 --> 00:39:54,630 imaging facility. 336 00:39:56,810 --> 00:39:59,490 We have all immunizations available. 337 00:40:01,560 --> 00:40:19,140 We perform a variety of procedures. I mentioned lasturation repair, you know, the stitches, sutures, but also steroid joint injections, PRP joint injections, however, on cases of joint injections, 338 00:40:21,320 --> 00:40:28,300 long list of dermatological procedures, everything from cryotherapy to removing skin attacks, okay? 339 00:40:28,300 --> 00:40:31,160 or an excision of Bobc for suspicious lesion that, 340 00:40:31,600 --> 00:40:35,780 oh, turn that to be melanoma, done that many times for patients. 341 00:40:37,300 --> 00:40:42,280 We provide all of that, and we also, and uniquely, 342 00:40:43,320 --> 00:40:44,740 because especially as we have physicians, 343 00:40:46,840 --> 00:40:52,440 manage conditions that merit treatment with controlled substances. 344 00:40:54,180 --> 00:40:56,860 No more folks having to go to psychiatrists 345 00:40:56,860 --> 00:40:58,000 for an outer-all prescription. 346 00:40:59,140 --> 00:41:00,720 We manage that, and we manage those limitations. 347 00:41:02,120 --> 00:41:07,480 We manage opioids for chronic pain management, OK? 348 00:41:09,840 --> 00:41:13,540 We manage hormonal placement therapy for men and women. 349 00:41:14,540 --> 00:41:18,120 In fact, we have minimal specialists on staff. 350 00:41:18,800 --> 00:41:21,720 We even have the Bauditical Movement therapy in the pellets available 351 00:41:23,480 --> 00:41:27,020 for the body of the homeless, but there are various, yeah, for HRT. 352 00:41:29,340 --> 00:41:35,460 We have a robust weight loss program built on the foundation of our lifestyle medicine approach to care, 353 00:41:36,600 --> 00:41:43,180 but later in the GOP ones, as a means to kickstart weight loss, 354 00:41:44,600 --> 00:41:52,360 but with the goal of winning off of them, and utilizing leveraging healthier lifestyle choices 355 00:41:52,360 --> 00:41:56,100 as the means for long-term weight loss success. 356 00:41:57,380 --> 00:42:04,300 Heck, we saved City of Ed, but now that savings is just a shade 357 00:42:04,300 --> 00:42:06,900 over two million a year, just on GOP ones. 358 00:42:07,840 --> 00:42:10,880 We have many employer groups that procure them through us. 359 00:42:11,820 --> 00:42:14,520 And even if that's just, I don't know how you guys did right now. 360 00:42:14,860 --> 00:42:19,280 If you cover them only for diabetes, fine. 361 00:42:19,280 --> 00:42:23,460 The average savings is $700 per month per prescription at room and health. 362 00:42:24,780 --> 00:42:31,740 So if you have 100 people on a GOP-1, $700 a month, that's $70,000 a month of savings. 363 00:42:32,580 --> 00:42:33,600 That's immediately unlocked. 364 00:42:34,340 --> 00:42:39,940 Just bought procure in those through room and health instead of the traditional PBM route. 365 00:42:41,460 --> 00:42:46,780 And then we have our own patient navigation team in house, so when anybody needs to see 366 00:42:46,780 --> 00:42:52,380 specialist or any kind of dinosaur procedure or anything outside of primary care done, then our team 367 00:42:52,380 --> 00:42:57,880 facilitates all of it, coordinate all that care. That takes the lift off of HR, that takes 368 00:42:57,880 --> 00:43:04,460 the lift off of the broker or the insurance company, anybody else we manage that. We get them plugged in 369 00:43:05,240 --> 00:43:16,760 and part of the implementation phase so that time from the decision to go move forward and the 370 00:43:16,760 --> 00:43:21,000 have a team meets with your admin team to ensure that we fully understand all the 371 00:43:21,000 --> 00:43:25,420 ins and outs of your health plan design so that when your members in the future 372 00:43:25,420 --> 00:43:30,780 might need to see in orthopedic surgeon or cardiologist or ename it then we are 373 00:43:30,780 --> 00:43:39,780 routing them to the appropriate groups in your health plan network okay and then we also 374 00:43:39,780 --> 00:43:43,660 by default provide very robust detailed monthly 375 00:43:43,660 --> 00:43:46,500 reporting to every employee in the group 376 00:43:46,500 --> 00:43:51,120 on a long list of metrics, utilization metrics. 377 00:43:51,720 --> 00:43:55,900 From visit, visit, type, duration of visit, wait 378 00:43:55,900 --> 00:43:58,720 time to get in for a visit, messaging, 379 00:43:59,060 --> 00:44:03,380 inbound outbound, in a spruce app, diagnoses, labs, 380 00:44:03,800 --> 00:44:08,100 imaging, medications, referrals, referral types, 381 00:44:08,100 --> 00:44:14,680 all that and much more stratified by employee, spouse, independent. 382 00:44:15,480 --> 00:44:17,140 So the member type is evident. 383 00:44:18,640 --> 00:44:23,500 All that information is also customizable to your preferences. 384 00:44:24,820 --> 00:44:27,880 And we even have our own proprietary dashboard 385 00:44:27,880 --> 00:44:31,540 where our employer groups can log in and see that data in real time. 386 00:44:31,660 --> 00:44:32,940 It's refreshed every 24 hours. 387 00:44:35,040 --> 00:44:35,780 Next slide. 388 00:44:35,780 --> 00:44:38,700 I want to emphasize 389 00:44:41,070 --> 00:44:50,130 to about is not just for your employee, it's for their spouse and all their 390 00:44:50,130 --> 00:44:51,090 opinions. 391 00:44:53,630 --> 00:44:59,950 This photo is my wife, and me as you can see in our- 392 00:45:00,000 --> 00:45:01,840 6 kids, 393 00:45:05,950 --> 00:45:11,950 poll, family, everybody, every person in the family matters. 394 00:45:14,270 --> 00:45:17,030 You're employees in your employee spouse matter. 395 00:45:20,930 --> 00:45:30,340 They all deserve everything pretty health standard of care. This high standard is deep care. 396 00:45:32,430 --> 00:45:32,770 Next, 397 00:45:35,920 --> 00:45:38,360 and all that's $135 a month. 398 00:45:38,360 --> 00:45:46,080 per employee per month, 135, that's the whole family, a family first benefit. 399 00:45:47,720 --> 00:45:55,960 Now, it doesn't include the dog, okay? Maybe we can work out something with OSU on that. 400 00:45:57,140 --> 00:46:02,420 But the whole family regards the number dependence, 135. 401 00:46:03,480 --> 00:46:09,620 On limited any time access to care, virtual, or in-person, no office visit fees, no copays. 402 00:46:10,200 --> 00:46:15,540 And if they need to go see somebody else for the small percentage of things that we don't 403 00:46:15,540 --> 00:46:18,300 manage, then the insurance is there for that. 404 00:46:18,600 --> 00:46:23,960 Use the insurance for the big stuff, the hospitalization, the ICU, the hip replacement, 405 00:46:24,380 --> 00:46:27,200 the heart attack, and stroke, that's what it's there for. 406 00:46:29,160 --> 00:46:34,780 The analogy I always use, most everybody here probably has vehicle, you go to the gas station, 407 00:46:34,800 --> 00:46:35,900 you fill it up. 408 00:46:36,140 --> 00:46:39,960 You're not following the claim with your auto insurance that thank you gas, although I'm 409 00:46:39,960 --> 00:46:44,700 sure you like to as expensive as it is now, but it all changed, instead of tires, which 410 00:46:44,700 --> 00:46:48,440 of our blades, those are not claims that are followed with insurance. 411 00:46:48,940 --> 00:46:51,880 If you're in a fender bender, if you're in a wreck, yeah, now you're following that 412 00:46:51,880 --> 00:46:52,440 claim. 413 00:46:52,440 --> 00:46:55,720 That's down. That's a homeowner's insurance claim. 414 00:46:58,490 --> 00:47:01,270 Homeowner's insurance is not going to pay for your grass to get cut. 415 00:47:03,410 --> 00:47:06,990 If you need new filters in your HBAC, new lotbobbs. 416 00:47:07,250 --> 00:47:14,170 That's on you, but it's also affordable because it's high probability and low cost 417 00:47:14,170 --> 00:47:17,990 that you're going to need to replace lotbobbs, right, 418 00:47:20,960 --> 00:47:24,180 lean in your vehicle, but it's the low 419 00:47:24,180 --> 00:47:28,060 probability high cost events for which need insurance. 420 00:47:28,320 --> 00:47:31,240 That's how health care ought to be in America. 421 00:47:31,360 --> 00:47:35,300 It's not that insurance inherently is evil or bad. 422 00:47:36,400 --> 00:47:36,860 It's just 423 00:47:40,990 --> 00:47:41,790 health. 424 00:47:43,450 --> 00:47:47,030 There are a lot of groups that are doing it better. 425 00:47:47,550 --> 00:47:48,530 Next slide. 426 00:47:49,750 --> 00:47:51,990 This is the pharmacy I've talked about it some already. 427 00:47:52,550 --> 00:47:54,430 Any prescriptions that we don't have in our formulary, 428 00:47:54,430 --> 00:47:57,230 we still manage those with a symptom to the pharmacy 429 00:47:57,230 --> 00:47:58,610 of your choice. 430 00:48:00,490 --> 00:48:03,470 The, the, the, the Alabama irresponsible therapy medication that mentioned earlier. 431 00:48:03,990 --> 00:48:05,250 That would be something extra. 432 00:48:06,010 --> 00:48:09,190 The GOP ones will be a pass through at our discounted pricing. 433 00:48:09,410 --> 00:48:10,450 I think I mentioned earlier. 434 00:48:10,870 --> 00:48:11,570 Next slide please. 435 00:48:12,430 --> 00:48:14,810 This is the pricing for our GOP ones currently. 436 00:48:15,870 --> 00:48:21,970 I will, I'm happy to say that we are in negotiations right now with our vendor to drive 437 00:48:21,970 --> 00:48:23,570 the pricing down even further. 438 00:48:23,690 --> 00:48:25,870 And we've been able to drive it down a few times already. 439 00:48:25,870 --> 00:48:32,570 but we have such a high volume that it gives us a good, a negotiating position to draw the 440 00:48:32,570 --> 00:48:37,590 pressing down. Next slide, please. And now, these are the other surfaces I mentioned, 441 00:48:37,850 --> 00:48:43,430 the whole reinforcement therapy, next slide, the IV, we have IV therapy, not just IV fluids, 442 00:48:43,570 --> 00:48:50,790 but IV therapy, IV fluids, we need normal salinas free. But we have some other IV therapy options available 443 00:48:50,790 --> 00:48:56,570 next line, the advanced joint injection, so steroid joint injections, free, and I'm going to charge 444 00:48:56,570 --> 00:48:56,950 for that. 445 00:48:57,150 --> 00:49:02,590 You need to use a steroid, you know, shot in your knee, or your shoulder, we're not going to 446 00:49:02,590 --> 00:49:03,610 charge for that. 447 00:49:05,010 --> 00:49:09,090 Similarly, if you need a steroid shot for, you know, it's really about allergies or, you 448 00:49:09,090 --> 00:49:11,790 know, an intramuscular injection, now, I don't want to charge for that. 449 00:49:12,790 --> 00:49:17,710 We have put it which plasma joint injections available, the hyaluronic acid, that is an additional 450 00:49:17,710 --> 00:49:18,510 charge. 451 00:49:18,510 --> 00:49:24,170 Whether the group, the employer pays for it, or if the employer doesn't, then the member 452 00:49:24,170 --> 00:49:29,070 has the ability to pay for that out of pocket that they want, next slide. 453 00:49:30,410 --> 00:49:37,190 Again, lots of groups that we serve, individuals and families can be patients at remedy health. 454 00:49:37,370 --> 00:49:39,130 They can purchase an individual membership. 455 00:49:41,070 --> 00:49:47,810 I'm on employer groups, we serve small, large, 456 00:49:51,900 --> 00:49:54,140 I mean, just, I'm washing county, just 457 00:49:54,140 --> 00:49:57,680 started with this yesterday, well, now two days ago, September 1st. 458 00:50:00,000 --> 00:50:05,920 In, like, Scott mentioned earlier, we do serve several municipalities, small in large, on the 459 00:50:05,920 --> 00:50:11,260 large area, it would be like Edmund and Broken Arrow and in smaller, it would be like Collinsville and 460 00:50:11,260 --> 00:50:17,800 Baysby and well, now, as small as Carlton landing with two employees, 461 00:50:19,880 --> 00:50:22,600 but we really, especially 462 00:50:22,600 --> 00:50:25,220 to enjoy serving public sector, 463 00:50:27,880 --> 00:50:33,620 all the money we save you equals better management of tax 464 00:50:33,620 --> 00:50:41,340 paid dollars. And when we can save you $2 million, wow, that means you can redeploy those 465 00:50:41,340 --> 00:50:48,400 funds on other things that you need or maybe give people pay raise or hire more staff. 466 00:50:52,360 --> 00:50:53,000 There's 467 00:50:53,000 --> 00:51:00,500 slide. And people love the service they get here. Next slide. Our average Google star ratings 468 00:51:00,500 --> 00:51:05,440 over 4.95. Okay, I talked to you all day long about how awesome we are. And we are, 469 00:51:05,480 --> 00:51:11,760 it's a fact. Our net promoter score is a 96. Other people will tell you, just how amazing 470 00:51:11,760 --> 00:51:15,680 we are. And I would dare you to pick up the phone and call any of the groups that we serve 471 00:51:15,680 --> 00:51:22,880 and talk to their HR, talk to their CFO, talk to their CEO or city manager and you know, 472 00:51:22,880 --> 00:51:25,960 We're going to tell you, room and health is amazing. 473 00:51:27,720 --> 00:51:32,940 Net promoter score, if you go back to that previous slide, if anybody doesn't know what 474 00:51:32,940 --> 00:51:38,900 that is, it's the most commonly used measure of customer satisfaction in any in all industry. 475 00:51:39,860 --> 00:51:41,440 The low score is a negative 100. 476 00:51:42,260 --> 00:51:44,000 The high score is a 100. 477 00:51:45,540 --> 00:51:48,780 The best range you can be in is the excellent range. 478 00:51:48,780 --> 00:51:54,160 Since the 70 year higher, it's real special to get up into that range, you know, Disney World 479 00:51:54,160 --> 00:52:04,440 is up there, our scores of 96, and then we're not cherry-picking, but visit receives 480 00:52:04,440 --> 00:52:10,840 a request to complete a survey, provide their feedback, hey what went well, why didn't 481 00:52:11,320 --> 00:52:17,160 we ask them to score that experience, was it a good experience, and what score would 482 00:52:17,160 --> 00:52:31,620 you. And we are not cherry-picking that. Everybody, we want to know. The obvious, best, direct way of 483 00:52:32,440 --> 00:52:40,540 self-assessment. How well are we performing in our care delivery? And it's rare to not get 484 00:52:40,540 --> 00:52:47,080 a 10 out of 10. Can't please everybody. But our net promoter scores 96. I'm proud of that. I'm 485 00:52:47,080 --> 00:52:51,360 of all my team members. I'm proud of my, my doctors, my staff, I'm out of this. This is one of 486 00:52:51,360 --> 00:52:58,240 the receptionists. We have an awesome team. Next slide. These are the current locations. You 487 00:52:58,240 --> 00:53:03,980 see we have a cluster of Tauce area, one of the largest railroad enforcement thar can solve. We actually 488 00:53:03,980 --> 00:53:12,060 have two in Edmund. And then we are opening more enormous. Next slide. And that particular 489 00:53:12,060 --> 00:53:18,220 that contains the U-wall, obviously we're talking about Cleveland County, that more location 490 00:53:18,220 --> 00:53:18,980 is on. 491 00:53:19,000 --> 00:53:23,640 Fourth, it's actually the intersection of turner and forth, it's just on the east side 492 00:53:23,640 --> 00:53:28,960 of the train tracks, not far from downtown more, and we've had a lot of great traction with 493 00:53:28,960 --> 00:53:34,020 City of Moore to say in, as well as City of Norman, you can talk to those folks to encourage 494 00:53:35,080 --> 00:53:35,520 you. 495 00:53:35,520 --> 00:53:37,860 They haven't signed on yet, but we're not far from. 496 00:53:37,860 --> 00:53:41,800 And our normal clinic is 497 00:53:44,620 --> 00:53:52,000 Robinson, I-35 on runoff of 24th Street there, great locations, beautiful clinics, 498 00:53:54,040 --> 00:54:03,340 and strategically located to serve the vast majority of the people of the county of Cleveland County. 499 00:54:04,560 --> 00:54:05,440 Next slide. 500 00:54:07,300 --> 00:54:11,600 This is a generic QR code that one there should actually take to our website, but I'm 501 00:54:11,600 --> 00:54:17,340 mentioned that I feel this slide in here just to show in that onboarding process when we 502 00:54:17,340 --> 00:54:24,780 are providing the similar presentation to this one and educating all the employees to the service 503 00:54:24,780 --> 00:54:27,920 making clear to them that, hey, we are your first point of contact for any health questions 504 00:54:27,920 --> 00:54:28,600 concerns. 505 00:54:30,260 --> 00:54:31,740 We get them signed up right there in the air. 506 00:54:32,360 --> 00:54:35,980 We even get them scheduled for their first patient visits. 507 00:54:36,720 --> 00:54:38,900 That all happens before the effect of start date. 508 00:54:41,640 --> 00:54:43,840 And so QR codes are things that we use in that. 509 00:54:44,320 --> 00:54:47,160 But we're very aggressive at reaching out and getting employed the impissive. 510 00:54:47,220 --> 00:54:49,640 If we're not, okay? 511 00:54:50,220 --> 00:54:51,360 They were not achieving our mission. 512 00:54:52,660 --> 00:54:54,900 We're not achieving our purpose of empowering and enabling the equipment 513 00:54:54,900 --> 00:54:56,460 every one of our patients to achieve their health skills. 514 00:54:56,560 --> 00:54:57,500 And when they back to health, 515 00:55:00,000 --> 00:55:00,900 Next slide. 516 00:55:04,440 --> 00:55:12,720 I've delivered a lot of information. I know. I'm sure you have questions. One more slide. So I want to make sure we answer all of your questions. 517 00:55:19,310 --> 00:55:22,410 Thank you. I thought I was pretty fine. I thought I was fine. 518 00:55:25,800 --> 00:55:28,900 Typically, eight to five, okay. 519 00:55:30,960 --> 00:55:34,820 If somebody has an acute issue that merits in person, 520 00:55:35,260 --> 00:55:37,800 then I'd also just meet them up at the clinic to care of them. 521 00:55:38,700 --> 00:55:38,920 Okay, some. 522 00:55:41,800 --> 00:55:42,240 Yeah. 523 00:55:43,860 --> 00:55:44,800 That's your position. 524 00:55:47,720 --> 00:55:48,000 Yes. 525 00:55:49,680 --> 00:55:50,020 Yep. 526 00:55:50,880 --> 00:55:51,120 Yep. 527 00:55:51,940 --> 00:55:52,780 Oh, yeah. 528 00:55:54,120 --> 00:55:57,300 That's every every dog responsible for their panel patients. 529 00:55:58,440 --> 00:55:58,460 Okay. 530 00:55:59,100 --> 00:56:06,280 And instead of each of our docs managing 3,4,000 people, each of our docs manages around 800, maybe up to 1,000. 531 00:56:06,620 --> 00:56:11,460 Okay, so we intentionally have designed it so that each docs managing a fraction of their patients. 532 00:56:11,860 --> 00:56:15,300 So they give so much more of their time and focus and attention each one of them. 533 00:56:19,990 --> 00:56:20,330 Yes. 534 00:56:21,630 --> 00:56:22,630 All of it. 535 00:56:24,880 --> 00:56:25,360 Yep. 536 00:56:26,240 --> 00:56:26,420 Yep. 537 00:56:27,100 --> 00:56:27,480 That's right. 538 00:56:40,920 --> 00:56:43,220 So, that's more nuanced question. 539 00:56:43,900 --> 00:56:44,980 I'll give you the nuanced answer. 540 00:56:45,580 --> 00:56:51,520 I'll first say that for each physician, we try to limit their penal to around 800. 541 00:56:53,080 --> 00:56:56,540 So, the real question is, where is the capacity? 542 00:56:56,880 --> 00:56:57,920 Well, there is no capacity. 543 00:56:58,520 --> 00:57:00,120 There's the capacity for maybe one doc. 544 00:57:00,620 --> 00:57:04,520 But as we approach their capacity, then we just add on more docs. 545 00:57:04,520 --> 00:57:10,340 And I hope it's abundantly clear that it's not a hard cell to dox. 546 00:57:10,880 --> 00:57:16,380 Hey, do you want to continue killing yourself over here or do you want to come and work 547 00:57:16,380 --> 00:57:20,860 in this environment where you can become the dox you always wanted to be and finally deliver 548 00:57:20,860 --> 00:57:22,060 unrestricted care. 549 00:57:23,380 --> 00:57:27,660 That's quite a compelling argument in our dox love. 550 00:57:28,540 --> 00:57:30,220 They all love the service. 551 00:57:30,220 --> 00:57:30,760 So, 552 00:57:34,830 --> 00:57:38,130 currently we have 13 that are working with this right now. 553 00:57:42,930 --> 00:57:49,390 We have 10 physicians and then we have 1 PA in the two-to-partitioners. 554 00:57:49,750 --> 00:57:51,350 Yeah, so we are physician-heavy. 555 00:57:51,690 --> 00:57:53,170 We'll always be physician-heavy. 556 00:57:54,990 --> 00:57:59,110 Not saying the bad about physician assistants or practitioners. 557 00:58:00,610 --> 00:58:01,890 Some are really great. 558 00:58:02,730 --> 00:58:06,270 I think that there's a role in a place for physicians and 559 00:58:06,270 --> 00:58:11,330 some practitioners, but I think it's within the broader context 560 00:58:11,330 --> 00:58:12,690 of physician that I care. 561 00:58:14,890 --> 00:58:19,630 With that being said, all of our providers work within a group, 562 00:58:19,850 --> 00:58:21,110 we're all a group working together. 563 00:58:21,230 --> 00:58:22,470 Nobody's down on the island on their own. 564 00:58:23,190 --> 00:58:26,230 So everybody has the ability to consult with one of the other providers 565 00:58:26,230 --> 00:58:28,330 at Remedy Health, and we do that. 566 00:58:28,330 --> 00:58:32,230 I mean, there are times when I did pull aside one of my other dogs and say, hey, I have 567 00:58:32,230 --> 00:58:36,430 this complex case, you know, here's what I'm going to discuss, here's the work up, I've 568 00:58:36,430 --> 00:58:41,310 done this far, here are those results, I'm thinking this, what do you think? And have 569 00:58:41,310 --> 00:58:42,990 that collegiality is key. 570 00:58:47,020 --> 00:58:47,420 Yes, 571 00:58:52,880 --> 00:58:58,160 all the above, all the above, we have some on the state plan, we have some full 572 00:58:58,160 --> 00:59:03,840 insured, we have some that are self-funded, okay? For the, for the small employers, for 573 00:59:03,840 --> 00:59:06,180 some of the small employers we serve, they don't provide any benefits. 574 00:59:07,280 --> 00:59:11,120 They want to, but they're not willing to position to, but they can provide them to health. 575 00:59:11,720 --> 00:59:16,060 And that's obviously a powerful benefit because we take care about 9% of all the health care 576 00:59:16,060 --> 00:59:17,480 needs that most people ever have. 577 00:59:19,780 --> 00:59:21,260 So we work with it all. 578 00:59:21,400 --> 00:59:23,840 We work with, I'll say, this way. 579 00:59:23,960 --> 00:59:28,600 We have employers which is about any insurance you can imagine. 580 00:59:28,600 --> 00:59:33,320 We've worked with a wide variety of brokers and brokerages. 581 00:59:33,820 --> 00:59:35,880 We're agnostic in that regard. 582 00:59:36,060 --> 00:59:40,560 We know and recognize that every employer needs a good 583 00:59:40,560 --> 00:59:45,980 and smart, well-designed health insurance plan. 584 00:59:47,460 --> 00:59:51,660 But they really need health care as well 585 00:59:51,660 --> 00:59:55,000 to go along with the health insurance 586 00:59:55,000 --> 00:59:59,100 and to serve as the foundation for the entire health benefit. 587 01:00:00,000 --> 01:00:10,840 Limited health is health care. We're not health insurance. So you take a limited health combine that with a good broker relationship and a smart health insurance plan design. 588 01:00:11,700 --> 01:00:27,940 Now you truly have the total package to provide all of your, all the members of your plan with the best care to achieve better health outcomes and to drop down the cost of care. 589 01:00:27,940 --> 01:00:33,620 Note that all this gear that folks receive at room to health is claims of avoidance, okay? 590 01:00:34,300 --> 01:00:35,060 Now clearly 591 01:00:36,080 --> 01:00:39,840 I think it's clearly. I think it's obvious the groups that are self-funded 592 01:00:39,840 --> 01:00:45,760 They're the ones who are going to experience the greatest cost savings, right? 593 01:00:46,880 --> 01:00:48,400 full-intergroups will as well 594 01:00:49,160 --> 01:00:51,820 self-funded even more and 595 01:00:51,820 --> 01:00:53,620 immediately so 596 01:00:54,780 --> 01:00:57,880 But to go back to your other question about capacity, 597 01:01:01,500 --> 01:01:06,800 each clinic, we've designed each clinic so that it can hold multiple positions. 598 01:01:09,120 --> 01:01:15,820 Ideally, when we look at groups, especially larger groups, then we want to consider where are there people located. 599 01:01:15,820 --> 01:01:19,820 Okay. I mean, we have some groups right now. 600 01:01:23,320 --> 01:01:31,460 I probably came to the group that we talked to yesterday, but there's a really big group with 800 employees in a suburb of Oklahoma City 601 01:01:33,320 --> 01:01:36,640 that really is excited that remedy health. 602 01:01:37,520 --> 01:01:41,220 They were concerned because in that particular suburb, we don't have a clinic right now, 603 01:01:42,060 --> 01:01:49,040 But we'll in need about 500 employees for any one clinic to be financially feasible and sustainable. 604 01:01:49,600 --> 01:01:57,200 Okay? And so for them, as well, if could really help open a clinic here. 605 01:01:58,200 --> 01:02:00,860 And the answer is, of course, of course we can. 606 01:02:02,300 --> 01:02:06,460 And that's our approach with all the groups. Even when we picked up the city of Edmund, 607 01:02:06,460 --> 01:02:08,940 It started serving them two years ago. 608 01:02:09,500 --> 01:02:11,280 We didn't have a clinic in heaven at that time. 609 01:02:12,580 --> 01:02:16,360 But you bet with your can, and it doesn't take us very long 610 01:02:16,360 --> 01:02:19,680 to get a clinic up and run it with done it enough times now. 611 01:02:20,040 --> 01:02:23,900 And it's not hard to find positions to staff with them. 612 01:02:24,320 --> 01:02:28,700 And so we have the ability to open additional clinics 613 01:02:29,320 --> 01:02:33,520 as indicated as needed, and to bring on additional staff 614 01:02:33,520 --> 01:02:37,140 when needed to ensure that at no point, 615 01:02:37,760 --> 01:02:40,660 those our standard of care dip. 616 01:02:41,840 --> 01:02:43,540 Because at the end of the day, it's delivering 617 01:02:43,540 --> 01:02:47,440 on those promises that we make to all of our important clients, 618 01:02:47,760 --> 01:02:49,160 but especially to all those patients. 619 01:02:54,320 --> 01:02:56,080 Bloodworks, labs, absolutely. 620 01:02:57,080 --> 01:02:59,340 And I'll say, I'll use the... 621 01:03:00,160 --> 01:03:00,380 Yeah, 622 01:03:03,340 --> 01:03:04,640 we have about 100 or so. 623 01:03:04,720 --> 01:03:06,040 The most common describes in your communication. 624 01:03:06,040 --> 01:03:12,560 So like antibiotics, antiviral, stairroids, you know, antifungal medications, blood pressure, 625 01:03:16,290 --> 01:03:23,590 medication, radiation, thyroid medication, antidepressants, some anxiety medications, 626 01:03:25,630 --> 01:03:30,030 goodness what else, you know, medications for allergies, like in histamine, in flow 627 01:03:30,030 --> 01:03:37,750 nays, and even now, but you draw inhalers, and medication for reflex, you know, we have a lot 628 01:03:37,750 --> 01:03:44,310 a lot that are available. It's the vast majority, if not almost entirety of what multiple 629 01:03:44,310 --> 01:03:50,210 take. If it's a newer medication that's a high-cost specialty drug, right? So those are 630 01:03:50,210 --> 01:03:55,870 the buzzwords, high-cost specialty drug. Those would go through the insurance plan, okay? 631 01:03:55,930 --> 01:04:02,290 We don't have those available for free, except for GOP-1s. We do have those. 632 01:04:30,080 --> 01:04:53,340 Yeah, so there was a fee schedule. Yes, those are all discounted if you notice those prices, I mean, and just yesterday we were talking to the group and he said, well, well, 633 01:04:53,340 --> 01:04:58,400 just kind of pricing on G.O.B. ones. And as good as it is right now, I promise you that 634 01:04:58,400 --> 01:04:59,540 we're driving that price down. 635 01:05:00,000 --> 01:05:02,680 That's any day now, so the rest of those negotiations. 636 01:05:04,840 --> 01:05:10,780 But the important thing there is all those GOP ones, we're not 637 01:05:10,780 --> 01:05:18,320 just prescribing them will in LA. Okay. That's within the context of robust lifestyle, medicine, 638 01:05:18,800 --> 01:05:25,160 oriented care delivery. Okay. That's us meeting with patients in person and our standards. 639 01:05:29,280 --> 01:05:29,980 We have a 640 01:05:29,980 --> 01:05:36,020 specifically for weight loss. They, by default, see their position once every three months, 641 01:05:37,500 --> 01:05:44,320 while they're on that journey. And every month, they come in for a medical assistant visit 642 01:05:44,320 --> 01:05:51,460 where we go through a long series of questions. We do all the measurements over again so that we are 643 01:05:51,460 --> 01:05:57,200 injury and tracking. Okay, that's, that's, I'll, I'll 644 01:05:57,200 --> 01:06:02,420 regard that as a fairly high touch process and approach so 645 01:06:02,420 --> 01:06:06,080 that we're not this prescribing it in, you know, messaging 646 01:06:06,080 --> 01:06:08,560 months later and you know, maybe we'll see you next year, 647 01:06:08,720 --> 01:06:13,400 maybe we'll see you at all. There are some groups online. I'm 648 01:06:13,400 --> 01:06:18,100 sure you all know this, where a patient can just go online and 649 01:06:18,100 --> 01:06:20,340 get these medications and there's, there's not any health care 650 01:06:20,340 --> 01:06:26,480 liver, it's frankly unethical. I don't know if any of that at all, it's good medicine, 651 01:06:26,740 --> 01:06:33,460 it's bad medicine. But we deliver good medicine. So at the end of the day, it's not 652 01:06:33,460 --> 01:06:43,720 the GOP-1, and honestly it's not even the person's weight that truly matters. Way is just 653 01:06:43,720 --> 01:06:49,720 measure and one indicator of a person's overall health. And it is important, 654 01:06:51,740 --> 01:06:52,860 but as I tell my patients, 655 01:06:53,420 --> 01:07:01,720 I would much rather you be physically fit than to be a 10-pound slider. Okay, and so so much of that 656 01:07:01,720 --> 01:07:08,280 lifestyle coaching is setting those specific, measurable, tangible, relevant, timely goals for 657 01:07:08,280 --> 01:07:17,180 becoming more fed and it doesn't necessitate going across fit, right? You don't have to 658 01:07:17,180 --> 01:07:24,420 run a marathon or run it all. You don't have to go to a gym, you know, with a maybe with a 659 01:07:24,420 --> 01:07:31,140 bunch of meat heads, I don't know. You know, you don't have to do any of those things or those 660 01:07:31,140 --> 01:07:36,080 common misconceptions about what it means to be physically fit and healthy. There's a lot of 661 01:07:36,080 --> 01:07:43,760 I mean, obviously some people go to the gym quite a bit, but, you know, you give up point. Yes, Rod. 662 01:07:47,600 --> 01:07:47,740 Yes. 663 01:07:53,170 --> 01:07:53,570 Sure. 664 01:08:00,240 --> 01:08:00,240 Yeah. 665 01:08:03,100 --> 01:08:06,440 Thank you very much. I know we took a lot of time. I appreciate it. 666 01:08:07,220 --> 01:08:07,620 Yeah. 667 01:08:17,550 --> 01:08:21,890 Okay. Well, thank you all again, Dr. Chris Suttath and then Scott Sturgis. 668 01:08:22,290 --> 01:08:29,930 We'll be hanging around the back and if anybody wants to even pull us out to the hallway, then we'll be happy to answer any questions. Thank you very much.