What the Health Just Happened?
Lenny Schonfeld, Integrator Operator & Dean Rottinghaus, DC, Chief Clinical Officer | QurHealth
Ladies and gentlemen, welcome to this week's episode of what the health just happened. We talk about all things health care, community, business and life, the goods, the beds, the ups, the downs, the lefts, the rights and everything in between. We bring on a variety of, I would say cool guests. What do you guys think? Cool or not cool? Pretty cool. Smart. Not us. Often times smart. Again, what's healthy versus not healthy in those topics? Health care, community, business and life. Thank you to our show sponsors 212 benefits. If you guys have questions about employee benefits or insurance, I'm pretty sure they can help you out. And of course, hi, mom. I love you. I love shout outs by the way. Now, like I said, one of my favorite things is to butcher the intro. Lenny Schoenfeld, did I say that right? You did not butcher that. We have known each other for 22, 23 years. I mean, you're, you're aging us, but yes. A long time, maybe longer. I've been a minute. I went to college together at UNF. Let me get a swoop. There's a swoop. Health care consultant does a variety of things, has worked in health care for a long time. Also, again, Dean Rottenhouse, did I say that? That's perfect. Is that good? That'll work. German last name can't do it. You are a doctor and chiropractic, chief clinical officer with Cure Health, who also happens to have a long list of experience at executive level in information technology experience. That is correct. An IT guy. Again, I am not an IT guy. I love health care. You guys both have checked a lot of boxes in health care. Lenny, welcome. I think we ran into each other at health chiefs. So we went health chiefs, which is a great organization. Nicole Bradbury, Mike Schumer, set it up. Cool event, right? That's the second time I'd been there before. I've been there a few years before that, but Nicole's a great friend of mine and she invited us back. I wanted Lenny to go and had a great time. Met a lot of great people. Let's start there briefly, because I like to give shout outs to what is health chiefs? How do you know Nicole? Then I want to talk about Cure Health, your experience, Lenny's experience. Let's give a free plug for health chiefs. Sure. Nicole, I've known Nicole quite a few years, met her and I was doing IT consulting for a company. She's been in that world for a long time. And so met her, became friends with her, had lunch with her, and so on and so forth. Just became good friends with her. She has invited me to health chiefs. Health chiefs is a forum, get together. We had food and drinks and so on, but it's really executives from around the Northeast, Florida, Southeast, Georgia area with hospitals and health IT companies, health care companies, and so on. So we get together and once a year and just communicate with each other and trade. What are you working on, brainstorming, chatting? Yeah, absolutely. Absolutely. Well, and the thing that I found very interesting is a lot of those networking events are about just kind of business oriented. And well, sell, sell, here's what I do. A bunch of elevator pitches, right? Yeah. And they seem more organic. You know, like you said, just trading ideas. I walked in and saw Lenny and about, well, I was like, yeah, what's up? We did a chess bump. We did a chess bump. You're finding those like suits in there. CEOs of hospitals, which again, I think that's a testament of what it is. Yes, people naturally talk about what they're doing, what they're working on, but it's a cool environment to me. That's very casual. And it's invite only. That's the invite only. You cannot just show up there. You got to be invited. That's right. That's a good shout out for health chiefs, right? Absolutely. Okay. So who wants to go first? I'm going to go with you. Sure. So Dean is way smarter than I am, the chief clinical officer with Cure Health, right? You don't know me that well. Clearly. About 48 minutes here. Health care experience, doctor and chiropractic. You opened a practice. We've got to start with the story of why you got roped into IT. Absolutely. Yeah. So practice in Cincinnati for 21 years. And as Eric, you were saying, I'm a chiropractor. I'm a private practice in 2001. I bought my own property and practice and was moving 26 boxes of files. Again, this is 2001. So this is right at the advent of the internet and so on. It's not real popular. It's certainly not popular in healthcare. And so moving all those boxes and I'm thinking, there's got to be an easier way. How big of boxes, by the way, they were the, you know, the legal, whatever you call those there's got to be an easier way to do this. And so I had a couple of patients who were IT guys. And that's back in the ethernet. You know, you have the connections in your, in your office and so on. And they said, I could probably build you one for maybe a hundred grand. Just something that would be a documentation system. So I started down that road and we released in 2006 the first web based, truly web based documentation system in chiropractic, but then it expanded to, you know, physical therapy, orthopedists, pain management. And but it was the first truly web base where you had a username and password actually logged in. We had it offside. It wasn't a server, you know, onsite server type of situation. And that was 2006. So got into that IT space was in, you know, developing every page in on the development of every page of that, that software, the software is still around, sold it in 2013. But that's how I got into the space. What's it called? Can you share it? Sure. It's called medic fusion. Medic fusion. M-E-D-I-C-F-U-S-I-O-N medic fusion. Yeah. So it's still around. You can look it up. Sold that company and and stayed basically retired from practice, moved to Florida, been here since 2008 and and have have been in the consulting roles. And that's how Lenny and I met. I was in a consulting role, was doing IT consulting for a while with some companies and and then we met during COVID in the in the lab space. So. Yeah, we're getting. Yeah. All right. D-M-O, I'm going to pause that, go back to it. Yeah, sure. Lenny, would you study at UNF? I was business management. Let's go. Great. Would you study? Same thing. Yeah. Let's go. Justin, would you study at Flagler? Communications. Okay. That makes sense. Good. So business management, how'd you end up in healthcare? Like really? So you you you plugged me, you gave me a lot of credit, but I've been in the industry for a long time. I have not, I'm about four and a half years in. So started in the lab space. Yeah, but that's the last four years of COVID supplies by 10, 40 years. Yeah. So, so actually a cool story. So COVID hits, CDC recommends PCR testing for COVID tests, right? That's the, that's the gold standard. So at the same time, PJ Tor was halting all pro golfers. So these guys were coming off the road. They've got a specific skill set, right? So we ended up training and you know, probably heard some of this Genesis because I was with some of the Red Med guys shout out. I was just like, can we shout out to them? Yeah. So Luke McCann's great buddy. Corn fairy guys pulling them off. All these guys. So for my birthday, April 17, right after, you know, the world shuts down, Jared Wolf, PJ Torgolfer, gets us out. We're playing stadium for my birthday. And Luke looks at me and he's like, Hey man, I know we've been talking about medical and you're interested in, he's like, if you're ever going to do it. Now's the time. He's like, I got all these knuckleheads going on the road. He's like, at some point, I'm going to need somebody to come clean this mess up. These are corn fairy golfers. That's not a shout out to those pro golfers, but if you golf for 10 years, then you go into health care and sales and it is development. It's different regimented guys that are used to crafting a plan and attacking it, right? And, and they've all got, you know, some level aware with all, you know, some more than others more than me. That's for sure. But yeah, so just went on the road, learned the industry pretty quickly, got elbows deep in it, realized that I really enjoyed it, enjoyed interacting with the clinicians and just started diving in about 2020, 2022. We found some interesting opportunities and, you know, developed a great amount of respect for Dean. He's a, he's a hustler, go-getters, got a tremendous network. And we really hit it off. So we decided, hey, let's break away and start, start doing our own thing. Where'd you all meet at? In, with RevMed, we met. There was two RevMed. Yeah, we were on the road. I love the RevMed guys. RevMed, RevMed, like what they're doing is pretty good. Yeah, good people. Absolutely. Okay. So y'all met randomly, right, bouncing around, we'll, we'll get to cure health, I promise. IT related. I do have to ask, who golfs better between the two of you? Like, if you guys play straight up, no handicap, who's winning? That's not even close. That's you? Oh, my, he's a plus three. Okay. It's a gamer, man. I heard you were golfer. Are you still a plus three? I am. Oh, gosh. Not healthy, dude. No, no, it's more healthy. Well, not healthy for you. It's fun. It's no fun. Yeah. Oh, my gosh. It's a team. It's very healthy. There's a lot of free golf. I'm a Scramble Pro. Justin's wife is a heck of a golfer, right? Yeah. She's an assistant, uh, had brought at TPC. Oh, nice. Really? Yeah. Very cool. Son of the Boros is. Yeah. Oh, yeah. Yeah. Yeah. Jennifer spanked my butt in individual play and Underwood Cup last year. We went out. We went, we went and played the Valley for Mother's Day, only nine holes. And we were just doing it as like a, uh, uh, Scramble to, to go fast. Yeah. We had a kid and I think we used one of my shots. A lot. All right. And I didn't let her hear the end of it because it, because I was, like, Quinn was distracting her or something. And I was like, we used my putt. I sunk it. That was okay. I gave you every other one of my feet. What do you want? That's a gimme. Yeah. Oh, my gosh. That's good. We got to go back to golfers. It's going to come up because you guys are golfers. I'm suddenly hooked and addicted. I think Trey is too. It's, it's amazing sport. Cure health. Queue are health, right? Yep. What's the website? Curehealth.com. Queue are H-E-A-L-T-H.com. I love word play too, right? So you hear cure health. You see C-U-R-E. It's Q-U-R health. This is, I like to pull stuff from it and your version's way better than mine. A conversational AI company assisting with the delivery of personalized care at scale. That's fun. That's a lot of fun words there. That's right. That's a great story. Let's hear it, man. Another good story. So the founder of Cure Health is Ravi Kunduru, Indian guy. He's super, super nice guy. chat out to him. He may not hear this because he lives in Austin, Texas. We'll send him a copy. Send him a copy. Ravi, feel free to sponsor the show, by the way. So Ravi actually, 15, 16 years ago, founded a company called VENTEC, V-E-N-T-E-C-H, and VENTEC became the exclusive data aggregator for CMS, which is the Centers for Medicare and Medicaid Services. So all the numbers, that patient numbers for every health care system in the United States, every dialysis center, anything that dealt with patient information went through his company exclusively for 15, 16 years. Let me pause that for a second. So CMS, right? That is, I don't know how to explain it, the biggest possible, right? You got United, all of them, CMS specifically. So you're saying, say it again. So everyone that was somehow using CMS, every health care system is going through his company. That's right. The quality payment system. So anybody who's participating in quality payment metrics was being aggregated. Which is entity and anonymized. Is he still working or is he on a boat? I bet you got like that works. He's a serial entrepreneur. So to kind of wrap that story a little bit, COVID, we'll just go back to COVID, obviously. So his parents are still in India. Actually, he's in India right now, flying back this weekend. He went to India because he wanted to be with his parents. He's got a family. He lived in Columbus, Ohio at the time. But his family, his parents were in India and got COVID. And he, as everybody here, not so much in Florida, thank God. But as everybody in the United States, you couldn't interact with him. You had to look at him through a window, whatever stupid stuff. And so he was in India, couldn't interact with them. And literally on a napkin, not a bar napkin, he doesn't drink anything like that. But just literally on a napkin, he outlined cure health and being able to communicate with your loved ones. And obviously, he had the funds to be able to do it. And we right now have 40 developers in India working full time. We are leading AI in voice enabled AI. In healthcare, no doubt about it. We're, we're the leader. One of you again, I'm talking about AI, just admit AI song before we start about it. Why didn't that play? Well, it just, I just heard it like brain has been approved. Either of you competent to talk about AI in this space or now, because that like I'm everybody's self AI AI artificial intelligence. I think we both are like it's crazy. So let's cure health specifically. Like how is AI being used, right? Case management was a big one in the home. Yeah, case, case management. And so realistically, you know, we're trying to extend care back to the home. So it's all around a virtual care model. So when you talk about AI, in this instance, it is voice enabled. So it is large language models that allow the AI virtual assistant who can talk to you. There's even voice cloning, different kind of ways. There's a good story on that. So the name of the voice assistant is Sheila, S-H-E-E-L-A, Robbie's wife's name is Sheila. He named it after his wife. Okay. So it's a good little story. Yeah. So, so if you think about it as in, you know, there's, there's a lack that can be gleaned conversationally, and especially when you're dealing with a patient that maybe having some issues, maybe a little toward the older end of the spectrum. What's the easiest form communication just to talk to them, right? And so we can implement regimens that do reminders that a lot of the perfunctory conversation points, touch points with these patients, we can operationalize. And so whereas you've got a care manager, a case manager who might be having to make 100 calls in a day to try and touch all these different patients just to do basic reminders. Hey, are you following your discharge plans? Are you following your care plan? We can now say, hey, clickable button, and it's going to deploy across all those patients. So it's really a workforce extender. You know, there's a lot of insights that can be gleaned from that. We can do different surveys with the patients, wellness surveys, those kind of things. So really it's, it's a, it's a Lego box kind of environment where the ultimate interface is we're trying to establish that communication path with the patient. So if we can get the patient engaged with Sheila, we can get them on a regular cadence of interactions, then now we've got to conduit back to that patient that's always on with the end goal really being, hey, if you've got a problem, you know how to get in touch with somebody immediately. It's 24/7. So around the clock. And it's customized specifically for the patient in their condition. So if a patient has congestive heart failure, if they've got COPD, they can interact with Sheila around their condition. Now if somebody says, you know, what's the weather like outside, Sheila's not going to answer that. It's not a lot specifically for this CHF patient congestive heart failure. Yes. Diabetic patient. Yes. That's right. Okay. So I got a, like a three-part question here. One, do you two know what a case manager is? Someone that manages your case. I'm like clinically, right? We never know who's going to hear this. But so if you go to the hospital or you're admitted, or you go to the ER, any scenario, you're in a home health facility, or I'm sorry, home health care, school nursing facility, you have someone that manages your case, spot on. What's going on, the complexities, what doctor do you need to see, what your comorbidities? You need someone to manage all that because it's complicated. That's what the case manager is. So for the patient, is it their family or them communicating with Sheila? So it's the patient that's going to be communicating with Sheila directly, but then there's also family and kind of caregiver access. So it's all. It's an app. It's an app. So anybody who is home health aid, doctors, nurses, there's provider sides to the software. There's the actual patient side of the software. And then there's also the family and the caregiver side of the software where they can check vitals if we got it tied to a vital device. They can review documentation. You know, there's educational videos. So is Sheila like programmed with keywords that if like someone or signal like you're like, Oh, this patient actually is in a serious case, or this person's just crazy and calling 30 times a day. Because I'm sure with older people, you're dealing with that. Hey, man. So that's that's ageism, dude. Don't say that. It's just that I know that we know. So she is like built in with those kind of like, okay, this patient's actually a red flag. Yeah. And really that can be derived in a client, my client base on the disease case, disease specific case. There's just different different escalation points that we can put in the language that we get in the readings that we get. It all comes back to a dashboard. So we can passively monitor that or we can actively get alerts that are pushed back to us to where now we can reach out to the patient. Got you. So it and also cure health is device agnostic really. And then I'll do a little case in point. My parents live in Kansas, small town in Kansas. My dad's going to be 88 years old this this year. He has a flip phone. My mom has an iPhone, a smartphone. Every morning, I could look it up right now. I'm one of the care managers on their care. You're tied to it. I'm tied to it. I can see what their blood pressure reading was this morning, whatever we set them up on. So would it like say that we're taking meds, they had to take it at 10 a.m. in the morning and they didn't. It would like. This is the future of health care, right? The money side of it when happens there. Well, go back to and we were meeting with a local health care system today, a big one. But the aging population, we all know what the population is aging just 10,000 people a day. Turn to Medicare. Yeah. 65. 10,000 people a day in the United States turn 65. So the aging population and Lenny alluded to it earlier, people don't want to get old in a nursing home or in the hospital. They want to age at home. And so having a care extender like cure health, where we can have the devices like a blood pressure cuff or a scale or a glucometer for diabetes or or a pulse ox for somebody with COPD with them at all times, go ahead. Do you guys know what a glucometer is or now? You know what a pulse ox is? Like the thing you put on your finger that tells your oxygen saturation. Yeah. Yeah. I love you. Got it. Yeah. So, you know, they want to age at home. And so being able to have a 24/7 access to cure health and then to an extended, you know, whether it be a somebody clinical medical assistant or an RN or an LPN or or nurse practitioner and even MD or DO could be, you know, that gives them comfort. So last kind of question here, I like to challenge stuff because I think about this all the time. I play in all these playgrounds in some capacity. The patients, right, we'll say end user, how do they deal with the technology, right? If my, I think my parents are between 65 and 70. I just lost both all three of my grandparents like in the last couple of years. They were too old to deal with it, right? How do they deal with this technology? Yeah. I think the biggest thing is trying to meet the patient where they're at one, finding them in a place of need. And so you've got a moment in time where they've got some kind of significant health related event that's going to get their attention and want to them to be able to engage in something like this. But two, using a form factor that is appropriate for the patient. And so if you've, you know, there's all kinds of spectrum of how tech enabled some of these people are, right? Most of them have a smartphone at this point or quite a few of them. Most of them have Wi-Fi. There's, we can go from like a dedicated MDM tablet that's locked down for everything but the app. And so that's going to be their beacon. It can sit out, be always on. We can go to, you know, the cell phone where it's an app base. So it's always on them. They can interact through the app. A little bit of a learning curve, obviously, and some of these things. So we have to walk them through it and we can go all the way down to, hey, we've got a PERS device. So just a little pendant hanging around your neck. That's a two-way communicator. And we can even have Sheila dial in and talk to them through that. I love this stuff. And this is the future, right? And I talked about my grandparents and my parents like, we're going to be old one day. All of us are going to be old one day. And that is the future. I hate when a segment ends. We're in it. We'll bring it back to that. We got to wrap it up for this commercial break. Come back with health. They're not healthy. I love that. More tech stuff, more fun. But really, I think talk trash about golf, Trey. What do you think? I want to also ask you guys about regulations. Oh, yeah. We'll hit that. That's all. Yeah. Sorry. Let me, Shonfeld. Yes. I'm trying to go the German round. German. Yeah. There you go. That's true. Can you say his last name? Rotten house. Oh boy. I love it, man. Both of you guys hanging out living in health care. We got some gifts for you guys too. But with Cureshull specifically, some other stories, that's what the health just happened. Welcome back to the second half of what the health just happened. Again, where we talk about, I think, some cool stuff. I don't know if you guys agree or not. It doesn't matter. But you're listening. Maybe you are. Maybe you aren't. If you missed the first half, good news. You can catch the second half on your favorite podcast platform under what the health just happened. Today's guest, Lenny Schonfeld. That's my German impression. I don't know if you're German or not. And how do we say his last name? Give it to me. Rotten house. I impress myself. Representing cure health a little bit. Other health care entrepreneur representing multiple industries, not industries, but companies, Lenny, college buddy. I told you guys, we like to play what the health just happened, right? Yeah. But before we do that, I like free plugs. We just got these hats in and I'm going to hold it up to that camera. This is the first person I've given it to besides Traine, Jess, and over there. So there's the first hats we give out. Right. And I'm all about swag. Yeah. We're not healthy. We're not healthy. You don't have to wear the hat. We're not have guys. Give them back. Oh, I'll definitely rock that. We love giving gifts, right? I got another one at the end of it, but keep those if you want. We think they're cool. Healthy or not healthy, you guys want to fire one off or you want me to start? You let it rip. I like this one. Remote patient monitoring. Healthy. Healthy. Oh, for sure. Okay. Healthier, not healthy. Dean's golf swing. Not healthy. Oh, dang. Ouch. Traine, healthy or not healthy, my golf swing. The day I played with you, pretty solid. Look at that. Okay. Okay. Healthier, not healthy. The American health care system. Not healthy. Broken. Broken. Yeah. Not healthy. Okay. Healthier, not healthy. The first half of this show. Healthy. Very healthy. Yeah. Love it. Okay. You got one? Healthy or not healthy, getting old at home. Healthy. Healthy. That's the trend. I'm going to disagree with it. That's a good transition, right? So we'd like to ask a question. Healthier, not healthy. What do you say? Getting old at home. Getting old at home. I would say if it goes well, that's healthy. For the last 20, 30 years, it was not healthy. What did you have access to? What was available? What was the support system? That's a good pivot. That's a great question. Yeah. How do you pivot into what you guys are doing? So CMS just, and this is just in 2025, they've approved new coding that's going to allow reimbursement for aging at home. Hospital at home. Stop. Yeah. So it's happening where... That's great. The hospital bed, the monitor, some of that stuff is going to be able to be put into the home and reimbursed, and then providers can check in with them in the home, instead of in a hospital setting. So, Justin's question, aging in home is healthy. For years, it was not for a variety of reasons. How is it funded? Hospital bed. Exactly. Monitor systems, home health care, which is the most underrated thing in the world. Example, Grandma Jane, Grandpa Bill. Those are my grandparents. I use their names all the time. I had a home health care company. You have to pay out of pocket for even a CNA in home health aid to step into the door. Medicare will cover three to five visits per week, but that's only post discharge based off of a certain scenario. It's changing. So you're saying that CMS just passed something to fund in-home products. Yeah. Hospital at home, so that you can kind of transition that. I love that. Yeah. I love that. It goes into effect January 2025. That's right around the corner. Yeah. Oh my gosh. I had no idea. I don't track that stuff anymore. I'm in a different world. It's in our space, and we know a lot about it. How does cure health tie into that? So hospital at home is having Sheila, that virtual assistant, in the home with the patient, whether it be on their TV monitor, whether it be on a tablet or whether it be on their smartphone. And hooked up to, we talked about healthy or not healthy, the remote patient monitoring, hooked up to a device. So there you go, healthy. You have the blood pressure cuff or whatever may be, and constant monitoring of the patient, so the patient can feel safe at home with their condition and not have to be surrounded by nurses and doctors and whatever. That's right. Well, and we're trying to remove that window of time, right? What happens with time when you've got an acute issue, exacerbation? And so the quicker we can point them to the appropriate level of care, get them handled, the less it's going to cost the system, the healthier the patient's going to come out of the back end of it. Repeat offenders, right? So I want to talk about star ratings, by the way, we talked about that earlier. So, Grandma Jean, Grandpa Bill, 10 years ago, healthy for their age, they go in for chest pain, they come out clear, they go home, discharge, follow this routine. If you get readmitted to a hospital, or even like a skilled nursing facility, they get dinged. Yeah, with a certain amount of time they get hurt. Yeah, the hospital does, they lose reimbursement. Yeah. And it's real money. And it doesn't matter. But it's all, it's not just about the money, which it kind of is. It's better for the patient too. What happened in that gap? That's what I think about remote monitoring, in-home care is changing stuff. Keep them home where they're comfortable and avoid readmissions. Star ratings, we had talked about that. So CMS, what are star ratings? What does it mean? So star ratings are, and we go back to VenTech, parent company that those quality measures. So hospitals are rated on certain parameters, and they've got to meet those parameters, otherwise they get dinged. And so they have a star rating, one, two, three, four stars. And the lower the stars, the less reimbursement that they get. So, that's a simple way to put it. Trey, would you give Lenny one, two, three, or four stars? For what? I don't know, just look at them. For the sawgrass shirt, we'll go four stars. There we go. What's he got on there? No, no, no, we'll go back to golf. Okay, so cure health. What else are y'all? What markets? Who's a good person? Who do you want to meet for cure health? So today we met with the CMIO, which is chief medical informatics officer for a health care system here locally. North East Florida. Yeah, nationwide. Okay. But they're, yeah, Florida. So that's really our target is hospital systems, also home health agencies. The problem, and you kind of alluded to it, the problem with home health agencies, there's no margin. They have been right over the coals or years and years, and there's been a lot of improprieties, if you will, a lot of taking behavior, behavior. I don't know why I bid you any sense of practice. Well, yeah, I got to see that. You're putting it right on my knees. That's what you do, man. I don't know. He's talking about my golf weight, man. It's coming back. It just came on now. I'm his golf coach, too. For free. He's saying it swings up. I'm working on it, man. We've got to be coaches, Adam. It's just sucks. So back to home health, right? And cure health, you got large hospital systems. I actually want to go back to insurance, too, which, which we work here. Yeah, you guys, yeah. And I always say, like, I have a love-hate relationship with that, but it's home health care real quick, too. So how are they reimbursed? You have private pay for non-skilled care. You have Medicare home. It's a complicated world. Do you guys envision that changing in the future? The change of CMS helps, but how can cure health bring value to home health companies? It's not like prospects and clients you want to talk to help you out. Yeah. I don't know if you want to touch on this, but I'll certainly touch on it. So if you have cure health with a home health agency, that home health agency, that nurse can know typically they may see five or six patients a day going out to the home. Eight max. Yeah. Eight max. Exactly. So do you grow out? Where are they at? How are you driving? Yeah. So a lot of their time is spent reviewing the patient chart. Oasis. Yeah. Oasis. Exactly. You know the language. With cure health, they can actually see more patients or the home health agency can bring on more new patients with the same amount of staff just because they're not going through. Cure health has the ability to scrape patient files through the EMR system and pretty much put together the last few days of service so that nurse knows immediately within a couple of minutes what's going on in that patient's life. And they don't have to spend 30 minutes to 45 minutes reviewing a chart before they go into the patient's house. What does EMR stand for? Gentlemen. Emergency. Nope. We've done this before. Electronic. Monetary. Medical. We've done this well. You were doing so well. Trey lived in DC for a long time. He was like, "Can we do an episode on politics?" I just thought terms that you don't know about. So that sounds great. What's your like same thing? Yeah. So I think broadly it's a workforce extender. And so like we talked about a little bit earlier, it's allowing you to take a lot of the day-to-day menial task, menial contact points and operationalize them so that you can do a lot at once. I think where AI is advanced to at this point, it's not where it's generative. It's not just like you can take your hands off the wheel and let it go and do its thing. You still have to have the human touch points. And so how do we use it as a tool, but still have the human people behind it to look at the insights, to be able to provide the care and the clinical follow-up and those kind of things. So what it allows us to do is give the time back to the clinicians to do the things that they wanted that they wanted to do, have people work in top of license and point these patients to that appropriate level of care and remove that time that it takes to go to the doctor and get a follow-up and get scheduled. We can hit them right where they need us proactively. How much do you think will change in the next three years? AI-wise. That's tough to say. It goes quick. So health care, did you want to ask? I'll just say, is that based upon regulations how fast it can move? That's another one. That's probably all's biggest roadblock, right? And some of these situations with AI? Yeah, I'm not as much as you think. You can't really allow it to make clinical decisions right now. I mean, I think if anybody's going on chat GPT or a tool around with some of these early iterations, you realize that for as impressive and as much as it can do, it's still kind of dumb. You got to have guardrails there. But Eric, in response to what you're saying, health care, everybody now, and not everybody, but most people are familiar with chat GPT. LLM, large language models. Large language models. Yes. So health care traditionally is three to five years behind that those general population. That's being kind, by the way. I'd say like five to ten. Yeah, right. But they've got COVID, again, going back to COVID has accelerated a lot of that. And so health care systems are going to have to change in the next three to five years. And AI, I mean, everywhere I was out at a conference in L.A. a couple months ago called VIVE. Oh, man. I almost went to that, by the way. How was that? Awesome. Oh, sorry. I got sidetracked. I did. Yeah. Yeah, it's technology, cutting edge technology. And that AI was the common theme for the whole thing. So and that's health care. So it's going to change. It has to change. Reimbursement is going to have to change to be able to take care of the aging population. How do you leverage this incredible tool that, again, gets a good wrap, a bad wrap? I'm going to actually ask another healthier, not healthy. It's for everyone. You might be healthy or not healthy, the movie Terminator 2. Healthy. That's scared to crap out of the Terminator series. That was a ridiculous question. But like, this is tough to answer. Like, health, you're not healthy, artificial intelligence. You see, that's a guess 22. If it's used in the right way, it's probably healthy, but there's a lot of bad actors out there. And it's going to be, it's going to be used. I think healthy because it sounds like what these guys are doing is you're just taking current processes and you're making more effective and free enough people for more time. You're eliminating repetitive tasks. People are scared of the computers, but they're going to actually help us in the long run. You're going to help more people because of this stuff. Sorry. It's an RN, a physician, a chiropractor, any insert clinician that does not want to just sit on a computer and chat, I think it's healthy. But, again, Terminator 2 messed my life up. Well, I think that for me, the line is when it becomes sentient, right? So right now, it's AI, it's all kind of steered and controlled to an extent. When that thing hits the tipping point, and it's just telling itself what to do, then you get some problems. That's when we fly to Mars, right? I think in healthcare, it's healthy. I think in general, I make jokes. Again, so more about cure health here. What are you excited for? What's working now? What do you see? Like, hey, this is coming soon that I think will impact large hospital systems. So one of your healthy or not healthy, so we just rolled out a feature called voice cloning. So Sheila can actually be the voice of the provider, the mother, the husband, the daughter, talking to the patient instead of or a nurse in their own voice instead of Sheila. Oh, Lord. Talking. But if you look at it, that's the patient. That's on the patient side. I want to hear my wife's voice. I hear my mom talking to me or my daughter's voice. Could that help in like a dementia type? That's the key, right? They're hospice and paladin care. Yes. So patient, right? Again, I always use Grammaging and Grandpa Bill. Grammaging's at home, dementia age, Alzheimer's, struggling, but like you need someone to talk to them about, hey, you need to take your medication or listen to the song. That's in Grandpa Bill's voice. That's the use case right there. Wow. And it is really good. It is really good. Scary. So let's, I want to, you got something. I was going to say 10 years from now that you'll be seeing Grandpa or Grandpa Bill, Grandpa Jane, and talking to you. So out of vibe, out of vibe that you bring up a good point, Justin, or Trey, I'm sorry, that there was a software out there that used holograms and of that person. I saw a nurse and they had, she was doing the talking. You go around to the side and she's on the camera as a hologram talking to the patient. That excites me, but like freaks me, I go ahead. Well, could that also be used? That's doctor to patient, but could that also be if I'm getting a hand surgery and the surgeon's great, but they need a consultation with another surgeon, can that person essentially hologram in be seeing the hand and kind of showing like, I would do this and this on the hand. There's some of that stuff already happening. Yeah, man, I should have paid attention to college money. That is wild. That's awesome. Okay, so let's do some more cure health and then I like free plugs who helps. We can talk about who started the business, but who should talk to you guy like this is this is wild, man. Large hospital, like any hospital. It's like there and I think there's so many use cases, right? So we're looking for forward thinking decision makers that are afraid to take a little bit of a risk, right? You know, there's you've got an operational lift just based on having to train your staff, your clinicians, you know, we know it's hard enough to get clinicians to do kind of regular stuff, right, that we need them to do doing different initiatives. Now we're having them train into a different kind of environment and utilize a different tool. And so we're looking for people who are ready to kind of take that crawl walk run approach and be a little ahead of the game in this AI field. So organizations, probably larger groups, like you're not looking for a 30 person home health company. You're looking. No, yeah, that's that. You know, hard and larger home health companies. Like I'll throw out Nate, like I don't, I'm not going to get in trouble. Like Mayo, Baptist Ascension, HCA, like large organizations, right? Florida, blue, United, Signa, anyone who's like, but you have to think in advance. That's right. Because you're ahead of the bell curve. Do you guys get government contract money for this kind of software or is that government grants and things of that nature? We've got a we've got a contract now that goes into effect here in a few months with DHA that depends how the agents go. It's DOJ said DHA some labor stuff. Can you share anything on that or now? Nope. It's classified. You're going to get a couple minutes here. Left. Sorry, it's another kind of decent question, but like with what you guys are doing, do you guys have to lobby or have to have lobbyists in this particular niche or industry or not really? We don't. Okay. Nice. So you went going back to those regulations, other regulatory potentials. We're high trust certifying, which is the highest certification that you can have in health care. It comes from Ravi's background in dealing with patient health information or private health information. So we've got the highest certification that there is protecting patients information. That's one of the regulatory requirements. Yeah. I think what's that require? What's the process to get that? And then Lenny's hold that. It's all about security and compliance. So they've got to go they had to go through a bunch of steps to to show that that patient information is secure. You don't submit like your name, date of birth, and you get a certification saying like you got it. Yeah, right. No, that's a big certification. Yes, that's right. Sorry, I cut you off. No, you're good. But to kind of even touching you, I think in a long term arc, there is probably going to be a need for some lobbying. I think right now we're in that show me phase like if you want to do AI, if you want to do some of these virtual care models, like they're just now carving out some reimbursement opportunities for it. But as we can prove it out through data, establish ROI, prove we're saying saving the system money, then we can take that back to the regulatory bodies that be and say they're going to mandate it, right? They're going to point people to us instead of us having to go make the case. So I think that's the long term. Yeah, that's a good point. Is there, you know, you talk about the home health care or that the app and the system to help? Is there like a veteran mental health side to it too, where, you know, you're working with veterans who might have problems where maybe those voice prompts can come in and maybe help stop an attack or something that might be happening? So we, yeah, out at Vive, there was a company out there, probably not quite ready to, we haven't done an integration with them yet. But there is a company that, and it's out there in marketing now where the software, the AI software, can look at voice intonation and on a call, whether the patient is depressed, whether they're suicidal, whether they can pick up on that. So we are actually going to be doing an integration with that software again, going back to hospice, palliative care and so on, where the patient can talk to Sheila or talk to their, whatever it is, and it can be picked up and an alert can be notified immediately if that patient is depressed, suicidal. Just by telling out like the tone of the voice. But I would even imagine if you're maybe from a depression side or even having an episode of something, but a certain person's voice can snap you out of it or call me down. Dimension Alzheimer's like for sure. But even if you're in a hospital room by yourself going back to COVID, dang it, we're about to run out of time. I hate this man because we're getting into some good stuff here. When COVID's happening, right, you're locked in a room by your stuff, you can't come through and talk through a glass. If someone talks to you as your spouse's wife, except my spouse, she'd be like, can you give me a different voice? And I not have that. That's a big, that's a big deal, right? Alzheimer's is a big deal, but especially as you age, man, I'm blown away. I didn't know this stuff either. The potential is it's pretty cool. Dang, dude. So real talk here. Would your wife like to hear your voice or someone else's voice? She tells me I'm loud all the time. So maybe if it was a volume controlled voice, I'd be all right. I'm working radio. I'm supposed to be loud. I hear you. This is a really tough question. We've got about a minute and a half left. Whose voice would you want to hear on the other side? That's tough. Oh, I'll go first. I'm going to pass. It's always my brother. That's the way nine years ago. That is a good one. I might get choked up like I say, like, if I hear that dude's voice, that's why I want to be my guy. Yeah. I think Morgan Freeman. I mean, it's good. How good is that? Whose voice? That's a tough one. That's a hard question. The guy who does the Nat Geo, the British, I don't know his name, but he was like, you know what? Do I have sleeping problems? Because it might be Jim Nance. No, I'm not. You know. I think he took it like it would be some family member, just to remember him. Yeah, I mean, it could be a family member or my significant other. I mean, that's who I would do out somebody. Is that process, a long process to do or is it just like reading his paragraph? I was a test. It was a three minute script that you read that literally is like words and stuff that kind of get. Okay. That's awesome. What's not awesome is none of you guys said my voice. No way. I love man. I'm like, I'm blown away. I love this stuff. Is I being used for golf? AI for golf? Yes. Is there a great question? Obviously, I need more help than you do. You haven't seen me golf. My least favorite part of this show is when we were on a time. So first question, would you all come back? Absolutely. Good times, right? Yeah, absolutely. Talk about it. It's always a pleasure. Lenny Schonfeld. Indeed. That's it? Well, how do I say it? Schonfeld. Schonfeld. Yeah, you got it. It's the German thing. Indeed. You got to give it a shot track. Look at what you're doing. We're all in house. We're all in house. Again, you guys were awesome. That was entertaining. Some good stuff there too. My goodness. Appreciate you joining. Hope you come back. Absolutely. A lot of fun. That's what the health just happened.