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[/vc_column_text][/vc_column][/vc_row]Last updated July 20, 2020
Thank you for choosing to be part of our community at Vigilance Health Inc (“Company”, “we”, “us”, or “our”). We are committed to protecting your personal information and your right to privacy. If you have any questions or concerns about this privacy notice, or our practices with regards to your personal information, please contact us at contact@vigilancehit.com.
When you visit our website https://www.vigilancehealth.com/ (the "Website"), and more generally, use any of our services (the "Services", which include the Website), we appreciate that you are trusting us with your personal information. We take your privacy very seriously. In this privacy notice, we seek to explain to you in the clearest way possible what information we collect, how we use it and what rights you have in relation to it. We hope you take some time to read through it carefully, as it is important. If there are any terms in this privacy notice that you do not agree with, please discontinue use of our Services immediately.
This privacy notice applies to all information collected through our Services (which, as described above, includes our Website), as well as any related services, sales, marketing or events.
Please read this privacy notice carefully as it will help you understand what we do with the information that we collect.
TABLE OF CONTENTS
1. WHAT INFORMATION DO WE COLLECT?
2. HOW DO WE USE YOUR INFORMATION?
3. WILL YOUR INFORMATION BE SHARED WITH ANYONE?
4. DO WE USE COOKIES AND OTHER TRACKING TECHNOLOGIES?
5. IS YOUR INFORMATION TRANSFERRED INTERNATIONALLY?
6. HOW LONG DO WE KEEP YOUR INFORMATION?
7. HOW DO WE KEEP YOUR INFORMATION SAFE?
8. DO WE COLLECT INFORMATION FROM MINORS?
9. WHAT ARE YOUR PRIVACY RIGHTS?
10. CONTROLS FOR DO-NOT-TRACK FEATURES
11. DO CALIFORNIA RESIDENTS HAVE SPECIFIC PRIVACY RIGHTS?
12. DO WE MAKE UPDATES TO THIS NOTICE?
13. HOW CAN YOU CONTACT US ABOUT THIS NOTICE?
1. WHAT INFORMATION DO WE COLLECT?
Information automatically collected
- Log and Usage Data. Log and usage data is service-related, diagnostic usage and performance information our servers automatically collect when you access or use our Website and which we record in log files. Depending on how you interact with us, this log data may include your IP address, device information, browser type and settings and information about your activity in the Website (such as the date/time stamps associated with your usage, pages and files viewed, searches and other actions you take such as which features you use), device event information (such as system activity, error reports (sometimes called 'crash dumps') and hardware settings).
- Device Data. We collect device data such as information about your computer, phone, tablet or other device you use to access the Website. Depending on the device used, this device data may include information such as your IP address (or proxy server), device application identification numbers, location, browser type, hardware model Internet service provider and/or mobile carrier, operating system configuration information.
- Location Data. We collect information data such as information about your device's location, which can be either precise or imprecise. How much information we collect depends on the type of settings of the device you use to access the Website. For example, we may use GPS and other technologies to collect geolocation data that tells us your current location (based on your IP address). You can opt out of allowing us to collect this information either by refusing access to the information or by disabling your Locations settings on your device. Note however, if you choose to opt out, you may not be able to use certain aspects of the Services.
2. HOW DO WE USE YOUR INFORMATION?
In Short: We process your information for purposes based on legitimate business interests, the fulfillment of our contract with you, compliance with our legal obligations, and/or your consent.
We use personal information collected via our Website for a variety of business purposes described below. We process your personal information for these purposes in reliance on our legitimate business interests, in order to enter into or perform a contract with you, with your consent, and/or for compliance with our legal obligations. We indicate the specific processing grounds we rely on next to each purpose listed below.
We use the information we collect or receive:
- To facilitate account creation and logon process. If you choose to link your account with us to a third-party account (such as your Google or Facebook account), we use the information you allowed us to collect from those third parties to facilitate account creation and logon process for the performance of the contract.
- To post testimonials. We post testimonials on our Website that may contain personal information. Prior to posting a testimonial, we will obtain your consent to use your name and the consent of the testimonial. If you wish to update, or delete your testimonial, please contact us at contact@vigilancehit.com and be sure to include your name, testimonial location, and contact information.
- Request feedback. We may use your information to request feedback and to contact you about your use of our Website.
- To enable user-to-user communications. We may use your information in order to enable user-to-user communications with each user's consent.
- To manage user accounts. We may use your information for the purposes of managing our account and keeping it in working order.
- To send administrative information to you. We may use your personal information to send you product, service and new feature information and/or information about changes to our terms, conditions, and policies.
- To protect our Services. We may use your information as part of our efforts to keep our Website safe and secure (for example, for fraud monitoring and prevention).
- To enforce our terms, conditions and policies for business purposes, to comply with legal and regulatory requirements or in connection with our contract.
- To respond to legal requests and prevent harm. If we receive a subpoena or other legal request, we may need to inspect the data we hold to determine how to respond.
- To send you marketing and promotional communications. We and/or our third-party marketing partners may use the personal information you send to us for our marketing purposes, if this is in accordance with your marketing preferences. For example, when expressing an interest in obtaining information about us or our Website, subscribing to marketing or otherwise contacting us, we will collect personal information from you. You can opt-out of our marketing emails at any time (see the "WHAT ARE YOUR PRIVACY RIGHTS" below).
- Deliver targeted advertising to you. We may use your information to develop and display personalized content and advertising (and work with third parties who do so) tailored to your interests and/or location and to measure its effectiveness.
- For other business purposes. We may use your information for other business purposes, such as data analysis, identifying usage trends, determining the effectiveness of our promotional campaigns and to evaluate and improve our Website, products, marketing and your experience. We may use and store this information in aggregated and anonymized form so that it is not associated with individual end users and does not include personal information. We will not use identifiable personal information without your consent.
In Short: We only share information with your consent, to comply with laws, to provide you with services, to protect your rights, or to fulfill business obligations.
- Consent: We may process your data if you have given us specific consent to use your personal information in a specific purpose.
- Legitimate Interests: We may process your data when it is reasonably necessary to achieve our legitimate business interests.
- Performance of a Contract: Where we have entered into a contract with you, we may process your personal information to fulfill the terms of our contract.
- Legal Obligations: We may disclose your information where we are legally required to do so in order to comply with applicable law, governmental requests, a judicial proceeding, court order, or legal process, such as in response to a court order or a subpoena (including in response to public authorities to meet national security or law enforcement requirements).
- Vital Interests: We may disclose your information where we believe it is necessary to investigate, prevent, or take action regarding potential violations of our policies, suspected fraud, situations involving potential threats to the safety of any person and illegal activities, or as evidence in litigation in which we are involved.
More specifically, we may need to process your data or share your personal information in the following situations:
- Business Transfers. We may share or transfer your information in connection with, or during negotiations of, any merger, sale of company assets, financing, or acquisition of all or a portion of our business to another company.
In Short: We may use cookies and other tracking technologies to collect and store your information.
We may use cookies and similar tracking technologies (like web beacons and pixels) to access or store information. Specific information about how we use such technologies and how you can refuse certain cookies is set out in our Cookie Notice.
5. IS YOUR INFORMATION TRANSFERRED INTERNATIONALLY?
In Short: We may transfer, store, and process your information in countries other than your own.
Our servers are located in. If you are accessing our Website from outside, please be aware that your information may be transferred to, stored, and processed by us in our facilities and by those third parties with whom we may share your personal information (see "WILL YOUR INFORMATION BE SHARED WITH ANYONE?" above), in and other countries.
If you are a resident in the European Economic Area, then these countries may not necessarily have data protection laws or other similar laws as comprehensive as those in your country. We will however take all necessary measures to protect your personal information in accordance with this privacy notice and applicable law.
6. HOW LONG DO WE KEEP YOUR INFORMATION?
In Short: We keep your information for as long as necessary to fulfill the purposes outlined in this privacy notice unless otherwise required by law.
We will only keep your personal information for as long as it is necessary for the purposes set out in this privacy notice, unless a longer retention period is required or permitted by law (such as tax, accounting or other legal requirements). No purpose in this notice will require us keeping your personal information for longer than 2 years.
When we have no ongoing legitimate business need to process your personal information, we will either delete or anonymize such information, or, if this is not possible (for example, because your personal information has been stored in backup archives), then we will securely store your personal information and isolate it from any further processing until deletion is possible.
7. HOW DO WE KEEP YOUR INFORMATION SAFE?
In Short: We aim to protect your personal information through a system of organizational and technical security measures.
We have implemented appropriate technical and organizational security measures designed to protect the security of any personal information we process. However, despite our safeguards and efforts to secure your information, no electronic transmission over the Internet or information storage technology can be guaranteed to be 100% secure, so we cannot promise or guarantee that hackers, cybercriminals, or other unauthorized third parties will not be able to defeat our security, and improperly collect, access, steal, or modify your information. Although we will do our best to protect your personal information, transmission of personal information to and from our Website is at your own risk. You should only access the Website within a secure environment.
8. DO WE COLLECT INFORMATION FROM MINORS?
In Short: We do not knowingly collect data from or market to children under 18 years of age.
We do not knowingly solicit data from or market to children under 18 years of age. By using the Website, you represent that you are at least 18 or that you are the parent or guardian of such a minor and consent to such minor dependent’s use of the Website. If we learn that personal information from users less than 18 years of age has been collected, we will deactivate the account and take reasonable measures to promptly delete such data from our records. If you become aware of any data we may have collected from children under age 18, please contact us at contact@vigilancehit.com.
9. WHAT ARE YOUR PRIVACY RIGHTS?
In Short: You may review, change, or terminate your account at any time.
If you are resident in the European Economic Area and you believe we are unlawfully processing your personal information, you also have the right to complain to your local data protection supervisory authority. You can find their contact details here: http://ec.europa.eu/justice/data-protection/bodies/authorities/index_en.htm.
If you are resident in Switzerland, the contact details for the data protection authorities are available here: https://www.edoeb.admin.ch/edoeb/en/home.html.
Cookies and similar technologies: Most Web browsers are set to accept cookies by default. If you prefer, you can usually choose to set your browser to remove cookies and to reject cookies. If you choose to remove cookies or reject cookies, this could affect certain features or services of our Website. To opt-out of interest-based advertising by advertisers on our Website visit http://www.aboutads.info/choices/.
10. CONTROLS FOR DO-NOT-TRACK FEATURES
Most web browsers and some mobile operating systems and mobile applications include a Do-Not-Track (“DNT”) feature or setting you can activate to signal your privacy preference not to have data about your online browsing activities monitored and collected. At this stage, no uniform technology standard for recognizing and implementing DNT signals has been finalized. As such, we do not currently respond to DNT browser signals or any other mechanism that automatically communicates your choice not to be tracked online. If a standard for online tracking is adopted that we must follow in the future, we will inform you about that practice in a revised version of this privacy notice.
11. DO CALIFORNIA RESIDENTS HAVE SPECIFIC PRIVACY RIGHTS?
In Short: Yes, if you are a resident of California, you are granted specific rights regarding access to your personal information.
California Civil Code Section 1798.83, also known as the “Shine The Light” law, permits our users who are California residents to request and obtain from us, once a year and free of charge, information about categories of personal information (if any) we disclosed to third parties for direct marketing purposes and the names and addresses of all third parties with which we shared personal information in the immediately preceding calendar year. If you are a California resident and would like to make such a request, please submit your request in writing to us using the contact information provided below.
If you are under 18 years of age, reside in California, and have a registered account with the Website, you have the right to request removal of unwanted data that you publicly post on the Website. To request removal of such data, please contact us using the contact information provided below, and include the email address associated with your account and a statement that you reside in California. We will make sure the data is not publicly displayed on the Website, but please be aware that the data may not be completely or comprehensively removed from all our systems (e.g. backups, etc.).
12. DO WE MAKE UPDATES TO THIS NOTICE?
In Short: Yes, we will update this notice as necessary to stay compliant with relevant laws.
We may update this privacy notice from time to time. The updated version will be indicated by an updated “Revised” date and the updated version will be effective as soon as it is accessible. If we make material changes to this privacy notice, we may notify you either by prominently posting a notice of such changes or by directly sending you a notification. We encourage you to review this privacy notice frequently to be informed of how we are protecting your information.
13. HOW CAN YOU CONTACT US ABOUT THIS NOTICE?
If you have questions or comments about this notice, you may email us at contact@vigilancehit.com or by post to:
HOW CAN YOU REVIEW, UPDATE, OR DELETE THE DATA WE COLLECT FROM YOU?
COORDINATING CARE
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[/vc_column_text][vc_raw_html]JTNDY2VudGVyJTNFUGF0aWVudHMlMkMlMjBDYXJlJTIwTWFuYWdlcnMlMkMlMjBhbmQlMjBEb2N0b3JzJTIwYWxsJTIwY29tZSUyMHRvZ2V0aGVyJTIwdG8lMjBjcmVhdGUlMjBhJTIwcGxhbiUyMG9mJTIwYWN0aW9uJTIwYmVzdCUyMHN1aXRlZCUyMGZvciUyMGVhY2glMjBwYXRpZW50cyUyMHRyZWF0bWVudCUyMCUzQyUyRmNlbnRlciUzRQ==[/vc_raw_html][/vc_column][vc_column width="1/3"][ut_big_icon icon="fa fa-refresh" icon_color="#00b3f4"][vc_column_text css=".vc_custom_1594917829064{margin-top: -60px !important;}"]24/7 ACCESS
[/vc_column_text][vc_raw_html]JTNDY2VudGVyJTNFWW91ciUyMENhcmUlMjBNYW5hZ2VycyUyMGFyZSUyMGF2YWlsYWJsZSUyMGV2ZXJ5JTIwZGF5JTJDJTIwcmVhZHklMjB0byUyMGFuc3dlciUyMHBhdGllbnRzJTIwcXVlc3Rpb25zLiUyMENocm9uaWMlMjBjYXJlJTIwbWFuYWdlbWVudCUyMGZvciUyMHBhcnRuZXJzJTIxJTNDJTJGY2VudGVyJTNF[/vc_raw_html][/vc_column][/vc_row][vc_row][vc_column][ut_header title="Vigilance Health - The Chronic Care Management for Partners Solution"][/ut_header][vc_column_text]Our Chronic Care model program specializes in helping patients improve their health. Our dedicated care team will coordinate all of your health care and give you the support you need to manage your chronic conditions effectively. If you are a patient who has two or more chronic conditions, you may qualify to sign up for Vigilance Health's Chronic Care Management (CCM) program.
CCM services follow you out of the doctors office, and into you day to day life. As part of the Vigilance Health Care team, we will work with patients to carefully monitor and provide comprehensive care for their chronic health conditions in a systematic way to supplement regular doctor office visits. Our primary goal is to help improve the health of a difficult and challenging patient population.
Our chronic care management program provides:
- 24/7 access to your primary care team.
- Annual preventive care services scheduled, many of which are covered by Medicare,
- Monitor your medications closely.
- Work with you to create a Personalized, comprehensive plan of care for all of your health issues.
- Coordinate all of your health care so you can be as healthy as possible. This includes care you may receive at other locations, such as specialists’ offices, the hospital, other health care facilities, or your home.
Helping you to manage your most chronic diseases will help to improve your health, and provide you an improved quality life. Enroll today in the Vigilance Health Chronic Care Management program and receive appropriate, coordinated care.To find out more, call us today (805) 823-0981
[/vc_column_text][/vc_column][/vc_row][vc_row hide_on_tablet="true" hide_on_mobile="true" css=".vc_custom_1594921435380{background-color: #79c3ff !important;}"][vc_column][ut_header align="center" font_size="21" line_height="18" title="VIGILANCE HEALTH - CHRONIC CARE CONDITIONS WE MANAGE"][/ut_header][/vc_column][/vc_row][vc_row hide_on_desktop="true" css=".vc_custom_1594921554797{margin-bottom: -20px !important;background-color: #79c3ff !important;}"][vc_column][ut_header align="center" font_size="21" line_height="18" title="VIGILANCE HEALTH - CHRONIC CARE CONDITIONS WE MANAGE"][/ut_header][/vc_column][/vc_row][vc_row hide_on_tablet="true" hide_on_mobile="true" css=".vc_custom_1594921074043{background-color: #79c3ff !important;}"][vc_column width="1/3" css=".vc_custom_1594920794400{margin-top: -25px !important;}"][ut_fancy_list list_style_type="icons" list_font_size="17" list_line_height="" list_description="What we Do" values="%5B%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Arthritis%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Osteoporosis%20and%20bone%20density%20screenings%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Heart%20disease%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Asthma%22%7D%5D"][/vc_column][vc_column width="1/3" css=".vc_custom_1594920785563{margin-top: -25px !important;}"][ut_fancy_list list_style_type="icons" list_font_size="17" list_line_height="" list_description="What we Do" values="%5B%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Stroke%20Risk%20Analysis%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22High%20cholesterol%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Medication%20management%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Diet%20and%20nutrition%20education%22%7D%5D"][/vc_column][vc_column width="1/3" css=".vc_custom_1594920832746{margin-top: -25px !important;}"][ut_fancy_list list_style_type="icons" list_font_size="17" list_line_height="" list_description="What we Do" values="%5B%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Hypertension%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Anxiety%2FStress%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Labs%22%7D%2C%7B%22icon%22%3A%22fa%20fa-check-circle-o%22%2C%22title%22%3A%22Diabetes%22%7D%5D"][/vc_column][/vc_row][vc_row hide_on_desktop="true" css=".vc_custom_1594921056132{background-color: #79c3ff !important;}"][vc_column][vc_column_text]- Arthritis
- Osteoporosis and bone density screenings
- Heart disease
- Asthma
- Stroke Risk Analysis
- High cholesterol
- Medication management
- Diet and nutrition education
- Hypertension
- Anxiety/Stress
- Labs
- Diabetes
Instructions:
1) Insert the number of patients you believe will be covered by the CCM Management Program
2) Choose your type of Organization: FQHC are covered at the same rate nationally. Private practices change based on coverage area. If you are unsure which area would apply to your private practice, a safe bet would be to use the national average for private practices.
3) Click 'Estimated Income' and get the revenue estimate for 1 month, 1 year, 3 years, 5 years and 10 years enrolled in the CCM Reimbursement program!
[/vc_column_text][/vc_column][vc_column width="1/2"][ut_custom_shortcode][wp_code title="CCM FULL CALCULATOR (FINAL)"][/ut_custom_shortcode][/vc_column][/vc_row][vc_row][vc_column offset="vc_hidden-lg vc_hidden-md vc_hidden-sm"][ut_header align="center" title="Calculate Estimated New Income With Chronic Care Management Reimbursements"][/ut_header][vc_column_text]Instructions:
1) Insert the number of patients you believe will be covered by the CCM Management Program
2) Choose your type of Organization: FQHC are covered at the same rate nationally. Private practices change based on coverage area. If you are unsure which area would apply to your private practice, a safe bet would be to use the national average for private practices.
3) Click 'Estimated Income' and get the revenue estimate for 1 month, 1 year, 3 years, 5 years and 10 years enrolled in the CCM Reimbursement program!
[/vc_column_text][/vc_column][/vc_row]Chronic Care Management Reform:
Discussion Chronic care reform from inside a fancy adaptive system framework is backside up and emergent and stands in stark distinction to (however has to co-exist with) the prevailing protocol based illness care rewarding selective surrogate indicators of disease control. Primary health care incorporates private care with health promotion, the prevention of sickness, and group development. Primary care is extra clinically targeted and is thought to be a sub-component of the broader PHC system. Until recently, PC thought about well being care provided by a medical professional and was the client’s first point of entry into the health system. Apart from protecting you away from the hassles related to medical accounts administration , this service supplier can bring more advantages to the desk. In case you are symptom-free six days after returning out of your trip and touring was your last excessive-danger exposure, then testing damaging does not essentially imply you are uninfected as a result of false unfavorable results are extra seemingly in pre-symptomatic than in symptomatic people. Significant improvements occurred in imply SBP and HbA1C ranges for intervention group patients whereas there was a big enhancement in DBP only for patients within the clinical motion-indicated group who had more than two contacts with the project nurse. A business wants employees who won’t simply deliver the work, however will match with the general business surroundings and tradition. The supply of small loans to people who haven't any access to traditional sources is called micro-credit. Outcomes of complex adaptive chronic care are the emergence of well being in people and communities by way of adaptability, self-organization and empowerment. A methods method to people in their multi-layered networks making sense of and optimizing experiences of their chronic sickness would build on core values and company round a neighborhood imaginative and prescient of health, empowerment of people and adaptive leadership, and it responds according to the local values inherent in the neighborhood's disease-primarily based data and the native service's history and dynamics.Developments in Care Management Programs:
Chronic care encompasses health promotion, prevention, self administration, disease control, treatment and palliation to address ‘chronicity’ of lengthy journeys through illness, sickness and care in the varying contexts of complex well being programs. As new interventions for bettering T2DM outcomes change into obtainable, the nurse practitioner (NP) must be ready to evaluate these as they relate to components of care that comprise the CCM. Continuing developments in medical expertise are allowing these with money to take higher care of their health through way of life and nutrition, take preventative measures primarily based on testing corresponding to genetic screening, and entry advanced medical interventions to cure illnesses when they do occur.Medicaid Providers Directory for Arkansas
This is a courtesy list of doctors and offices that are believed to be in the Medicaid network in Arkansas. For an updated list of providers use Arkansas's Medicaid Provider Official Search Service HERE
Medicaid Providers in Jonesboro, Arkansas:MELISSA K ALBERS 225 E JACKSON AVENUE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 EMERGENCY MEDICINE DANIEL B BENNETT 1000 E MATTHEWS AVE STE B, JONESBORO, ARKANSAS, 72401-43441 870-932-6883 EMERGENCY MEDICINE CHRISTOPHER E BROWN 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 440-627-3623 FAMILY PRACTICE MARK C BROWN 311 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31251 870-972-0063 FAMILY PRACTICE SHAWN L BRUMMETT 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 FAMILY PRACTICE SHAWN L BRUMMETT 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 FAMILY PRACTICE GRACE H CHIU 311 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31251 870-972-0063 FAMILY PRACTICE GENE A COLLINS II 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 FAMILY PRACTICE MICHAEL E CRAWLEY 3003 APACHE DRIVE, JONESBORO, ARKANSAS, 72401-74321 870-931-8800 FAMILY PRACTICE SCOTT M DICKSON 311 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31251 870-972-0063 EMERGENCY MEDICINE JAMES W FLETCHER 616 SOUTHWEST DR, JONESBORO, ARKANSAS, 72401-58591 870-333-5721 EMERGENCY MEDICINE ELAINE A GILLESPIE 223 E JACKSON AVE, AHEC FAMILY PRACTICE, JONESBORO, ARKANSAS, 72401-31191 870-972-1054 EMERGENCY MEDICINE ARNOLD E GILLIAM 3003 APACHE DR, JONESBORO, ARKANSAS, 72401-74321 870-931-8800 FAMILY PRACTICE STEPHEN C GOLDEN 415 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31421 870-972-8181 FAMILY PRACTICE NICHOLAS W GUINN 415 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31421 870-972-8181 FAMILY PRACTICE LISA M HENDRIX 1319 RED WOLF BLVD, JONESBORO, ARKANSAS, 72401-45841 870-236-3388 FAMILY PRACTICE KASEY D HOLDER 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 440-627-2623 FAMILY PRACTICE TERRY D HUNT 1530 N CHURCH ST, JONESBORO, ARKANSAS, 72401-15151 870-802-3590 EPSDT JORDAN K JANIK 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 FAMILY PRACTICE SCOTT L LAFFOON 311 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31251-870-972-0063 FAMILY PRACTICE DOUGLAS L MAGLOTHIN 1111 WINDOVER RD, JONESBORO, ARKANSAS, 72401-61591 870-935-5432 FAMILY PRACTICE TRAVIS K MCCLURE 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 FAMILY PRACTICE CRAIG A MCDANIEL 3104 APACHE DR, JONESBORO, ARKANSAS, 72401-74051 870-932-2499 FAMILY PRACTICE ALBERT J MCGRATH JR 1111 WINDOVER RD, NEA FAMILY PRACTICE CLINIC, JONESBORO, ARKANSAS, 72401-61591 870-935-5432 FAMILY PRACTICE JAMES F MURREY 1111 WINDOVER RD, JONESBORO, ARKANSAS, 72401-61591 870-935-5432 EMERGENCY MEDICINE RONALD C ONLY 416 E WASHINGTON AVE, JONESBORO, ARKANSAS, 72401-31081 870-333-5476 FAMILY PRACTICE JASON S PAXTON 505 E MATTHEWS AVE STE 201, JONESBORO, ARKANSAS, 72401-31011 870-207-7250 EMERGENCY MEDICINE DARRELL C RAGLAND 415 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31421 870-972-8181 FAMILY PRACTICE JAMES M ROBINETTE 801 OSLER DR STE A, JONESBORO, ARKANSAS, 72401-43291 870-932-2423 FAMILY PRACTICE MARK M SMITH 225 E JACKSON STREET, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 EMERGENCY MEDICINE WENDY L SPANOS 1107 E MATTHEWS AVE STE 103, JONESBORO, ARKANSAS, 72401-43311 870-935-0700 FAMILY PRACTICE JOSEPH H STALLINGS 311 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31251-870-972-0063 FAMILY PRACTICE JOSEPH H STALLINGS 311 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31251 870-972-0063 FAMILY PRACTICE MICHAEL E TEDDER 3003 APACHE DR, JONESBORO, ARKANSAS, 72401-74321 870-931-8800 FAMILY PRACTICE LANCE E TUETKEN 415 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31421 870-972-8181 FAMILY PRACTICE STACY L WILBANKS 1111 WINDOVER RD, JONESBORO, ARKANSAS, 72401-6159 GENERAL PRACTICE ERICA N BAKER 415 E MATTHEWS AVE, JONESBORO, ARKANSAS, 72401-31421 870-972-8181 FAMILY PRACTICE AMANDA A DEEL 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 FAMILY PRACTICE MICKEY B DEEL 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-207-7222 EMERGENCY MEDICINE TRAVIS D EWING 1111 WINDOVER RD, JONESBORO, ARKANSAS, 72401-61591-870-936-8000 FAMILY PRACTICE JAMES W LEE 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191-870-972-4100 EMERGENCY MEDICINE NOMATHAMSANQ MOYO 1111 WINDOVER RD, JONESBORO, ARKANSAS, 72401-61591-870-935-5432 FAMILY PRACTICE SHANE R SPEIGHTS 225 E JACKSON ST, JONESBORO, ARKANSAS, 72401-00001-870-972-4172 EMERGENCY MEDICINE TROY M STERK 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 870-972-4100 FAMILY PRACTICE DAVE D WEEMS 225 E JACKSON AVE, JONESBORO, ARKANSAS, 72401-31191 440-627-2579 FAMILY PRACTICE
Medicaid Providers Directory for Alaska
This is a courtesy list of doctors and offices that are believed to be in the Medicaid network in Alaska. For an updated list of providers use Alaska's Medicaid Provider Official Search Service HERE
Physicians in Anchorage: MOHN, EDWARD S Physician (MD) PO BOX 140027, ANCHORAGE, AK 99514 NELLERMOE, CARROLL W Physician (MD) PO BOX 140027, ANCHORAGE, AK 99514 LADICH-ROGERSDAVID, G Physician (MD) PO BOX 140027, ANCHORAGE, AK 99514 MOHN, EDWARD S Physician (MD) PO BOX 140027, ANCHORAGE, AK 99514 NELLERMOE, CARROLL W Physician (MD) PO BOX 140027, ANCHORAGE, AK 99514 LADICH-ROGERSDAVID, G Physician (MD) PO BOX 140027, ANCHORAGE, AK 99514 BINDRA, SANJIT S Physician (MD) 718 K ST, ANCHORAGE, AK 99501 JONES,MICHAEL E Physician (MD) 718 K ST, ANCHORAGE, AK 99501 JONES,MICHAEL E Physician (MD) 718 K ST, ANCHORAGE, AK 99501 LINDAHL, JAMES B Physician (MD) 718 K STREET, ANCHORAGE, AK 99501 STEARNS, JAY D Physician (MD) 718 K STREET, ANCHORAGE, AK 99501 LOFTIN,NELL E Physician (MD) 718 K ST, ANCHORAGE, AK 99501 CHERNAYA, IRINA Physician (MD) 718 K STREET, ANCHORAGE, AK 99501 LOFTIN,NELL E Physician (MD) 718 K ST, ANCHORAGE, AK 99501 WILKINS, ROBERT B Physician (MD) 718 K STREET, ANCHORAGE, AK 99501Medicaid Providers Directory for Alabama
This is a courtesy list of doctors and offices that are believed to be in the Medicaid network in Alabama. For an updated list of providers use Alabama Medicaid Provider Official Search Service HERE
Family Practitioners in Autauga County: WYBENGA FAMILY HLTHCARE INC 564 NORTH MEMORIAL DR.PRATTVILLE,AL 36066-2132 County: Autauga Office Phone : 334-358-2010 Email : 24 Hour Phone : WYBENGA , MAARTEN A 564 N MEMORIAL DRPRATTVILLE,AL 36067-2132 County: Autauga Office Phone : 334-358-2010 Email : 24 Hour Phone : WOOLDRIDGE , CHARLES D 1595 E MAIN STPRATTVILLE,AL 36066-5509 County: Autauga Office Phone : 334-358-6540 Email : 24 Hour Phone : WELLS , ERIC B 1401 AL HWY 14MILLBROOK,AL 36054-2243 County: Autauga Office Phone : 334-310-6059 Email : 24 Hour Phone : WE CARE FAMILY MEDICINE, LLC 461 E MAIN STPRATTVILLE,AL 36067-3409 County: Autauga Office Phone : 334-568-2073 Email : CONTACT@WECAREFAMILYMED.COM24 Hour Phone : THOMPSON , MELISSA D 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : STONE , HERBERT 1401 AL HWY 14MILLBROOK,AL 36054-2243 County: Autauga Office Phone : 334-310-6059 Email : 24 Hour Phone : RAJPUT , PRAJAKTA V 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : RAJPUT , JAISINGH 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : PRADHAN , MIHIR M 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : PATIL , SAURABH 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : ORTEGA-FONTE , KRISTINE A 645 MCQUEEN SMITH RD N STE 309PRATTVILLE,AL 36066-7269 County: Autauga Office Phone : 334-361-7306 Email : 24 Hour Phone : OBIAKA , CHIGOZIE U 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : MUNEER , KASHIFF M 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : MEREDITH , BETHANY J 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : MC INTYRE , ASHLEY D 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : MAHAGANASAN , JULIAN 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 344-365-0651 Email : 24 Hour Phone : KIRAN , PREET 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : KHATRI , NISHANT C 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : KHATRI , NISHANT 1401 AL HWY 14MILLBROOK,AL 36054-2243 County: Autauga Office Phone : 334-310-6059 Email : 24 Hour Phone : JONES , KRISTOPHER N 660 MCQUEEN SMITH RD N STE EPRATTVILLE,AL 36066-7559 County: Autauga Office Phone : 334-288-7808 Email : 24 Hour Phone : JONES , BRUCE M 203 N TAYLOR STREETAUTAUGAVILLE,AL 36003-2663 County: Autauga Office Phone : 334-365-4524 Email : 24 Hour Phone : IRFAN , MOHAMMAD 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : INGRAM , DANNY P 461 E MAIN STPRATTVILLE,AL 36067-3409 County: Autauga Office Phone : 334-365-2205 Email : 24 Hour Phone : IBRAHIM , MOHAMMAD 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : HOSPITAL PHYSICIAN SERVICES-SOUTHEAST PROFESSIONAL 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : HALE , BERNARD 1965 COBBS FORD RDPRATTVILLE,AL 36066-7290 County: Autauga Office Phone : 334-361-7054 Email : 24 Hour Phone : GUPTA , SACHI A 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : GUPTA , RUCHI 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : GOVIL , SANDEEP K 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : GABA , SAURABH 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : FREEMAN , LUCIUS B 645 MCQUEEN SMITH RD 105PRATTVILLE,AL 36066-7269 County: Autauga Office Phone : 334-361-7656 Email : 24 Hour Phone : FISH , JASON 1401 AL HWY 14MILLBROOK,AL 36054-2243 County: Autauga Office Phone : 334-310-6059 Email : 24 Hour Phone : FELLS , ERIC N 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : EILAND , ROGER D 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : CLOUTIER , CHARLES G 461 E MAIN STREETPRATTVILLE,AL 36067-3409 County: Autauga Office Phone : 334-568-2073 Email : CONTACT@WECAREFAMILYMED.COM24 Hour Phone : CHANCE , RACHEL M 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : CARTER , LEE R 201 S WASHINGTON ST STE AAUTAUGAVILLE,AL 36003-2535 County: Autauga Office Phone : 334-361-9979 Email : 24 Hour Phone : BURKHALTER , WILLIAM H 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone : AZEEM , MUHAMMAD U 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : AZEEM , MARIA 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : AUTAUGA MEDICAL CLINIC LLC 201 S WASHINGTON ST STE AAUTAUGAVILLE,AL 36003-2535 County: Autauga Office Phone : 334-361-9979 Email : 24 Hour Phone : 334-361-9979 ALLMAN , CAROLYN A 645 MCQUEEN SMITH RD N STE 309PRATTVILLE,AL 36066-7269 County: Autauga Office Phone : 334-361-7306 Email : 24 Hour Phone : AKBAR , MUHAMMAD Z 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0651 Email : 24 Hour Phone : ADARALOYE , ADETUNJI A 124 S MEMORIAL DRPRATTVILLE,AL 36067-3619 County: Autauga Office Phone : 334-365-0758 Email : 24 Hour Phone :Courtesy List of Medicaid Provider
DOCTORS OFFICES & CLINICS by STATE
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https://player.vimeo.com/video/260077596 Video Transcribed Below
Introduction:
Hello, good morning and good afternoon. My name is Mark Davis. I am the development manager here at Vigilance Health. And welcome to our webinar. This is the Scott Discover, a powerful FCC UHC strategy. New revenue lines. Thank you all for attending. Just a little bit of health housekeeping. We have all the attendees muted to retain the audio quality and we will provide the presentation material to all the attendees as well as a link to the recording. And we should have that to you within about 24 hours. Also, we welcome questions and you can type those in to the chat. I'm sorry. The question section of the webinar module. And if we do not get to them during the webinar, we will answer those questions at the end of the webinar. OK. So I will turn it over now to James Coburn, our executive director. Good morning and good afternoon, as markets said. Thank you, Mark. We have some folks in various time zones with us today. So some of you for some of you as the morning. For some of you in the afternoon. Good morning and good afternoon and welcome to our meeting today where we are going to outline a. A. Well, this will be a discovery for some of you. A discovery around a powerful new APHC strategy, new population health revenue lines. This is going to expand your revenue sources, improve care quality and outcomes, increase margins. And as the invite said, a way for you to do all of this with no upfront cost, dappy increases or capital investments. And we want to make sure that we we achieve the goal of transmitting this information to you all in a way that can be actionable for some of you. You know us. And you've known us over the years to provide a regular regular sets of sessions on regulatory reform, payment reform, meaningful use, timelines, deadlines, trainings. And it is our mission to always provide timely and actionable information. And if it doesn't meet that criteria, we don't include it in our webinars and are at our meetings because we know everybody's time is critically important. And so, welcome, everyone. We're excited about providing you with all this information here today. Hopefully everyone can see the screen and can hear. You know, we often times like to get some feedback here real quick just to make sure everybody can see and hear. So if you could maybe type it into the question section or the chat or whatever. Let us know that you can. Well, if you can't hear us, then that would be difficult for you to actually follow that instruction. But if you can see. OK. Great. We got some replies. OK. Good. Good. Thank you so much. OK, so. And let's. Let's dive in.
The BIG Idea:
OK. So what is the big idea. So. So listen, we as I had mentioned and as I, as I had actually read from the from the invite, there is a big idea involved. And and really, the idea is so big it deserves reading. And I know you all can read. But our community health centers and community clinics and evaluate these have basically three things that are on your priority list. You know, of course, depending upon your role at the clinic, but expanding revenue sources to diversify, improving care, quality and outcomes. And increasing margins to ensure financial viability. Obviously, all three of these need to be addressed. But looming policy changes have created a future of uncertainty, and for many, that means increased funding pressures, spending cuts and a reduction in much needed expansion efforts. And even if financial stability is restored, even if it's restored, even temporarily, as it was just a few days ago, health centers operate on thin margins. I don't need to tell you that. Tell you that. So they usually have to tackle those items. Those three items, one at a time. So the big ideas, what if you could advance all three simultaneously with no upfront cost? No staff increases or or or increases in payroll or capital investments? That would clearly be a real advantage to to your to your clinic. And this meeting today is dedicated to explaining how we do that. However, we got to we've got to really first kind of know the challenge. And and some of you are kind of familiar with this information. Some of you have a deep knowledge of this. But let's first just kind of look at where the challenges. Number one, we've got we've got ballooning health care costs. And really, these ballooning health care costs are the primary driver for all health care reform and payment reform efforts. And we basically have a health care system that's about ready to double in size in terms of spending anyway, in the next, just shy of about eight years, a doubling in expenditures is going to pose a significant challenge to our general economy. And as a part of those expenditures, 93 percent of Medicare spending is on the care of those beneficiaries, beneficiaries with two or more chronic conditions. So clearly, we've got to we've got to do something about this. And and what's interesting is we've got some results of a of a nationwide study that was done recently. And it's an extensive survey of about one hundred seventy five evacuated theses to see suite of members nationwide. And and the results are that, well, first of all, we looked at or they the study looked at current challenges and how epicure these are dealing with them. And what emerged was six broad trends that that that showed itself in the course of analyzing the responses from all these equities. And number one, some of these you may find interesting, some of these you may totally agree with. And and it is and it is your experience. But one of the interesting things is that competition is on the rise. You know, for years, amputees have kind of enjoyed this environment where it really wasn't, you know, competitive. You had this patient panel and and you were kind of the only ones that were providing health care services to that to that patient panel. But that's changing. And financial growth is, of course, a struggle. Profits and margins are down. And that transition from volume to value is slow, which makes it a little bit more challenging to operate into in two worlds. Health center transformation is is, of course, a challenge. And that's a you know, you all went through one Chout, one transformation with your E.H., our implementation. And now we've got a whole nother challenge or transformation in front of us. Marketing is immature for UHC traditionally, and this was no surprise to us. Marketing efforts are relatively immature and patient retention is a challenge. And we to talk a little bit about that in just a minute. But another kind of interesting thing that came up as a result of this nationwide survey, and that is that actuate these are viewing partnerships as positive and that there are a lot of opportunities for collaboration now as opposed to several years back. So let's take a look at a few of these areas. Number one, competition is coming from all sides. This is a fascinating topic. Now we meet we work with a lot of FSU, HD, and we have a lot of strategy meetings with our activities and what we're hearing from them. We didn't need this study to tell us this, but what we're hearing from them is that they are seeing pressures Coming from various angles. So some of those. Now, the difference between these two these two colored graphs. By the way, the blue are urban Kuwaiti's, the green is rural. So it's not surprising that the urban refugees are concerned about other refugees coming into the market. We we we work in certain communities where there's six six separate RFQ each sees within miles of each other. So so the other of area of competition is urgent care. Of course, also hospitals are you are all experiencing hospitals. Some hospitals are launching their own RFQ AC. Some have partnered with other amputees. They're launching their own or purchasing their own primary care clinics. And and also the point of, you know, point of care clinics are becoming a competitive force in the marketplace. And so with it, with with FSU, HD, that are that have marketing that that are experiencing immature marketing strategies, they're going to find some challenges when competing with some of these with some of these organizations. And the other thing to remember, although you all RFQ, HD have access to a number of federal, state, you know, grant programs that may that the others may not have access to, some of these organizations have greater economies of scale which enables them to attract providers. Some of you are abroad, probably been in a bidding war for before providers and hiring providers. But the interesting thing is these other entities are specifically eyeing your patients for years. They didn't want that panel. Now they're seeing the value. And so that's creating some additional additional pressures. So another area. That showed up in this nationwide study is that financial growth struggles. Well, so for example, one area is revenue diversification. Fifty three percent of the CEOs said of these amputees nationwide said that revenue diversification is is a significant challenge for them. And that's been our experience as well. Virtually all of our refugees that we work with are updating their strategic plans to expand their Part B revenue. And looking at expanding other patient panels in an effort to diversify their their their revenue sources. And that's smart. And so, you know, traditionally, the refugees are focused on community events and outreach tactics, you know, poor patient growth and retention. There is there there are there are there are challenges with that now as you have other entrants into the marketplace. So financial sustainability. Fifty fifty six percent of the C suite of these folks that were surveyed are talking about financial sustainability as a primary concern. But what we found really interesting is that 62 percent of these. CEOs and C Suite have difficulty even measuring their profits. So if profits are the least tracked metric, which came as a result of this of this study and only 62 percent are able to even measure their profits, then we have a significant disconnect. And this with a little bit surprising for us. Not not entirely, because we've experienced this and working with some of our clinics, but our recommendation is to really focus in and and get a better handle on your on your profit margin and measuring your profits and measuring your efforts for your for your for your other programs. All right. So let's talk about marketing, patient retention and acquisition. We don't we already talked about, you know, the marketing challenge and that marketing, you know, is is immature for the APHC marketplace. What we found is that 62 percent of the of the C suite of this group of extubate sees that participated in this study felt that marketing was important, but only 23 percent even had marketing in place. However. Fifty six percent. Of the of the deputies were able to track patient retention, which means that almost half a little less than half of the extubate seas did not even know what their patient retention was. We can tell you from deep, wide experience in working with community clinics and amputees that that there is a gigantic back door that is open. And the reason we know this is because of the work that we do and we're finding that a significant chunk of their patients. One of our accuracy's that we worked with, we found 35 percent of a certain panel, a large panel had not been seen by the clinic in over a year and a half. So now how is that that they wouldn't notice that? Well, because they're patient panel is ballooning in another area. So we believe that probably shutting that back door might be really the best marketing effort that you can make initially. Certainly you want to look at it at other at other marketing efforts similar to what other health care organizations in the community are doing. OK. So another big challenge is we have a slow transition from volume to value and that that presents some challenges. The shift of value based care is really reinventing the way clinics get paid for services. And as these new reimbursement models become more popular, clinics have to choose carefully because understanding alternative payment models can be the difference between, you know, a thriving business and kind of a sea of red ink or financial losses. And and wouldn't it be easy if we could just flip the switch on Monday morning in all of our all of our. Reimbursement contracts are based upon outcomes. Well, I don't know. Maybe that would be challenging. But if you're prepared, it would be better than living in two worlds. And if you're not prepared, that would be could be suicide. So and not only do we have a slow adoption of alternative payment methods, but it's also it's also uneven. So, for example, the results showed that that in 2014. You know, an overwhelming majority of reimbursements were coming from fee for service payments, but you'll see the trend from 14 to 16 and the projection for four by the end of 18. You'll see a reduction in standard fee for service payment models. And then when you look over paper performance, we know we saw that we saw a spike in 2016 16. But but we put the CEOs are projecting a reduction from that spike in 2018. We do see a trend with bundled payments. We do see a trend with with capitation. And I think you all probably are experiencing that. But nonetheless, we have slow adoption and we have an easy even adoption. So despite the slowness and the unevenness of alternative payment models. I think most people can agree the train has kind of left the station on on the move from Volle from from volume to value or the move to reimburse based upon outcomes. And that really. All roads are really leading to population health management and and that is some might experience a more rapid conversion than others. But the bottom line is, is that really all roads are leaving are leading to population health management. And so the question really for today's providers are are not if, but when. So let's talk just a little bit about population health management. You've heard it a billion times. It is a term in health care that has just beaten to death. But really, it's it's not. And it means something different to everyone. If you ask a hundred people with the definition, you're going to get 99 different different definitions. But the bottom line is we have to define a population. We have to identify the gaps in care. Stratify those risks, engage the patients, keep the patients engaged, manage their care, man. Measure the outcomes so that we can measure the investment of the work that we're putting in and then continue to define and redefine our patient populations and identify gaps in care. So, however, a lot of organizations are lacking the data and or the technology and the human capital to support this transition. Because when we get off of this meeting, everybody is going to go back to work and we're gonna see a waiting room full of patients and everybody's going to just be trying to get through the day. Episodic care for patients is not going away and counters will always be there and we will always have to get through the day and see our patients. So how do we move through this transition? Which leads us really to health and our transformation is complex, which was the other?