[2:56] I'm so proud to be here with you.

[3:22] I'm so proud to be here with you.

[3:22] I felt cold.

[3:24] That was a

[3:27] good feeling.

[3:28] I just went right and right, and I was going to

[3:41] tell you a story.

[3:41] I was going to tell you a story.

[3:46] You live in the cold.

[3:50] Yeah, I agree.

[3:52] Okay.

[3:52] Okay, I do.

[3:54] All my thoughts

[4:05] on it?

[4:06] Yes.

[4:07] It was the first time I went to the hospital.

[4:08] And then I changed it.

[4:14] Yes.

[4:15] All right.

[4:38] What are you all doing?

[4:40] What are you doing?

[4:50] I'm ready.

[4:52] I'm ready.

[4:53] I'm ready.

[4:55] I'm going to get it.

[4:58] I'm going to get it.

[5:22] I

[5:29] have an ambulance. I have an ambulance. I don't play business, I don't work.

[8:08] I guess I ended up as a female.

[15:07] Thank you so much for having us today and for giving us the ability to come and visit with you today.

[15:15] 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

[15:27] opportunities for us to get quality care, accessible care, and affordable care are

[15:32] a few and far between at this point in time.

[15:35] And we've wanted to introduce Dr. Chris Suttath, who's the owner of Remedy, owner and founder

[15:41] of Remedy Health, who has come up with a program to address the ability for individuals and families

[15:48] to receive quality care as well as accessible and affordable health care through our direct

[15:55] primary care system.

[15:56] 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

[16:07] We are moving the needle when it comes to health care in the state of Oklahoma

[16:12] 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

[16:21] get back to controlling really their own health care, you know, at this point in time.

[16:25] Because right now, health care

[16:29] is a suitable company.

[16:30] And we feel that that's just unacceptable.

[16:32] So we appreciate the opportunity to spend a few minutes with you to discuss.

[16:36] I'm not sure if he had the opportunity to get online.

[16:40] Dr. Settis?

[16:42] Okay.

[16:45] Fantastic.

[16:48] So I will, with that being said, you know, I'll introduce you to Dr. Settis.

[16:54] I think we've got, if it's okay with you folks,

[16:56] we've got a quick slide show that we can present to you

[16:59] to talk to you a little bit about kind of healthcare now.

[17:02] Just so you know, we are a Tulsa-based group,

[17:06] but we have moved into Oklahoma City.

[17:08] We moved into Oklahoma City about a year and a half ago

[17:13] because we won the City of Edmund's contract.

[17:16] So we run the City of Edmund's healthcare right now

[17:19] and we've been expanding down in this area

[17:22] for the last year and a half.

[17:25] And we're getting ready to open up.

[17:27] We have a more location that we're opening up.

[17:29] So we have two locations in Edmunds

[17:32] that we run here in this part of the state.

[17:37] And then we're getting ready to open up a more location

[17:40] as well as a Norman location as well.

[17:43] Not too far from here.

[17:45] So with regards to it, but we've actually also started

[17:48] working with school districts as well.

[17:50] And we know that your plan is through the state plan through OMES from what I understand.

[17:56] So this is going to fit perfectly.

[17:58] We're here not to try and pull you away from what you're doing right now,

[18:02] but we're here to add to what you're doing right now to help you take this program

[18:07] and really partner it with the state program that you guys have at this point in time as well

[18:13] to help you with regards to that.

[18:14] So we feel it's a very, very great program to help you partner with what you're currently doing,

[18:21] but most importantly, the quality, the affordability, and the accessibility of healthcare,

[18:27] you can get through us.

[18:29] And so, and we give you the ability to include the families as well for the county, as well,

[18:34] which we think is very, very important.

[18:36] So, when we still try to figure that out,

[18:41] technical difficulties.

[18:45] So, what,

[18:49] as far as the employer groups that we work with, I talked to you about, we're

[18:53] running seven municipalities right now.

[18:56] Most of the municipalities are in the Tulsa area, but we are running Edmund's health care

[19:02] right now, and we're happy to, when we're done, anything that you need from us with regards

[19:08] to individuals that you need to visit with and talk to about our health care program, we're happy

[19:15] to provide as far as that. So, all right, I'm going to turn, we're ready to go. Dr. Sutter,

[19:27] that's okay, you want to just do it.

[19:34] Well, why don't I work on that for you while he kind of explains to you a little bit about what

[19:43] philosophy is the other thing that's important to know is that we are not an investment group owned

[19:50] office, a primary care group. We are owned by one individual, and that's Dr. Satis. So what you're going

[19:56] to hear today is probably going to blow you away a little bit with the...

[20:00] Regards to what we're providing with regards to health care. So, but we are a one entity, one physician,

[20:05] own not part of a group. So we don't have anybody to satisfy. So we basically develop the program

[20:14] to make sure that we can pass all of the cost savings and the quality onto the patients that

[20:20] we have. So, okay. Dr. Sarfora, let me take over.

[20:28] Thank you, the Garrett, for you not to be worked out there.

[20:32] Good job, Garrett.

[20:34] Okay, it's good to be here with you all this morning, apologies for the technical difficulties

[20:38] getting set up, but it's good to be here and glad that we are set up and I would call your

[20:43] attention to one of the two screens with our slideshow.

[20:47] Scott's going to run this to show in the back, so Scott I'll just say events lie when we're

[20:51] ready.

[20:52] And once you go ahead and advance this slide one more time.

[20:55] I'm Dr. Chris Satith. I'm an Oki fourth generation. In fact, my great-grandmother said that she was always

[21:01] issues born in Indian country, not Oklahoma, but nevertheless, some from southeast part of the state,

[21:08] in the small town of Savannah, South McAllister Pittsburgh County, Oklahoma Babs University on the

[21:13] grad, and then spent nine years of my life at the University of Oklahoma. Woo, boomersaner, I like the

[21:19] in here. It's been a lot of time down here and with my family, my kids, my boys, especially

[21:24] in fall, but not just in the fall. Anyway, we might like OU athletics. So, I started

[21:33] a room of health in 2018. I've very excited to talk about room of health, what we've done

[21:39] for many others. What we love to have opportunity to do for all of your folks here at Cleveland

[21:42] County. As you all know, just a couple slides on health care system as it exists right now.

[21:49] Now, health care systems broken, fewer and fewer folks are able to get in to see it from

[21:53] a care position, they're relying on urgent cares and ERs as they're primary care, and

[21:58] that's just not a good plan, it's not a good solution, only about one in four Americans,

[22:04] they don't even have a primary care position, okay?

[22:07] And then over half of the visits in an ER are even for emergency issues, but those are for

[22:14] care issues and that's really really expensive and fragmented

[22:19] primary care and as you know it's not true primary care.

[22:23] Let's go ahead and advance to the next slide Scott.

[22:25] So we know that when it comes to employer groups especially employees

[22:31] care a lot about health benefits, you all know about that

[22:36] to much better than I do.

[22:38] 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.

[22:51] When folks go to the emergency room, hey, those emergency room dogs to do a great job.

[22:55] I have many friends colleagues who are in emergency medicine. They're not there to manage your diabetes.

[23:01] Okay, they're not there to provide you with any preventive care or holistic care, any mental health care.

[23:06] That's not what they're there for, okay?

[23:09] They're not there to provide any sort of life coaching whatsoever.

[23:13] They're there to fix the acute issue in the movie on down the road.

[23:17] They do a really good job at that.

[23:20] Furthermore, even with a teledox service, hey, better than nothing,

[23:24] but often, as many of the experience you're talking to a stranger,

[23:28] who is in many cases going to send you to urgent carrying away,

[23:31] isn't often that urgent case going to send you to ER, so it's not a great

[23:36] experience overall. So, next slide's got, and then of course, that care and the ER so expensive.

[23:46] It's on average 12 times the cost of receiving that same care in a primary care environment.

[23:54] Okay, so those ER claims are killer.

[24:01] And so, I'm sorry, oh wow, somebody's back here on Fort Nam, that's awesome, that's cool, I'll

[24:11] better do you.

[24:13] I mean, it doesn't have a little fortnight,

[24:18] I have four boys and two girls, so it's just

[24:21] a constant, it's chaos, all right, next slide's got, I want to talk to you about something

[24:28] very different. This whole model of care is called direct primary care. We have two graphics

[24:35] on the screen, and as you can see in the picture on the right, that's a graphic of a doc who just

[24:43] hates his life. And if you look closely, he's actually contemplating how he's going into his life.

[24:51] He is very depressed and I kind of say that jokingly and but then I really don't the fact the matter the very

[25:00] A sad fact, the matter is, the suicide rate in the position population is double the suicide rate in the general population.

[25:10] 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.

[25:26] That's a problem, that's a very clear indicator, something's not working like it should be, okay?

[25:33] 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.

[25:41] And these docs are seen 30, 40, 50 people every day arriving the clinic and hour, hour and a half early to get started.

[25:48] and then staying into the evening, laying in bed,

[25:52] rotting their notes, to clinic notes,

[25:54] just to do it all again the next day,

[25:56] while they're missing out on their kids, activities

[25:59] on school events, field trips, you know, athletic events,

[26:06] they're hating their life, okay, doctors are demoralized.

[26:10] Furthermore, they spend the majority of their time

[26:12] dealing with paperwork for interns, companies, and third parties.

[26:17] instead of time face-to-face with their patients.

[26:20] And that's what they wanted to do.

[26:22] Doctors wanted to spend time with their patients.

[26:26] When I was just up to road in Med School at OU,

[26:31] looking around at all the guys and gals and my class,

[26:35] none of us were there with excitement about doing paperwork.

[26:41] We were all there because we were so excited

[26:44] to be able to do medicine with and for people.

[26:49] At Remedy Health, we've taken back the control of healthcare

[26:53] from all these third parties in middle-men,

[26:56] insurance companies. We try to tell us how to doctor

[27:00] and try to tell you when we're in how to get the healthcare you want

[27:03] in need. It's not, it's not their job. They should not be the ones

[27:08] in driver's seat. You deserve to be in the driver's seat

[27:12] of your own health. Okay? We've taken back that control, put it in the hands of our patients,

[27:20] and our remedy health, we operate entirely outside of insurance for all of our services that we provide,

[27:25] okay? So that 99% of our time is spent just caring for the patient. That's it.

[27:35] We take care of the person that sits across from us in the exam room instead of paperwork,

[27:40] we get to do people work. And that is the only way of restoring the joy of the practice of medicine

[27:47] for doctors. Our mission at Remedy Health is to rescue patients and other physicians from the

[27:56] broken abusive harmful greedy predatory healthcare system. And ladies and gentlemen, we've done that

[28:03] for thousands and thousands of patients. We've done that for a lot of docs and we're going to

[28:08] for a whole lot more. Across this entire state, every county by 2030. Okay, that's our moonshot.

[28:15] We're going to do it. We have eight clinics operating right now, many more that are in the process

[28:21] of opening, including one to set the road here, which I'll talk about in a moment. Fundamental

[28:28] difference is our chief product is a relationship, a relationship between the patient and the

[28:34] a personal primary care position period. So instead of that 7 or 10 minutes to be generous,

[28:42] we spend 90 minutes on new-page visits. 45 minutes for follow-up visits. If it's a

[28:48] middle-health follow-up or a middle-health visit, we walk out of an hour. But hey, if it's in the

[28:53] queue issue, we'll get you in and out. We guarantee same day next day visits. You bet, we can do that.

[28:59] And the access to our care is not just in the eighth to five,

[29:06] the access is anytime, and it's unlimited.

[29:10] Patients can direct text their physician, not a stranger in some third-party service.

[29:17] Patients can do a virtual visit with their personal physician.

[29:24] 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.

[29:39] And that's amazing. Heck, if they're on a beach and Florida, something happens, something comes up and they need a prescription.

[29:47] And while we get this message, we can correspond about it, we can send it to the pharmacy

[29:52] closest to them.

[29:54] Done.

[29:55] Take care of.

[29:55] Easy, simple direct, then cost them a dime.

[30:00] Next slide please.

[30:05] The application we use for communication is called spruce health. That's just the name of the app. It's called spruce health.

[30:12] It is hippocompliant. It's secure. Patients can direct text, their physician, and their entire healthcare team.

[30:20] At any time they are not in this graphic on the slide, you can see a little video icon, top right corner.

[30:25] It's a simple as clicking on that icon to engage in that virtual visit with their patients or with their physician.

[30:36] After every office visit, a detailed care plan is typed up and shared with the patient in spruce.

[30:43] So they can easily go back and see, what do we talk about? What are we doing about it?

[30:47] When I'm going to be seeing next, lab reports, imaging reports,

[30:53] consultation reports, diagnostic reports, that work note,

[30:58] that school notes, that immunization record for your kids,

[31:01] for school, I mean, all of that, everything is in that app.

[31:06] Real simple.

[31:08] And, you know what, if you have a rash, you can take a picture,

[31:10] you can send it in that.

[31:12] When you're provided, you can see that.

[31:13] If you have sore throat and fever and you know take a picture and good light and focus

[31:20] to the back of your throat.

[31:21] Yep.

[31:22] Consular exudates, posterior, palatal, fatigue GI symptoms are suggested and what we can

[31:32] see in the foe is clearly evident, you got strep throat.

[31:36] We'll provide you the prescription which is free.

[31:39] I'll get to that in a moment.

[31:41] That is unbelievable convenience.

[31:44] It removes all the barriers to access.

[31:47] The two key ingredients for that relationship are access to care.

[31:54] Any time they're not virtual or in person.

[31:58] And time with your dog.

[32:01] Lots of time.

[32:02] You've got two issues.

[32:03] Ten issues.

[32:03] Doesn't matter.

[32:04] We're going to address all of them.

[32:05] No more of this nonsense.

[32:06] And so, well, no, you fit your two or three issue limit.

[32:10] You want to talk about more things, schedule another office, office visit, take another half

[32:14] day off of work to sit in the way to room for an hour and a half for another 10 minute visit

[32:18] and oh, by the way, another copay, that's nonsense, that makes, that's not oriented around

[32:23] doing what's best for people, for patients, but that's not our health care systems designed.

[32:30] You know, we often, you often hear the health care system is broken, and I've said that,

[32:33] I believe it is broken.

[32:34] Some would argue that it's actually operating exactly how it's designed to, which highlights

[32:45] the fact that there is a severely perverse incentive baked into how health care is delivered

[32:50] in America.

[32:52] Okay, next slide.

[32:55] At Remedy Health, patients walk in the exam room and unlike other places where the doc says,

[33:06] hey, you got a problem, I got a pill, here's your prescription, see you later.

[33:10] You know how many people have experienced that, right?

[33:14] And since those medications are needed, we provide those, but at Remedy Health we're going

[33:20] to address the root of the problem.

[33:22] And this goes back to actually to my training, not just in medicine, but in public health.

[33:28] It wasn't just the med school at OEO went to, it was also the College of Public Health at OEO,

[33:33] I went to.

[33:34] So the master's degree in public health and health administration and health policy.

[33:39] And we know when we look at what determines the health of a person, traditional healthcare

[33:45] and medication is the smallest of all determinants.

[33:49] It only counts for 10%, 20% or genetics, well mom and dad grandparents had.

[33:57] Another 20% are a variety of social drivers of health.

[34:04] Okay, I'm like, access to first produce and you know, education status and work status

[34:10] and even personal transportation and many other factors, but 50% of a person's self is

[34:18] by their own lifestyle. So if we're going to get serious about partnering with you to

[34:23] achieve your best health, we've got to touch on each one of those lifestyle determinants.

[34:30] Beginning with your relationships and health relationships and community as opposed to

[34:37] loneliness which has the same health effects as smoking actually.

[34:44] Of course nutrition,

[34:44] what you put in your body, food is the foremost medicine and all together more powerful

[34:50] than medication, physical activity, mental health and wellness, stress mitigation, recreational

[34:57] screen use.

[35:00] 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.

[35:17] 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.

[35:24] And then, of course, the traditional boxes of tobacco alcohol drugs, these are lifestyle

[35:29] in terms of health.

[35:33] We cannot do our job as primary care dogs.

[35:37] If we do not focus on the lifestyle in terms of health, medications alone will not move

[35:42] the needle.

[35:44] And for you all, with your employees, and all the members in your plan, those claims are

[35:48] going to be sky high.

[35:49] So, long as lifestyle is not adequately addressed and such a huge lever that can be pulled,

[35:59] is focusing on what really matters.

[36:01] This is what matters.

[36:03] Next slide, please.

[36:06] This slide represents the majority of the services we provide.

[36:11] I've already mentioned that our visits are not heard.

[36:14] We don't rush people in and out.

[36:16] We guarantee they'll send their next-day office to visits.

[36:18] We take care of the whole family, all ages, newborn, and up.

[36:25] We have internists, family physicians, pediatricians on staff.

[36:30] We have a few PAs and of practitioners.

[36:33] Rim and Health is certainly a physician-led organization, okay?

[36:39] We often, and even on educational front, we often have medical students from OU, OSU,

[36:45] who are rotating through Human Health's part of the medical education.

[36:49] We do have PA students as well, from Oakland City University,

[36:53] soon to be from Oklahoma University,

[36:55] and other institutions rotating through.

[36:58] We care a lot about medical education,

[37:01] but it's important to note,

[37:02] Human Health is a physician-led, a doctor-led,

[37:05] deos-animities organization.

[37:08] And we take care of all ages newborn,

[37:12] even folks who are north of 100 years old.

[37:16] We have the direct position messaging as I've made clear.

[37:19] We provide care not just for the acute issues that come up.

[37:23] You know if you have a cut, you need stitches,

[37:25] touched in gear off, right?

[37:28] Or if you have sniff holes, you need a strip test,

[37:31] flu COVID testing, your impregnancy test, we do all that.

[37:35] We also do the preventive and holistic care.

[37:37] The newborn check, the will, if it check, the will, child checks, the will, adolescent checks,

[37:42] adults, women's health care, including public exams, and pap smearers, all of that, we do.

[37:50] Excuse me, and then we've made us to chronic conditions, diabetes, heart disease, autoimmune disease,

[37:57] thyroid disease, upper liver damage, hypertension, et cetera, the list goes on and on and on,

[38:02] and even especially the complex diseases.

[38:07] I alone, I'm just one of many docks at Remedy Health.

[38:12] I alone care for patients who have

[38:14] esoteric conditions like the loin pain,

[38:16] hematurious syndrome, or stiff person syndrome.

[38:21] Some of you may note that Celine Dion

[38:24] has made that a little bit more prominent

[38:26] because she suffers from stiff person syndrome.

[38:29] And many other odd, I mean, even recently I diagnosed somebody with chemo-induced COVID-exasper

[38:41] exacerbated barrel reflex dysfunction, and which was confirmed at the Mayo Clinic.

[38:54] 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.

[39:09] 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.

[39:18] We have an onsite pharmacy,

[39:24] and we have about 100 or so of the most common prescribed generic

[39:28] medications available.

[39:31] And those are also available via the mail order, some for acute issues, some for chronic

[39:34] diseases.

[39:36] We do all blood work on site, blood and urine, and all the labs are included for free.

[39:44] All the meds we have on site, a mail order, free.

[39:47] Most of our clinics have imaging or we contract with a local hospital for that imaging or a local

[39:53] imaging facility.

[39:56] We have all immunizations available.

[40:01] 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,

[40:21] long list of dermatological procedures, everything from cryotherapy to removing skin attacks, okay?

[40:28] or an excision of Bobc for suspicious lesion that,

[40:31] oh, turn that to be melanoma, done that many times for patients.

[40:37] We provide all of that, and we also, and uniquely,

[40:43] because especially as we have physicians,

[40:46] manage conditions that merit treatment with controlled substances.

[40:54] No more folks having to go to psychiatrists

[40:56] for an outer-all prescription.

[40:59] We manage that, and we manage those limitations.

[41:02] We manage opioids for chronic pain management, OK?

[41:09] We manage hormonal placement therapy for men and women.

[41:14] In fact, we have minimal specialists on staff.

[41:18] We even have the Bauditical Movement therapy in the pellets available

[41:23] for the body of the homeless, but there are various, yeah, for HRT.

[41:29] We have a robust weight loss program built on the foundation of our lifestyle medicine approach to care,

[41:36] but later in the GOP ones, as a means to kickstart weight loss,

[41:44] but with the goal of winning off of them, and utilizing leveraging healthier lifestyle choices

[41:52] as the means for long-term weight loss success.

[41:57] Heck, we saved City of Ed, but now that savings is just a shade

[42:04] over two million a year, just on GOP ones.

[42:07] We have many employer groups that procure them through us.

[42:11] And even if that's just, I don't know how you guys did right now.

[42:14] If you cover them only for diabetes, fine.

[42:19] The average savings is $700 per month per prescription at room and health.

[42:24] So if you have 100 people on a GOP-1, $700 a month, that's $70,000 a month of savings.

[42:32] That's immediately unlocked.

[42:34] Just bought procure in those through room and health instead of the traditional PBM route.

[42:41] And then we have our own patient navigation team in house, so when anybody needs to see

[42:46] specialist or any kind of dinosaur procedure or anything outside of primary care done, then our team

[42:52] facilitates all of it, coordinate all that care. That takes the lift off of HR, that takes

[42:57] the lift off of the broker or the insurance company, anybody else we manage that. We get them plugged in

[43:05] and part of the implementation phase so that time from the decision to go move forward and the

[43:16] have a team meets with your admin team to ensure that we fully understand all the

[43:21] ins and outs of your health plan design so that when your members in the future

[43:25] might need to see in orthopedic surgeon or cardiologist or ename it then we are

[43:30] routing them to the appropriate groups in your health plan network okay and then we also

[43:39] by default provide very robust detailed monthly

[43:43] reporting to every employee in the group

[43:46] on a long list of metrics, utilization metrics.

[43:51] From visit, visit, type, duration of visit, wait

[43:55] time to get in for a visit, messaging,

[43:59] inbound outbound, in a spruce app, diagnoses, labs,

[44:03] imaging, medications, referrals, referral types,

[44:08] all that and much more stratified by employee, spouse, independent.

[44:15] So the member type is evident.

[44:18] All that information is also customizable to your preferences.

[44:24] And we even have our own proprietary dashboard

[44:27] where our employer groups can log in and see that data in real time.

[44:31] It's refreshed every 24 hours.

[44:35] Next slide.

[44:35] I want to emphasize

[44:41] to about is not just for your employee, it's for their spouse and all their

[44:50] opinions.

[44:53] This photo is my wife, and me as you can see in our-

[45:00] 6 kids,

[45:05] poll, family, everybody, every person in the family matters.

[45:14] You're employees in your employee spouse matter.

[45:20] They all deserve everything pretty health standard of care. This high standard is deep care.

[45:32] Next,

[45:35] and all that's $135 a month.

[45:38] per employee per month, 135, that's the whole family, a family first benefit.

[45:47] Now, it doesn't include the dog, okay? Maybe we can work out something with OSU on that.

[45:57] But the whole family regards the number dependence, 135.

[46:03] On limited any time access to care, virtual, or in-person, no office visit fees, no copays.

[46:10] And if they need to go see somebody else for the small percentage of things that we don't

[46:15] manage, then the insurance is there for that.

[46:18] Use the insurance for the big stuff, the hospitalization, the ICU, the hip replacement,

[46:24] the heart attack, and stroke, that's what it's there for.

[46:29] The analogy I always use, most everybody here probably has vehicle, you go to the gas station,

[46:34] you fill it up.

[46:36] You're not following the claim with your auto insurance that thank you gas, although I'm

[46:39] sure you like to as expensive as it is now, but it all changed, instead of tires, which

[46:44] of our blades, those are not claims that are followed with insurance.

[46:48] If you're in a fender bender, if you're in a wreck, yeah, now you're following that

[46:51] claim.

[46:52] That's down. That's a homeowner's insurance claim.

[46:58] Homeowner's insurance is not going to pay for your grass to get cut.

[47:03] If you need new filters in your HBAC, new lotbobbs.

[47:07] That's on you, but it's also affordable because it's high probability and low cost

[47:14] that you're going to need to replace lotbobbs, right,

[47:20] lean in your vehicle, but it's the low

[47:24] probability high cost events for which need insurance.

[47:28] That's how health care ought to be in America.

[47:31] It's not that insurance inherently is evil or bad.

[47:36] It's just

[47:40] health.

[47:43] There are a lot of groups that are doing it better.

[47:47] Next slide.

[47:49] This is the pharmacy I've talked about it some already.

[47:52] Any prescriptions that we don't have in our formulary,

[47:54] we still manage those with a symptom to the pharmacy

[47:57] of your choice.

[48:00] The, the, the, the Alabama irresponsible therapy medication that mentioned earlier.

[48:03] That would be something extra.

[48:06] The GOP ones will be a pass through at our discounted pricing.

[48:09] I think I mentioned earlier.

[48:10] Next slide please.

[48:12] This is the pricing for our GOP ones currently.

[48:15] I will, I'm happy to say that we are in negotiations right now with our vendor to drive

[48:21] the pricing down even further.

[48:23] And we've been able to drive it down a few times already.

[48:25] but we have such a high volume that it gives us a good, a negotiating position to draw the

[48:32] pressing down. Next slide, please. And now, these are the other surfaces I mentioned,

[48:37] the whole reinforcement therapy, next slide, the IV, we have IV therapy, not just IV fluids,

[48:43] but IV therapy, IV fluids, we need normal salinas free. But we have some other IV therapy options available

[48:50] next line, the advanced joint injection, so steroid joint injections, free, and I'm going to charge

[48:56] for that.

[48:57] You need to use a steroid, you know, shot in your knee, or your shoulder, we're not going to

[49:02] charge for that.

[49:05] Similarly, if you need a steroid shot for, you know, it's really about allergies or, you

[49:09] know, an intramuscular injection, now, I don't want to charge for that.

[49:12] We have put it which plasma joint injections available, the hyaluronic acid, that is an additional

[49:17] charge.

[49:18] Whether the group, the employer pays for it, or if the employer doesn't, then the member

[49:24] has the ability to pay for that out of pocket that they want, next slide.

[49:30] Again, lots of groups that we serve, individuals and families can be patients at remedy health.

[49:37] They can purchase an individual membership.

[49:41] I'm on employer groups, we serve small, large,

[49:51] I mean, just, I'm washing county, just

[49:54] started with this yesterday, well, now two days ago, September 1st.

[50:00] In, like, Scott mentioned earlier, we do serve several municipalities, small in large, on the

[50:05] large area, it would be like Edmund and Broken Arrow and in smaller, it would be like Collinsville and

[50:11] Baysby and well, now, as small as Carlton landing with two employees,

[50:19] but we really, especially

[50:22] to enjoy serving public sector,

[50:27] all the money we save you equals better management of tax

[50:33] paid dollars. And when we can save you $2 million, wow, that means you can redeploy those

[50:41] funds on other things that you need or maybe give people pay raise or hire more staff.

[50:52] There's

[50:53] slide. And people love the service they get here. Next slide. Our average Google star ratings

[51:00] over 4.95. Okay, I talked to you all day long about how awesome we are. And we are,

[51:05] it's a fact. Our net promoter score is a 96. Other people will tell you, just how amazing

[51:11] we are. And I would dare you to pick up the phone and call any of the groups that we serve

[51:15] and talk to their HR, talk to their CFO, talk to their CEO or city manager and you know,

[51:22] We're going to tell you, room and health is amazing.

[51:27] Net promoter score, if you go back to that previous slide, if anybody doesn't know what

[51:32] that is, it's the most commonly used measure of customer satisfaction in any in all industry.

[51:39] The low score is a negative 100.

[51:42] The high score is a 100.

[51:45] The best range you can be in is the excellent range.

[51:48] Since the 70 year higher, it's real special to get up into that range, you know, Disney World

[51:54] is up there, our scores of 96, and then we're not cherry-picking, but visit receives

[52:04] a request to complete a survey, provide their feedback, hey what went well, why didn't

[52:11] we ask them to score that experience, was it a good experience, and what score would

[52:17] you. And we are not cherry-picking that. Everybody, we want to know. The obvious, best, direct way of

[52:32] self-assessment. How well are we performing in our care delivery? And it's rare to not get

[52:40] a 10 out of 10. Can't please everybody. But our net promoter scores 96. I'm proud of that. I'm

[52:47] of all my team members. I'm proud of my, my doctors, my staff, I'm out of this. This is one of

[52:51] the receptionists. We have an awesome team. Next slide. These are the current locations. You

[52:58] see we have a cluster of Tauce area, one of the largest railroad enforcement thar can solve. We actually

[53:03] have two in Edmund. And then we are opening more enormous. Next slide. And that particular

[53:12] that contains the U-wall, obviously we're talking about Cleveland County, that more location

[53:18] is on.

[53:19] Fourth, it's actually the intersection of turner and forth, it's just on the east side

[53:23] of the train tracks, not far from downtown more, and we've had a lot of great traction with

[53:28] City of Moore to say in, as well as City of Norman, you can talk to those folks to encourage

[53:35] you.

[53:35] They haven't signed on yet, but we're not far from.

[53:37] And our normal clinic is

[53:44] Robinson, I-35 on runoff of 24th Street there, great locations, beautiful clinics,

[53:54] and strategically located to serve the vast majority of the people of the county of Cleveland County.

[54:04] Next slide.

[54:07] This is a generic QR code that one there should actually take to our website, but I'm

[54:11] mentioned that I feel this slide in here just to show in that onboarding process when we

[54:17] are providing the similar presentation to this one and educating all the employees to the service

[54:24] making clear to them that, hey, we are your first point of contact for any health questions

[54:27] concerns.

[54:30] We get them signed up right there in the air.

[54:32] We even get them scheduled for their first patient visits.

[54:36] That all happens before the effect of start date.

[54:41] And so QR codes are things that we use in that.

[54:44] But we're very aggressive at reaching out and getting employed the impissive.

[54:47] If we're not, okay?

[54:50] They were not achieving our mission.

[54:52] We're not achieving our purpose of empowering and enabling the equipment

[54:54] every one of our patients to achieve their health skills.

[54:56] And when they back to health,

[55:00] Next slide.

[55:04] 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.

[55:19] Thank you. I thought I was pretty fine. I thought I was fine.

[55:25] Typically, eight to five, okay.

[55:30] If somebody has an acute issue that merits in person,

[55:35] then I'd also just meet them up at the clinic to care of them.

[55:38] Okay, some.

[55:41] Yeah.

[55:43] That's your position.

[55:47] Yes.

[55:49] Yep.

[55:50] Yep.

[55:51] Oh, yeah.

[55:54] That's every every dog responsible for their panel patients.

[55:58] Okay.

[55:59] And instead of each of our docs managing 3,4,000 people, each of our docs manages around 800, maybe up to 1,000.

[56:06] Okay, so we intentionally have designed it so that each docs managing a fraction of their patients.

[56:11] So they give so much more of their time and focus and attention each one of them.

[56:19] Yes.

[56:21] All of it.

[56:24] Yep.

[56:26] Yep.

[56:27] That's right.

[56:40] So, that's more nuanced question.

[56:43] I'll give you the nuanced answer.

[56:45] I'll first say that for each physician, we try to limit their penal to around 800.

[56:53] So, the real question is, where is the capacity?

[56:56] Well, there is no capacity.

[56:58] There's the capacity for maybe one doc.

[57:00] But as we approach their capacity, then we just add on more docs.

[57:04] And I hope it's abundantly clear that it's not a hard cell to dox.

[57:10] Hey, do you want to continue killing yourself over here or do you want to come and work

[57:16] in this environment where you can become the dox you always wanted to be and finally deliver

[57:20] unrestricted care.

[57:23] That's quite a compelling argument in our dox love.

[57:28] They all love the service.

[57:30] So,

[57:34] currently we have 13 that are working with this right now.

[57:42] We have 10 physicians and then we have 1 PA in the two-to-partitioners.

[57:49] Yeah, so we are physician-heavy.

[57:51] We'll always be physician-heavy.

[57:54] Not saying the bad about physician assistants or practitioners.

[58:00] Some are really great.

[58:02] I think that there's a role in a place for physicians and

[58:06] some practitioners, but I think it's within the broader context

[58:11] of physician that I care.

[58:14] With that being said, all of our providers work within a group,

[58:19] we're all a group working together.

[58:21] Nobody's down on the island on their own.

[58:23] So everybody has the ability to consult with one of the other providers

[58:26] at Remedy Health, and we do that.

[58:28] I mean, there are times when I did pull aside one of my other dogs and say, hey, I have

[58:32] this complex case, you know, here's what I'm going to discuss, here's the work up, I've

[58:36] done this far, here are those results, I'm thinking this, what do you think? And have

[58:41] that collegiality is key.

[58:47] Yes,

[58:52] all the above, all the above, we have some on the state plan, we have some full

[58:58] insured, we have some that are self-funded, okay? For the, for the small employers, for

[59:03] some of the small employers we serve, they don't provide any benefits.

[59:07] They want to, but they're not willing to position to, but they can provide them to health.

[59:11] And that's obviously a powerful benefit because we take care about 9% of all the health care

[59:16] needs that most people ever have.

[59:19] So we work with it all.

[59:21] We work with, I'll say, this way.

[59:23] We have employers which is about any insurance you can imagine.

[59:28] We've worked with a wide variety of brokers and brokerages.

[59:33] We're agnostic in that regard.

[59:36] We know and recognize that every employer needs a good

[59:40] and smart, well-designed health insurance plan.

[59:47] But they really need health care as well

[59:51] to go along with the health insurance

[59:55] and to serve as the foundation for the entire health benefit.

[1:00:00] 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.

[1:00:11] 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.

[1:00:27] Note that all this gear that folks receive at room to health is claims of avoidance, okay?

[1:00:34] Now clearly

[1:00:36] I think it's clearly. I think it's obvious the groups that are self-funded

[1:00:39] They're the ones who are going to experience the greatest cost savings, right?

[1:00:46] full-intergroups will as well

[1:00:49] self-funded even more and

[1:00:51] immediately so

[1:00:54] But to go back to your other question about capacity,

[1:01:01] each clinic, we've designed each clinic so that it can hold multiple positions.

[1:01:09] Ideally, when we look at groups, especially larger groups, then we want to consider where are there people located.

[1:01:15] Okay. I mean, we have some groups right now.

[1:01:23] 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

[1:01:33] that really is excited that remedy health.

[1:01:37] They were concerned because in that particular suburb, we don't have a clinic right now,

[1:01:42] But we'll in need about 500 employees for any one clinic to be financially feasible and sustainable.

[1:01:49] Okay? And so for them, as well, if could really help open a clinic here.

[1:01:58] And the answer is, of course, of course we can.

[1:02:02] And that's our approach with all the groups. Even when we picked up the city of Edmund,

[1:02:06] It started serving them two years ago.

[1:02:09] We didn't have a clinic in heaven at that time.

[1:02:12] But you bet with your can, and it doesn't take us very long

[1:02:16] to get a clinic up and run it with done it enough times now.

[1:02:20] And it's not hard to find positions to staff with them.

[1:02:24] And so we have the ability to open additional clinics

[1:02:29] as indicated as needed, and to bring on additional staff

[1:02:33] when needed to ensure that at no point,

[1:02:37] those our standard of care dip.

[1:02:41] Because at the end of the day, it's delivering

[1:02:43] on those promises that we make to all of our important clients,

[1:02:47] but especially to all those patients.

[1:02:54] Bloodworks, labs, absolutely.

[1:02:57] And I'll say, I'll use the...

[1:03:00] Yeah,

[1:03:03] we have about 100 or so.

[1:03:04] The most common describes in your communication.

[1:03:06] So like antibiotics, antiviral, stairroids, you know, antifungal medications, blood pressure,

[1:03:16] medication, radiation, thyroid medication, antidepressants, some anxiety medications,

[1:03:25] goodness what else, you know, medications for allergies, like in histamine, in flow

[1:03:30] nays, and even now, but you draw inhalers, and medication for reflex, you know, we have a lot

[1:03:37] a lot that are available. It's the vast majority, if not almost entirety of what multiple

[1:03:44] take. If it's a newer medication that's a high-cost specialty drug, right? So those are

[1:03:50] the buzzwords, high-cost specialty drug. Those would go through the insurance plan, okay?

[1:03:55] We don't have those available for free, except for GOP-1s. We do have those.

[1:04:30] 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,

[1:04:53] just kind of pricing on G.O.B. ones. And as good as it is right now, I promise you that

[1:04:58] we're driving that price down.

[1:05:00] That's any day now, so the rest of those negotiations.

[1:05:04] But the important thing there is all those GOP ones, we're not

[1:05:10] just prescribing them will in LA. Okay. That's within the context of robust lifestyle, medicine,

[1:05:18] oriented care delivery. Okay. That's us meeting with patients in person and our standards.

[1:05:29] We have a

[1:05:29] specifically for weight loss. They, by default, see their position once every three months,

[1:05:37] while they're on that journey. And every month, they come in for a medical assistant visit

[1:05:44] where we go through a long series of questions. We do all the measurements over again so that we are

[1:05:51] injury and tracking. Okay, that's, that's, I'll, I'll

[1:05:57] regard that as a fairly high touch process and approach so

[1:06:02] that we're not this prescribing it in, you know, messaging

[1:06:06] months later and you know, maybe we'll see you next year,

[1:06:08] maybe we'll see you at all. There are some groups online. I'm

[1:06:13] sure you all know this, where a patient can just go online and

[1:06:18] get these medications and there's, there's not any health care

[1:06:20] liver, it's frankly unethical. I don't know if any of that at all, it's good medicine,

[1:06:26] it's bad medicine. But we deliver good medicine. So at the end of the day, it's not

[1:06:33] the GOP-1, and honestly it's not even the person's weight that truly matters. Way is just

[1:06:43] measure and one indicator of a person's overall health. And it is important,

[1:06:51] but as I tell my patients,

[1:06:53] I would much rather you be physically fit than to be a 10-pound slider. Okay, and so so much of that

[1:07:01] lifestyle coaching is setting those specific, measurable, tangible, relevant, timely goals for

[1:07:08] becoming more fed and it doesn't necessitate going across fit, right? You don't have to

[1:07:17] run a marathon or run it all. You don't have to go to a gym, you know, with a maybe with a

[1:07:24] bunch of meat heads, I don't know. You know, you don't have to do any of those things or those

[1:07:31] common misconceptions about what it means to be physically fit and healthy. There's a lot of

[1:07:36] I mean, obviously some people go to the gym quite a bit, but, you know, you give up point. Yes, Rod.

[1:07:47] Yes.

[1:07:53] Sure.

[1:08:00] Yeah.

[1:08:03] Thank you very much. I know we took a lot of time. I appreciate it.

[1:08:07] Yeah.

[1:08:17] Okay. Well, thank you all again, Dr. Chris Suttath and then Scott Sturgis.

[1:08:22] 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.

Employee Benefits Committee on 2026-09-03 9:00 AM

Agenda

Transcript