Zach Levine

We have a bunch of avatars, which is potentially a problem.

Brick and mortar. We're out of network insurance. We actually did dying, which we'll get to. Sure. We do 4.2 in revenue. Okay.

We've just heard it's a grind, you know, it's commoditized. It is commoditized. Race to the bottom, yeah.

because reimbursements from payers are declining each year, whereas inflation costs are going up, and because the amount of people who have out-of-network benefits is dwindling as well. It's mostly just corporate, and that's even declining. Yeah, they're just getting smarter, and they want to push everyone in-network, so we're getting squeezed. Administrative burden through the roof.

prior auths, all this crazy shit.

Yeah. Yeah. I think we've decided as a team, collectively, we just don't want to be a network. Sure. Because of the lifestyle. No. I guess so.

Yeah, it's referrals. Okay. Yeah.

Just say we need more. Like, so obviously we have a bunch of different types of avatars. So like really now, like how would you say going about?

Cool.

Over the phone. Yeah. Okay.

Yep.

Got it.

What would you do if you were saying from a strategy standpoint, we have the current business that's doing $4.2 million in revenue.

Should we do any of the more on the things that are still working within out of network? Like, it's really just that, you know, we have limited resources. How much should we spend on each? Let's be like a new profit. We're basically at zero. Oh, yeah. It's part of the problem. We waited. Yeah.

No, but we can remove the lowest reimbursement. We're reimbursing patients, which is like remove Medicare. Then we can lower our cost structure. We can go that route.

Hey, Alex. Thanks. Yeah, you bet. So my name is Zach Levine. We sell pain management services to New Yorkers. Okay. Integrative pain, so chiroacuputee.

Hey, Alex, thanks.

So my name's Zach Levine. We sell pain management services to New Yorkers. Okay. Integrated pain, so chiropractic PT.

Yeah, I think we've decided as a team collectively, we just don't want to be a network because of the lifestyle. No, I get it.

Yeah.

Yeah, it's referrals.

We have a bunch of avatars right now, which is potentially a problem.

We've tried a bunch of that. And the issue there is that they want to send in network, or if you're injury attorneys, to workers' comp cases, which don't pay very well.

Would you say we need more, so obviously we have a bunch of different types of avatars, so really now, how would you say going about?

Brick and mortar. We're out of network insurance, which is a dying, which we'll get to. Sure. We do 4.2 in revenue. Okay.

So having them pay up front, actually putting out their credit card. Yeah.

Mostly insurance.

Yeah. Yeah. 4.2 want to get to 20. Okay. Got it. We have three offices and don't know exactly how to transition out of the dying business model. Obviously our industry is growing.

Got it.

Yeah, definitely.

What would you do if you were saying from a strategy standpoint, we have the current business that's doing $4.2 million in revenue.

Should we do any of the more on the things that are still working within out of network? It's really just that we have limited resources. How much should we spend on each?

We're basically at zero. Oh, shit. It's part of the problem. We waited, yeah, we waited a little longer than, yeah.

No, but we can remove the lowest reimbursement, we're reimbursing patients, which is like remove Medicare, then we can lower our cost structure, we can go that route.

Cash.

In-network, yeah.

We've just heard it's a grind, you know, it's commoditized down to the bottom, race to the bottom, yeah.

Because reimbursements from payers are declining each year, whereas inflation is up. Costs are going up. And because the amount of people who have out-of-network benefits is dwindling as well. It's mostly just corporate, and that's even declining. Yeah. Yeah, they're just getting smarter and they want to push everyone in network, so we're getting squeezed.

Administrative burdens through the roof with prior auths, all this crazy shit.