How's that going and where are some of the challenges?

Talk about operating from within a silo and the potential downstream effects of that type of approach.

Again, I feel a great amount of pride for how we constructed and implemented PDPM, but I have to admit a complete and utter blindness to the impact that this was going to have on states.

And I think this really goes back to the structural siloing of CMS and its impact on policy development.

To put a really fine point on it, I didn't really have a lot of conversations with the Medicaid side of CMS until PDPM was about to be implemented.

I mean, that was someone else's job, because it wasn't.

It was mine, and it was the responsibility of those of us who were developing this policy.

Where do you see the SNF and assisted living sectors headed when it comes to reimbursement and financial viability? And what do providers need to do to stay competitive?

So for listeners who have may be unfamiliar with what pharmacovigilance is, can you explain it and why it's so important in clinical research?

Yeah, I love kind of talking about this aspect of our work also.

It's a pretty impressive responsibility when you think of it.

I like to give a scenario where CTI has been working with a pharma company for the entirety of a drug development.

We started in Phase I, first in human, making it to Phase II, Phase III, and finally on to market.

Then when somebody goes and gets this drug prescribed, picks it up from their pharmacist, they're gonna have a package insert in there, prescribing information.

Generally a big sheet of paper, tiny little writing, with all sorts of information about that drug.

How does CTI safety and pharmacovigilance team protect patients throughout the drug development process?

Wow.

Thank you, Senator Daniels.

Is this all? Is this all? We're going here.

Any more comments? Thank you so much.

I can only go downhill from here.

First of all, I don't know where the pictures came from.

You all saw when you walked in the room.

And then we'll just throw it open for questions.