What were some of the factors that, I guess, led you and your colleagues and Great Plains Health to terminate your Medicare Advantage contracts?

Yeah, it was kind of an evolution and we started, we had jumped into quite a few value-based agreements with some payers and part of the um you know part of the reason we went into these contracts was to try to try to manage costs and one of the stipulations they had in place was to join and to go and network with some with some other medicare advantage products and so we we had two uh plans that we went in network with and with medicare advantage and it was they were pretty small numbers at first and you know it was uh It was going okay.

We were seeing some issues.

And during that time, we started to see some of the national plans and providers that decided to stop accepting Medicare Advantage.

And some of the ones that stood out to us, you saw Mayo Clinic, you saw Scripps Healthcare System, a large provider in San Diego.

And so we started kind of sharing this with our board.

with our medical staff as we got complaints about delayed care and a lot of work with prior authorization.

You know, what would be some of the requirements that you would need to see in order to ensure that the care is being delivered at the right level and all of these costs and inefficiencies, you know, frankly, either are reduced or they go away?

What were some of the factors that, I guess, led you and your colleagues and Great Plains Health to terminate your Medicare Advantage contracts?

Yeah, it was kind of an evolution, and we had jumped into quite a few value-based agreements with some payers, and part of the reason we went into these contracts was to try to manage costs.

one of the stipulations they had in place was to join and to go and network with some of their Medicare Advantage products.

And so we had two plans that we went and networked with Medicare Advantage.

And they were pretty small numbers at first.

And it was going okay.

We were seeing some issues.

You know, what would be some of the requirements that you would need to see in order to ensure that the care is being delivered at the right level and all of these costs and inefficiencies, you know, frankly, either are reduced or they go away?