The show is here.

The show is here.

Yo, our mission is clear. It's time to change health care. Have no fear. Today is the day. This is the hour together. You know, we've got the power drop, the silos. We're all the same team experience. This is tech and marketing. How can anyone be satisfied with the way things have always been? Yeah, we tried. So join us now. Join the Revolution. Consumer First Health Is the revolution status quo or like status?

Yo, our mission is clear. It's time to change health care. Have no fear. Today is the day. This is the hour together. You know, we've got the power drop, the silos. We're all the same team experience. This is tech and marketing. How can anyone be satisfied with the way things have always been? Yeah, we tried. So join us now. Join the Revolution. Consumer First Health Is the revolution status quo or like status?

No. Yeah. This is the health care wrap, y'all. Come on.

No. Yeah. This is the health care wrap, y'all. Come on.

New choices, new platforms, new care models and the health care of tomorrow, consumers win. But who will design it? What will it look like and how long will it take? We are here to answer those questions with some provocative thinking about how to create the health care that people actually want. Ready to roll up your sleeves, Look at the world a little differently and explore the frontiers of consumer health together. Join us. This is the health care wrap. Welcome back. I'm your host, Jared Johnson. Ready to share some more provocative thinking about the health care of tomorrow. Here's what's going to go down today. We have the flavor of the week about Best Buy's geek squad taking his talents into the home to connect remote patient monitoring devices with hospitals. What might happen as retailers roll out new ways to bring customer service to the homes of patients. I'll talk about that. Then we speak with Dr. Daniel Guerra, chief medical information officer at Gen Med. Daniel describes how technology supports Chen Med's vision for transformative care, and he gives us a behind the scenes look at Intune Health, a tech, forward value based care model that focuses on helping older adults who are on the go Stay healthy. It's time to dive right in. Are you ready? Let's go.

New choices, new platforms, new care models and the health care of tomorrow, consumers win. But who will design it? What will it look like and how long will it take? We are here to answer those questions with some provocative thinking about how to create the health care that people actually want. Ready to roll up your sleeves, Look at the world a little differently and explore the frontiers of consumer health together. Join us. This is the health care wrap. Welcome back. I'm your host, Jared Johnson. Ready to share some more provocative thinking about the health care of tomorrow. Here's what's going to go down today. We have the flavor of the week about Best Buy's geek squad taking his talents into the home to connect remote patient monitoring devices with hospitals. What might happen as retailers roll out new ways to bring customer service to the homes of patients. I'll talk about that. Then we speak with Dr. Daniel Guerra, chief medical information officer at Gen Med. Daniel describes how technology supports Chen Med's vision for transformative care, and he gives us a behind the scenes look at Intune Health, a tech, forward value based care model that focuses on helping older adults who are on the go Stay healthy. It's time to dive right in. Are you ready? Let's go.

Flavor of the week.

Flavor of the week.

Could the Geek Squad be coming to a hospital near you? According to Gabriel Perna, Modern Healthcare's deputy editor for digital health and technology, Best Buy's Geek Squad, is taking its talents into the home to connect remote patient monitoring devices with hospitals. The retailer has reportedly announced that they've struck partnerships with NYU Langone Health, Mount Sinai Health and Geisinger Health. Geisinger is launching a Geek Squad pilot service where they'll help set up the equipment and educate consumers on it. This follows Best Buy's recent announcement that they're beginning to sell over-the-counter hearing devices, and it makes sense, given their focus on being a tech first consumer health partner. I'm quoting again from Gabriel's article Best Buy Health's chief operating officer, Samuel Langat said the company knows what it's good at and hasn't shied away from its roots. We're not a health care provider, she said. We are the plumbing that connects this ecosystem of care. It's not necessarily the sexiest part of health care, but one of the most fundamental gaps that we have today, unquote. There's a lot to like about this development. First, finding a way to help consumers navigate an unfamiliar part of their health care experience. Health care isn't always about algorithms or spreadsheets. It's about one on one human to human contact. Do the humans who are providing the care find ways to make the experience easier? There's a lot to be said about putting Best Buy's consumer helpfulness vibes to work. Second, partnerships with hospitals. Now, mind you, if a hospital administrator today pitched the idea of training its own customer service team and rolling out a fleet, I don't know if that idea would get much traction, but partnering with the Geek Squad to offer that same service seems pretty low risk. Plus, not having had personal experience trying to set up remote patient monitoring equipment, but hearing about it from friends, it doesn't sound that easy. And setup is pretty integral for hospital at home initiatives to work. Last I checked, most hospitals aren't too keen on spinning up their own team or training customer care reps to enter patients homes, and now they don't have to. Third, offering the service. Despite uncertainty about reimbursement, CMS recently proposed a 12% cut in reimbursement rates for remote patient monitoring. CPT codes and other home based reimbursement is tied to emergency waivers that will eventually expire. But this hasn't stopped the service from rolling out. Each of Best Buy's moves has seemed to come in contrast with the brazen speed of Amazon and the scale and ambition of CVS and Walmart. And maybe that's why I like it. As I've said previously, I like the thought of retail specialization. Going deep in niche areas could be a viable counter strategy. Let's watch what happens as retailers roll out new ways to bring customer service to the homes of patients. That's another way that we'll build the health care of tomorrow, and that's the flavor of the week.

Could the Geek Squad be coming to a hospital near you? According to Gabriel Perna, Modern Healthcare's deputy editor for digital health and technology, Best Buy's Geek Squad, is taking its talents into the home to connect remote patient monitoring devices with hospitals. The retailer has reportedly announced that they've struck partnerships with NYU Langone Health, Mount Sinai Health and Geisinger Health. Geisinger is launching a Geek Squad pilot service where they'll help set up the equipment and educate consumers on it. This follows Best Buy's recent announcement that they're beginning to sell over-the-counter hearing devices, and it makes sense, given their focus on being a tech first consumer health partner. I'm quoting again from Gabriel's article Best Buy Health's chief operating officer, Samuel Langat said the company knows what it's good at and hasn't shied away from its roots. We're not a health care provider, she said. We are the plumbing that connects this ecosystem of care. It's not necessarily the sexiest part of health care, but one of the most fundamental gaps that we have today, unquote. There's a lot to like about this development. First, finding a way to help consumers navigate an unfamiliar part of their health care experience. Health care isn't always about algorithms or spreadsheets. It's about one on one human to human contact. Do the humans who are providing the care find ways to make the experience easier? There's a lot to be said about putting Best Buy's consumer helpfulness vibes to work. Second, partnerships with hospitals. Now, mind you, if a hospital administrator today pitched the idea of training its own customer service team and rolling out a fleet, I don't know if that idea would get much traction, but partnering with the Geek Squad to offer that same service seems pretty low risk. Plus, not having had personal experience trying to set up remote patient monitoring equipment, but hearing about it from friends, it doesn't sound that easy. And setup is pretty integral for hospital at home initiatives to work. Last I checked, most hospitals aren't too keen on spinning up their own team or training customer care reps to enter patients homes, and now they don't have to. Third, offering the service. Despite uncertainty about reimbursement, CMS recently proposed a 12% cut in reimbursement rates for remote patient monitoring. CPT codes and other home based reimbursement is tied to emergency waivers that will eventually expire. But this hasn't stopped the service from rolling out. Each of Best Buy's moves has seemed to come in contrast with the brazen speed of Amazon and the scale and ambition of CVS and Walmart. And maybe that's why I like it. As I've said previously, I like the thought of retail specialization. Going deep in niche areas could be a viable counter strategy. Let's watch what happens as retailers roll out new ways to bring customer service to the homes of patients. That's another way that we'll build the health care of tomorrow, and that's the flavor of the week.

The flow. The flow. The flow.

The flow. The flow. The flow.

Let's get into the flow, everybody. Let's give it up for Dr. Daniel Guerra. He's the chief medical information officer at Chen Med. For more about Chen Med and their disruptive approach to primary care. Want to point you to a couple of episodes. One is our interview with Dr. Gordon Chen, their co founder. It's episode 232, as well as Dr. Farzad. He's their national director of Primary Care, which is episode 214. And with that, we want to welcome you, Dr. Garrett, to the health care app. How are you? Good, Jared.

Let's get into the flow, everybody. Let's give it up for Dr. Daniel Guerra. He's the chief medical information officer at Chen Med. For more about Chen Med and their disruptive approach to primary care. Want to point you to a couple of episodes. One is our interview with Dr. Gordon Chen, their co founder. It's episode 232, as well as Dr. Farzad. He's their national director of Primary Care, which is episode 214. And with that, we want to welcome you, Dr. Garrett, to the health care app. How are you? Good, Jared.

Thank you for having me on. And it's great to be on the show and great to be the third person on from Chen Med here.

Thank you for having me on. And it's great to be on the show and great to be the third person on from Chen Med here.

Yeah, we're excited to just kind of round out the perspective of all the exciting things you guys have going on with Chen Med. And I do want to say I'd be remiss if I didn't give you a chance to fill in your bio. So what did I miss there? What else would you like our listeners to know about you and your background?

Yeah, we're excited to just kind of round out the perspective of all the exciting things you guys have going on with Chen Med. And I do want to say I'd be remiss if I didn't give you a chance to fill in your bio. So what did I miss there? What else would you like our listeners to know about you and your background?

To fill in my bio. First and foremost, I'm a doctor first. I went through medical school, went through residency, even went through fellowship. I never expected to end up on the Iot side. It's an opportunity I found early on in my life and took advantage of it. And here I am now.

To fill in my bio. First and foremost, I'm a doctor first. I went through medical school, went through residency, even went through fellowship. I never expected to end up on the Iot side. It's an opportunity I found early on in my life and took advantage of it. And here I am now.

I think this this is such an interesting path and I know it's going to come into play as we talk about some of the pieces and parts of what makes Chen Med what it is today, because it's there's a tech forward or tech enabled piece of it that quite frankly, the care couldn't be the same without the tech. And and we'll get into that here as we do a lot of times though I'd love to just kind of helps us get to know you a little bit better. One question, which is somebody that you look up to, can you think of somebody this could be personally or professionally? Is there somebody that though, that you look up to generally and tell us why.

I think this this is such an interesting path and I know it's going to come into play as we talk about some of the pieces and parts of what makes Chen Med what it is today, because it's there's a tech forward or tech enabled piece of it that quite frankly, the care couldn't be the same without the tech. And and we'll get into that here as we do a lot of times though I'd love to just kind of helps us get to know you a little bit better. One question, which is somebody that you look up to, can you think of somebody this could be personally or professionally? Is there somebody that though, that you look up to generally and tell us why.

So similar to Gordon, My eyes on the person I look up to is is my father for different reasons than Gordon. My father came from Cuba when he was 14 and he came along without family and never had the opportunities. And he made it a mission in his life to make sure I had the opportunities that he never had and for me to capitalize on that. So he's worked his whole life to prepare me and to give me the opportunities that he never had, that such.

So similar to Gordon, My eyes on the person I look up to is is my father for different reasons than Gordon. My father came from Cuba when he was 14 and he came along without family and never had the opportunities. And he made it a mission in his life to make sure I had the opportunities that he never had and for me to capitalize on that. So he's worked his whole life to prepare me and to give me the opportunities that he never had, that such.

An awesome story. And I know it's a part of who you are. And that's something that that people don't forget. Is it like that's something that stays with you? Yeah.

An awesome story. And I know it's a part of who you are. And that's something that that people don't forget. Is it like that's something that stays with you? Yeah.

I always say if I could be it sounds funny saying it, but it's the truth. If I could be half the father my father was, I'll be successful in life.

I always say if I could be it sounds funny saying it, but it's the truth. If I could be half the father my father was, I'll be successful in life.

Oh, that's awesome. Thanks for sharing. And with that, if you can just give us a layperson's description. You know, you're you're at a, you know, I don't know, a dinner party or, you know, a family event and people are like, okay, wait, what is it that you do? Or what is Chen Med? How do you describe that to people? And then how do you describe your role as the CMO?

Oh, that's awesome. Thanks for sharing. And with that, if you can just give us a layperson's description. You know, you're you're at a, you know, I don't know, a dinner party or, you know, a family event and people are like, okay, wait, what is it that you do? Or what is Chen Med? How do you describe that to people? And then how do you describe your role as the CMO?

So it's actually a common question I get because Chen Med does things differently. So what is Chen Med? I say that we're accountable for the total care of it, the patient. We are responsible for the outpatient visits, the hospital visits, the medication. So it really makes the doctor be the quarterback of care compared to the fee for service environment that there's a lot of fragmentation in health care. My role within Chen Med, the the CIO, I guess the best way to explain it is we always had an IT shop and the IT shop always made products that they thought doctors wanted. They always did. It's what the doctors wanted product they it's not really what doctors needed. So Chen Med did something different. They invested in putting a clinical leader within the IT shop and then help embed the best clinical workflow within their products. So what I tell my doctors is that I push it as much as possible to make sure that the EMR is a tool and not a barrier for them. I love.

So it's actually a common question I get because Chen Med does things differently. So what is Chen Med? I say that we're accountable for the total care of it, the patient. We are responsible for the outpatient visits, the hospital visits, the medication. So it really makes the doctor be the quarterback of care compared to the fee for service environment that there's a lot of fragmentation in health care. My role within Chen Med, the the CIO, I guess the best way to explain it is we always had an IT shop and the IT shop always made products that they thought doctors wanted. They always did. It's what the doctors wanted product they it's not really what doctors needed. So Chen Med did something different. They invested in putting a clinical leader within the IT shop and then help embed the best clinical workflow within their products. So what I tell my doctors is that I push it as much as possible to make sure that the EMR is a tool and not a barrier for them. I love.

That. See, I've heard this described from others at times that technology, if it's working right, it should kind of be invisible. It's not like the thing that you point people to, and it's kind of a different approach to standing up a new platform or all the functions of it that have to happen to make sure the care is working. A lot of times it does go unnoticed and sometimes that that is on purpose. And, you know, sometimes it's because, yeah, people just don't recognize it or understand the value of it, but it's such an essential role. So I'm curious in particular, like how that has changed for you as Chen has grown? Like how do you support their vision? I know it's referred to as transformative care, which I've really latched on to myself and especially our listeners have really started using that term. So with your role, how do you support that vision as the company keeps growing?

That. See, I've heard this described from others at times that technology, if it's working right, it should kind of be invisible. It's not like the thing that you point people to, and it's kind of a different approach to standing up a new platform or all the functions of it that have to happen to make sure the care is working. A lot of times it does go unnoticed and sometimes that that is on purpose. And, you know, sometimes it's because, yeah, people just don't recognize it or understand the value of it, but it's such an essential role. So I'm curious in particular, like how that has changed for you as Chen has grown? Like how do you support their vision? I know it's referred to as transformative care, which I've really latched on to myself and especially our listeners have really started using that term. So with your role, how do you support that vision as the company keeps growing?

I think it all starts with the technology. And historically the EMR has had three main purposes It's used to communicate between doctors or care teams. It's used to build or AKA document to make sure we have real long notes and it's used as the source of truth for any legal discussions. But if you notice the main part I left out, it doesn't do anything for patient outcomes. So within Chen Medicines, since we're not in the fee for service environment, then we're in the value based care environment. We get to build an EMR that is just used for patient outcomes. So. Our main purpose is not communication between doctors, it's not billing and and any documentation. Our main purpose with our EMR is to embed clinical workflow that drive better outcomes for our patients.

I think it all starts with the technology. And historically the EMR has had three main purposes It's used to communicate between doctors or care teams. It's used to build or AKA document to make sure we have real long notes and it's used as the source of truth for any legal discussions. But if you notice the main part I left out, it doesn't do anything for patient outcomes. So within Chen Medicines, since we're not in the fee for service environment, then we're in the value based care environment. We get to build an EMR that is just used for patient outcomes. So. Our main purpose is not communication between doctors, it's not billing and and any documentation. Our main purpose with our EMR is to embed clinical workflow that drive better outcomes for our patients.

Are there any examples that come to mind of how you are using any of these platforms or systems to improve care?

Are there any examples that come to mind of how you are using any of these platforms or systems to improve care?

So I'll give you one like one example, right? And and again, this is all to drive better outcomes for our patients. You have two options to give them medications. We can either prescribe it within our centers and dispense it ourselves, which increases medication compliance, increases the data flow on on our side. And if our patients have any financial, social determinants of health, we're able to give them a financial assistance waiver so that they don't have to have the co-pays or have any other affect them getting the medications. So within our EHR, we build an e-prescribing system that with one click, you're able to prescribe internally with a 90 day supply, which increases medication adherence, which is the nudge that we want to give our doctors. If you want to prescribe externally, we still let you do that, but it takes three extra steps. I say it's easy to do the right thing, hard to do the wrong thing like that.

So I'll give you one like one example, right? And and again, this is all to drive better outcomes for our patients. You have two options to give them medications. We can either prescribe it within our centers and dispense it ourselves, which increases medication compliance, increases the data flow on on our side. And if our patients have any financial, social determinants of health, we're able to give them a financial assistance waiver so that they don't have to have the co-pays or have any other affect them getting the medications. So within our EHR, we build an e-prescribing system that with one click, you're able to prescribe internally with a 90 day supply, which increases medication adherence, which is the nudge that we want to give our doctors. If you want to prescribe externally, we still let you do that, but it takes three extra steps. I say it's easy to do the right thing, hard to do the wrong thing like that.

I like that. And being able to have something tangible to say like, yeah, the process reflects that, that standpoint in that perspective.

I like that. And being able to have something tangible to say like, yeah, the process reflects that, that standpoint in that perspective.

And doctors and doctors always want to do the right thing for the patients. They just don't want to go through all the red tape and stuff like that. So if you make it easier for them, none of them really push back on you.

And doctors and doctors always want to do the right thing for the patients. They just don't want to go through all the red tape and stuff like that. So if you make it easier for them, none of them really push back on you.

That's really refreshing.

That's really refreshing.

The way that we have it. And in the informatics org, I have a PCP from each market and they give us their opinion. I say it's an EMR by PCP for PCP. If I don't know what my docs in the front lines are doing, then I can't give them the best product.

The way that we have it. And in the informatics org, I have a PCP from each market and they give us their opinion. I say it's an EMR by PCP for PCP. If I don't know what my docs in the front lines are doing, then I can't give them the best product.

Yeah, exactly. Well, that feedback loop has got to be really important and really key to creating the systems that they actually want to use. So tell me a little bit about Intune Health. I want to dive into this a little bit. I've heard it described as a tech forward value based care model that focuses on helping older adults who are on the go to stay healthy. So tell us about that. How does it work?

Yeah, exactly. Well, that feedback loop has got to be really important and really key to creating the systems that they actually want to use. So tell me a little bit about Intune Health. I want to dive into this a little bit. I've heard it described as a tech forward value based care model that focuses on helping older adults who are on the go to stay healthy. So tell us about that. How does it work?

Yeah. So Intune Health, it's something that's spun off during Covid, where we saw the silver lining of Covid was the adoption of seniors with telehealth. We converted our practice and we're a high touch practice in Chen, MD. From 100% in person to 99% virtual in seven days, and our patients adopted it. Chen meds big enough that we want to make sure that if someone's going to disrupt us, it's going to be internally. So we want to disrupt ourselves. So we went out and we launched Intune Health and Intune Health. Really what it is, is it's a virtual appointment, it's in-office visits and it's all through a convenient app. So it's health care at your terms, as long as it doesn't compromise your medical outcomes.

Yeah. So Intune Health, it's something that's spun off during Covid, where we saw the silver lining of Covid was the adoption of seniors with telehealth. We converted our practice and we're a high touch practice in Chen, MD. From 100% in person to 99% virtual in seven days, and our patients adopted it. Chen meds big enough that we want to make sure that if someone's going to disrupt us, it's going to be internally. So we want to disrupt ourselves. So we went out and we launched Intune Health and Intune Health. Really what it is, is it's a virtual appointment, it's in-office visits and it's all through a convenient app. So it's health care at your terms, as long as it doesn't compromise your medical outcomes.

So dig into that with me for a little bit. What tech did you have to build to support that?

So dig into that with me for a little bit. What tech did you have to build to support that?

So we did our own Intune health app. We did our own Intune health app that has the platform within that platform, right, where we're able to do on demand specialist consults. We're able to visit with you at the house and then telehealth with the doctor in there. So it's not really brand new technology. It's all technology that we've used within our centers. It's just how we're delivering care and using that technology.

So we did our own Intune health app. We did our own Intune health app that has the platform within that platform, right, where we're able to do on demand specialist consults. We're able to visit with you at the house and then telehealth with the doctor in there. So it's not really brand new technology. It's all technology that we've used within our centers. It's just how we're delivering care and using that technology.

So I imagine there's some reason that that part of the description here is for older adults who are on the go. Is there something to that? Like, is there some particular reason or do they have different health and wellness habits that you're trying to target is a reason for that.

So I imagine there's some reason that that part of the description here is for older adults who are on the go. Is there something to that? Like, is there some particular reason or do they have different health and wellness habits that you're trying to target is a reason for that.

The on demand is within the app. We're going after the demographic that adopts technology, that has a smartwatches, that has the Fitbit and get the wearables in order to get data, in order to drive better outcomes.

The on demand is within the app. We're going after the demographic that adopts technology, that has a smartwatches, that has the Fitbit and get the wearables in order to get data, in order to drive better outcomes.

Gotcha, gotcha. And then the part you mentioned where you said if someone's going to disrupt us, we want to disrupt from within. I just love that the thought of that can only happen in my opinion. If you are prepared on the tech and health informatics side to be able to create platforms and design experiences that make that possible. Right? There's the disruption, you know, on the business model and strategy side, that's like, here's the direction we're going to go, but then you have to make it happen. And I can only imagine that that is something that you have to be a lot more flexible and agile in your processes to build something. Then maybe a traditional health care practice or health system might be. Is that fair to say that that's only possible if you're prepared with your tech and health informatics?

Gotcha, gotcha. And then the part you mentioned where you said if someone's going to disrupt us, we want to disrupt from within. I just love that the thought of that can only happen in my opinion. If you are prepared on the tech and health informatics side to be able to create platforms and design experiences that make that possible. Right? There's the disruption, you know, on the business model and strategy side, that's like, here's the direction we're going to go, but then you have to make it happen. And I can only imagine that that is something that you have to be a lot more flexible and agile in your processes to build something. Then maybe a traditional health care practice or health system might be. Is that fair to say that that's only possible if you're prepared with your tech and health informatics?

Yeah. And the expectations of the patients have on technology is changing as well. And that's just outside of health care as well. They have the ability to transform. For money. I just met you. I could transfer you money within 30s, right? Health care is not. It's not like that. Right. So there are expectations is changing and we're building for those patient expectations.

Yeah. And the expectations of the patients have on technology is changing as well. And that's just outside of health care as well. They have the ability to transform. For money. I just met you. I could transfer you money within 30s, right? Health care is not. It's not like that. Right. So there are expectations is changing and we're building for those patient expectations.

That's amazing. And it's so true. You know what's interesting is how often I start to hear this about comparing any type of health care experience to a financial experience, which, you know, pre-COVID even we really didn't hear that much. And I hear it so frequently now It's it's true. We're comparing it to other parts of our lives. And I think that there's something to say about that that kind of comes back to when the doctor is meeting with the patient and they want to introduce something new, like whether it is in tune health, you know, whether it's the app or whether it's some other part of a digitally enabled experience that's making this new type of care possible. It can be easy to just say, Hey, I'm sure people are going to want to adopt this because we know we made it easier. But in marketing terms, you know, I refer to that as the value proposition for the consumer. You know, like what is the appeal to them and how do we convey that to them? Have you run into any challenges conveying the the value of something like Intune Health's app? How do you even convey that value to to a patient?

That's amazing. And it's so true. You know what's interesting is how often I start to hear this about comparing any type of health care experience to a financial experience, which, you know, pre-COVID even we really didn't hear that much. And I hear it so frequently now It's it's true. We're comparing it to other parts of our lives. And I think that there's something to say about that that kind of comes back to when the doctor is meeting with the patient and they want to introduce something new, like whether it is in tune health, you know, whether it's the app or whether it's some other part of a digitally enabled experience that's making this new type of care possible. It can be easy to just say, Hey, I'm sure people are going to want to adopt this because we know we made it easier. But in marketing terms, you know, I refer to that as the value proposition for the consumer. You know, like what is the appeal to them and how do we convey that to them? Have you run into any challenges conveying the the value of something like Intune Health's app? How do you even convey that value to to a patient?

We have? And health care should be delivered in an omnichannel model, right? Patients should always be able to to reach out to their doctors and receive care whenever they need. A shift in the home will be game changer. The reason it's hard to to give the value prop to the patients, it's because it's something that the patients have never experienced before. Right? So in order to understand that value prop, it's something that they have to experience getting in-home care. It's not something that you're used to getting from from a doctor. It's a VIP concierge. It's something that they don't think that they could afford. But we're doing it for everyday people.

We have? And health care should be delivered in an omnichannel model, right? Patients should always be able to to reach out to their doctors and receive care whenever they need. A shift in the home will be game changer. The reason it's hard to to give the value prop to the patients, it's because it's something that the patients have never experienced before. Right? So in order to understand that value prop, it's something that they have to experience getting in-home care. It's not something that you're used to getting from from a doctor. It's a VIP concierge. It's something that they don't think that they could afford. But we're doing it for everyday people.

That's a really interesting point. The fact of with people are not used to it. You have to be the one to explain it to them When virtual visits or telehealth visits. I mean, how long have they been around? I mean, for so long. And yet it only matters when that particular patient is having their first virtual visit. Somebody has to explain it to them, no matter how long something's been available in the market and from other providers or whatever, it just comes down to that moment of how it's explained to them. And I can imagine like at scale, that there's a challenge in there, but there's also the opportunity there. That's how it always works. You know, there's the opportunity to show them that you are working to make this process easier. I mean, we talk about that a lot on this show, just how so many small steps really do help move healthcare forward by making something easier. And there's not necessarily one size fits all for that, but that's how we have to do it. That's how we have to convey it to a patient and let them know that, yeah, we just did this. It's fewer steps. It's right here, it's on your phone or whatever it is.

That's a really interesting point. The fact of with people are not used to it. You have to be the one to explain it to them When virtual visits or telehealth visits. I mean, how long have they been around? I mean, for so long. And yet it only matters when that particular patient is having their first virtual visit. Somebody has to explain it to them, no matter how long something's been available in the market and from other providers or whatever, it just comes down to that moment of how it's explained to them. And I can imagine like at scale, that there's a challenge in there, but there's also the opportunity there. That's how it always works. You know, there's the opportunity to show them that you are working to make this process easier. I mean, we talk about that a lot on this show, just how so many small steps really do help move healthcare forward by making something easier. And there's not necessarily one size fits all for that, but that's how we have to do it. That's how we have to convey it to a patient and let them know that, yeah, we just did this. It's fewer steps. It's right here, it's on your phone or whatever it is.

The patients are demanding convenience these days in every aspect of their life. If we don't do it first with health care, then we'll lose out.

The patients are demanding convenience these days in every aspect of their life. If we don't do it first with health care, then we'll lose out.

I so agree. I so agree. And it is something that the more we get into that mindset and understand where patients coming from, you know, that's where this innovation tends to happen. I'm curious if there are other challenges if we just kind of broaden that out in general to value based care itself, especially like I said, from your from your viewpoint, because again, this has to do with somebody on the strategy or business side came up with the model. And now here we are in the tech side. That's a tech forward vision. So we have to have things in place. We have to understand the vision and understand the process and then be able to execute on that. There's a lot to that. You know, I don't ever want to minimize or underestimate how much effort it takes to have a tech department or team or vision to actually carry out value based care in a way where it works. What are some of those challenges that are facing value based care from the tech side?

I so agree. I so agree. And it is something that the more we get into that mindset and understand where patients coming from, you know, that's where this innovation tends to happen. I'm curious if there are other challenges if we just kind of broaden that out in general to value based care itself, especially like I said, from your from your viewpoint, because again, this has to do with somebody on the strategy or business side came up with the model. And now here we are in the tech side. That's a tech forward vision. So we have to have things in place. We have to understand the vision and understand the process and then be able to execute on that. There's a lot to that. You know, I don't ever want to minimize or underestimate how much effort it takes to have a tech department or team or vision to actually carry out value based care in a way where it works. What are some of those challenges that are facing value based care from the tech side?

The problem with it within value based care is that the majority of the health care system is still delivered via a fee for service environment. So you still have fragmentation and you still have people who are incentivized to not coordinate care. You have these doctors that get incentivized by procedures, by doing X, Y, and Z. Even if it doesn't, even if it's not the best thing for the patient. So bringing a technology that's going to coordinate and have the PCP being able to drive that, that's where it makes it difficult.

The problem with it within value based care is that the majority of the health care system is still delivered via a fee for service environment. So you still have fragmentation and you still have people who are incentivized to not coordinate care. You have these doctors that get incentivized by procedures, by doing X, Y, and Z. Even if it doesn't, even if it's not the best thing for the patient. So bringing a technology that's going to coordinate and have the PCP being able to drive that, that's where it makes it difficult.

Gotcha. Which, yeah, just kind of lends itself to the, the whole thought of the complexity that regardless of any one entity in the value chain of health care that figures out how to make something better, moves to full risk, moves fully to value based care, they still have to interact, like you said, with other people, other entities within the system that yeah, that are incentivized differently. I don't know if we'll ever get off of that.

Gotcha. Which, yeah, just kind of lends itself to the, the whole thought of the complexity that regardless of any one entity in the value chain of health care that figures out how to make something better, moves to full risk, moves fully to value based care, they still have to interact, like you said, with other people, other entities within the system that yeah, that are incentivized differently. I don't know if we'll ever get off of that.

And that's why I value based care. It's one of these, these wide terms that everyone uses and everyone says it. And I asked the question, what EMR are they using? And if they haven't created their own EMR and they're not using their own, then they can't be practicing value based care because the other EMR are being. To incentivize fee for service.

And that's why I value based care. It's one of these, these wide terms that everyone uses and everyone says it. And I asked the question, what EMR are they using? And if they haven't created their own EMR and they're not using their own, then they can't be practicing value based care because the other EMR are being. To incentivize fee for service.

I've never thought about that way. That's really interesting that that's that would be considered a marker of actually doing value based care. That's really interesting.

I've never thought about that way. That's really interesting that that's that would be considered a marker of actually doing value based care. That's really interesting.

It was our main driver, our building, our homegrown EMR.

It was our main driver, our building, our homegrown EMR.

Interesting. Well, you know, if we just kind of broaden that out here, you know, it's kind of as we start to wrap up a little bit, I mean, this again, just give us a lot of thoughts of how do we measure this and how do we recognize where we are in this move to value based care? I'm just wondering, in general, you know, this is just kind of a, you know, a thought about about motivation. But I like to talk about the opportunities and, you know, what what gives us hope for the future. You know, we could talk all day about what's broken and what, you know, what doesn't work and health care. But what about the things that give you hope for the future of primary care in particular? Like what makes you motivated? What keeps you going? What gives you hope there?

Interesting. Well, you know, if we just kind of broaden that out here, you know, it's kind of as we start to wrap up a little bit, I mean, this again, just give us a lot of thoughts of how do we measure this and how do we recognize where we are in this move to value based care? I'm just wondering, in general, you know, this is just kind of a, you know, a thought about about motivation. But I like to talk about the opportunities and, you know, what what gives us hope for the future. You know, we could talk all day about what's broken and what, you know, what doesn't work and health care. But what about the things that give you hope for the future of primary care in particular? Like what makes you motivated? What keeps you going? What gives you hope there?

I think we're starting to see the shift into value based care and into value based care that really drives outcomes. Right. So what gets me excited is opening up into health, going after a different population and delivering better outcomes to more people within America. So as long as what does success look for me in 12 months are in tune brands thriving and opening up more and more centers to be able to take care of more patients.

I think we're starting to see the shift into value based care and into value based care that really drives outcomes. Right. So what gets me excited is opening up into health, going after a different population and delivering better outcomes to more people within America. So as long as what does success look for me in 12 months are in tune brands thriving and opening up more and more centers to be able to take care of more patients.

So that kind of just gets back to that factor of scale. At some point, you've got to figure it out on a smaller scale and then figure out how to bring that to more patients. I imagine that's part of where Chin Med is now and where you're headed from this point. It's exciting to see things like that on the horizon and and see the the growth that has happened even in the last couple of years. But, you know, well before that everything that to be in place and I love the fact that you just pointed to delivering the type of care as you figure out what that care looks like, just bringing it to more people. That's something to be recognized and celebrated as well. It's been a lot of fun just to think through all of this and give us some things to maybe dive into a little bit further on our on our own. So what we like to do is give our listeners a way to connect with you. As we kind of wrap up here, what's the best way for listeners to do that? Is there a somewhere to go on on the web? Is there somewhere in social media? How do they connect with you?

So that kind of just gets back to that factor of scale. At some point, you've got to figure it out on a smaller scale and then figure out how to bring that to more patients. I imagine that's part of where Chin Med is now and where you're headed from this point. It's exciting to see things like that on the horizon and and see the the growth that has happened even in the last couple of years. But, you know, well before that everything that to be in place and I love the fact that you just pointed to delivering the type of care as you figure out what that care looks like, just bringing it to more people. That's something to be recognized and celebrated as well. It's been a lot of fun just to think through all of this and give us some things to maybe dive into a little bit further on our on our own. So what we like to do is give our listeners a way to connect with you. As we kind of wrap up here, what's the best way for listeners to do that? Is there a somewhere to go on on the web? Is there somewhere in social media? How do they connect with you?

Yeah, the Intune Health website actually just launched and it's a great place to to chat with us and also to get to know us. It's Intune health. Com.

Yeah, the Intune Health website actually just launched and it's a great place to to chat with us and also to get to know us. It's Intune health. Com.

Fantastic. Dr. Garrett, it's been such a pleasure. Stay safe. Thanks again and best of luck with everything you're doing. We're going to keep keep up with everything that's got going on, but we really appreciate you giving us a few minutes today.

Fantastic. Dr. Garrett, it's been such a pleasure. Stay safe. Thanks again and best of luck with everything you're doing. We're going to keep keep up with everything that's got going on, but we really appreciate you giving us a few minutes today.

I appreciate the time. Jared, thank you.

I appreciate the time. Jared, thank you.

Thanks for tuning in. If you like what you heard, please spread the word. Tell your colleagues to tune in for all the awesomeness, then leave a review on Apple, Spotify or wherever you listen. This show is produced by Shift Forward Health The Channel for Change Makers. Subscribe to Shift Forward Health on your favorite podcast app and you'll be subscribed to our entire library of shows. See our full lineup at Shift Forward Health one subscription all the podcasts you need and it's all for free. And remember, we might have a lot of work to do in health care, but we'll get there faster together. Thanks again.

Thanks for tuning in. If you like what you heard, please spread the word. Tell your colleagues to tune in for all the awesomeness, then leave a review on Apple, Spotify or wherever you listen. This show is produced by Shift Forward Health The Channel for Change Makers. Subscribe to Shift Forward Health on your favorite podcast app and you'll be subscribed to our entire library of shows. See our full lineup at Shift Forward Health one subscription all the podcasts you need and it's all for free. And remember, we might have a lot of work to do in health care, but we'll get there faster together. Thanks again.