The Chris Voss Show - The Chris Voss Show Podcast – Timothy Poore, CEO of ATP Healthcare on AI for Healthcare Advocacy

Episode Date: December 3, 2023

Timothy Poore, CEO of ATP Healthcare on AI for Healthcare Advocacy Atphealthcare.com Biography You or a loved one are involved in an accident. You go to the hospital, doctors, nurses, therapist, techs, and assistants all work very hard to patch you up, and in a few days you leave the hospital. But before you can go, you need additional therapy and care. Only problem is, no one can care for you, for any number of reasons. So be that it is unsafe for you to return home, you sit and wait in the hospital, hours, days, weeks, months, even a year in one case. We work with hospitals, insurance companies, patients, and post-acute providers to mitigate the issues preventing you from being discharged. This gives us a very unique view of the US healthcare system and what strains it.

You wanted the best. You've got the best podcast. The hottest podcast in the world. The Chris Voss Show. The preeminent podcast with guests so smart you may experience serious brain bleed. The CEOs, authors, thought leaders, visionaries, and motivators. Get ready. Get ready. Strap yourself in. Keep your hands, arms, and legs inside the vehicle at all times. Because you're about to go on a monster education roller coaster with your brain. Now, here's your host, Chris Voss. Hi, this is Voss here from thechrisvossshow.com. There you go.

When the Iron Lady sings, ladies and gentlemen, that's when you know it's rolling. I don't know what that means. It's rolling? There's the beginning of the show. Welcome to the big show, my family and friends. The Chris Voss Show is a family that loves you but doesn't judge you. So always remember that. You always have a place here.

You always have a home. You always have a family. You're never alone with the Chris Voss Show because we stock you night and day with four new shows every weekday and 15 to 20 shows a week so if you can't if you're still lonely after spending all that time with me and the amazing guests and brilliant minds that come on this show I don't know you can pay me extra to hang out with you but it's going to cost you a lot but there's an OnlyFans for that no there's not anyway guys we have an amazing gentleman on the show today and as always we bring you the smartest minds but people are gonna write me and be like what's that

it's not real it's a joke people it's a callback joke for the show we have timothy poor on the show today he works in the dark underbelly of health care in the shadows of the happiest place on earth this is a dylan's song what's going on here we're gonna find out that's the whole part of what we do in the shadows of the happiest place on earth. Is this a Dylan song? What's going on here? We're going to find out. That's part of what we do here in the Chris Voss Show. You find out what's going on. Tim Poore is a seasoned healthcare executive.

He's been a transformative force in the industry since 2019. We took the reins as CEO of ATP Healthcare. In his role, Tim leads a dedicated team that assists families, patients, and hospitals in navigating the complex landscape of healthcare placements for challenging cases. Before helming ATP Healthcare, Tim demonstrated his expertise in the healthcare sector as part of an investment group. There he played a pivotal role in identifying and optimizing post acute care properties for purchase, strategically increasing their census post acquisition,

and his extensive experience includes several years in the dynamic fields of home care and hospice. Currently at the forefront of innovation, he's co-founded a company that has developed an AI platform. We've gotten to love AI. We'll be talking about that today. This groundbreaking technology guides hospitals and post-acute providers into optimizing patient recovery, showcasing Tim's commitment to advancing healthcare solutions. Welcome to the show, Tim. How are you? I'm doing great today.

How are you doing? I am doing excellent. It's wonderful to have you on the show. Give us your.com so people can find you on the interwebs. Yeah, it's going to be really easy. It's going to be atphealthcare.com. There you go. So give us a 30,000 overview of what you guys do there, Timothy.

So if you're listening to the Chris Foss show and you do have a brain bleed and you end up in the hospital, and the hospital is having a very challenging time trying to find an appropriate discharge location for you. Often, keep our name in mind, but often the hospital will contact us, so they'll reach out to us and ask for our consultation or assistance and managing or trying to find a placement option for you. But in addition, we generally stick around with the patient. We're working with the hospital. We'll generally stick around for about six months with that

patient, kind of mitigating those issues forward for them. So we're not kind of like just saying, hey, we found you a spot, good luck. There's a lot of issues that have to be taken care of on that back end also. We do work with families additionally, and it's usually it's regarding like insurance issues or something like that. We just will provide a consultation or point them in a direction of what they need to be doing as far as to resolve those issues or even placement issues. So unfortunately, it's not what we woke up in the morning wanting to do, but it sort of happened. You know, kind of going back in 2019, I for i said an investment group i left them and i actually wanted to work with primary care physicians kind of helping them stay independent

and but i would get a phone call from a hospital saying hey we got this patient here can you can you kind of take a look at what's going on you know i'd say okay all right you know we'll have a you know have an agreement with them like a baa and you know we can share information you know, say, okay, we'll have an agreement with them, like a BAA, and we can share information. You know, we're not breaking the law. We're not going to wear orange. And, you know, we give our advice and say, you know, hey, you know, this might be a discharged location for this patient and that sort of stuff. And then finally, we got to a point where this one director of care management for a pretty large hospital system said, you should charge for this. And, usually when that, when a customer says you should charge, that's not a bad thing. And, you know, we kind of like looked at different payer models and, and

try to find something that works. And we got to doing this and doing this quite a bit and kind of kept seeing this like the same issues again and again and again on these really complex patients. Case management in a hospital, they are the heroes of the hospital. They are by far the smartest people in the building. No offense to neurosurgeons and a lot of your physicians. They're very smart people, too. But the case management they can do, they can juggle so many things at one time and keep it together.

It's absolutely amazing and you know on these really complex cases where it's just they just don't have the bandwidth that's what the problem is we're able to assist them with with those patients and you know and that we kept seeing there was the same sort of issues again and again and when you see a pattern a machine can be trained to work on that so we started looking at other groups that you know could be studying this or be good or it could be approaching this problem in maybe a different way and we we found some wonderful people over at potential analytics and we began we began talking to them a number of years ago and kind of going through the details and what are the issues. We've gotten to work with a skilled nursing operator

and really kind of like bear down and say, well, the issues with them as far as flow through for patients and that sort of stuff. So our AI platform we have developed works with hospital systems and post-acute care providers, and it transitions that patient all the way through. Wow. Yeah, so it's a pretty powerful tool.

AI is going to help the future in healthcare. We probably need that more than ever with how complex healthcare is. It's complex, expensive, and it's understaffed. Yeah. Now, you have two branches for your company, I think. So one for hospitals, providers, insurance company, the other for individuals and families managing the process of senior care. So probably a patient advocate at that point with individuals and families?

Yeah, a very dogged patient advocate. Since we are working for the patient, we have no problems with telling somebody to go F off and go entertain themselves. We will do that on their behalf anytime. And when we're giving an opinion, it is our expert opinion that we're supporting this with data.

Typically, it's, you know, a lot of times it's going to be long-term inspection data. It may not be short-term rehab or something like that, but there's data behind this. It's not a financial motivation from whoever's given us the best deal. Most of the folks that we work with really can't afford our services. And so we're happy to point people in the right direction, say, hey, this is what you need to be doing. And you just do X, Y,

and Z, and this should help you. And if you need help, you can call us back. That's probably 95% of our calls. Very seldom do we actually get into a situation where, okay, we're going to have to talk about this and this is going to be a while. And, you know, we're really going to need you to sign up for a subscription service. You know, that's, you know, it's not, it's not really our goal. We just want to get you moving back forth.

We'll give you the information that you need to do to make the decisions you have to have and then go forward from there. Does insurance help cover this or Medicare, Medicaid, any of that sort of stuff? No? No. In a pocket? In the Affordable Care Act, there is provisions for, we're considered a case management support company, and there's provisions in there for that, but there really isn't anything in there that you can bill for Medicare for. Interesting.

And there are individuals who are case managers who can do the pre-authorizations and that sort of stuff that you can hire, but you're still hiring them, But their services are covered by Medicare. Interesting. Yeah, but there are provisions in the ACA for that. It's going to be a number of years before that's pulled through. Okay. So give us a little bit of information on you. I mean, give us your hero's journey, your story, how you got into this business,

how you became a CEO, your entrepreneurial journey, if you will. Tell us a little bit about your background. I had a fascination when I was in grad school. I was a Georgia Bulldog in grad school. So we're pretty obnoxious right now. Alabama's this weekend, so I don't know when this airs, but Alabama's this weekend. There will be blood. Yeah, and when I was there, I was in biochemistry,

and I also had this hobby of working on export controls. So that's basically how technologies are allowed to be traded or used by other organizations, other countries. And I had a keen interest on that for several years. And then I actually moved down back down to Florida, where I was originally from, to work with my folks. My parents were talking about retiring and they were in the housing industry and that was about 2007. So yeah, good timing on that, but really learned how to run an operation on a very lean budget. But that was pretty critical later on in life. I did that for a number of years and then moved into health care.

I was like, enough of this. It was kind of a wild time back then, definitely. And health care is definitely, as more baby boomers are retiring more than ever, I mean, you have the largest group of Americans, I think, pretty much at this point, retiring. And they want to live long and spend their money doing it. And I think they have most of the money for them. There's challenges, too, because there's also

a large number of individuals who really don't have any money. And they don't have the money for post-op care. That makes it very very challenging it's it's expensive to say the least there you go so you guys are developing ai or you have ai currently working that can help what what is the complexity that you guys are solving i mean i i we all kind of know what it is but give us the wrap-up from your end of of of how complex it is, but give us the wrap-up from your end of how complex it is to take on this elephant that you guys put on your website. You know, on the AI side, there are numerous parties involved in the care of an individual

once they cross the threshold of an ER. And there's sometimes these personalities, these different groups can be at odds. They have different goals. And that's just inside a hospital. When you throw in something that's post-acute care, you're basically crossing the event horizon and you're going into a black hole because the rules are completely different. What is considered Shinola in a hospital is literally a shit in a post-acute care arena. And individuals will have excellent commercial insurance plans. The hospital is going to do everything they can for you. But if you have Medicaid or Medicare, those are challenges in a hospital system, whereas just the exact opposite in post-acute care.

Commercial insurance is kind of like, what do we do with this? Just put it over there in the corner, you know, like type deal. Medicare and Medicaid are what you're seeking, specifically Medicare, more so than anything, more so than managed Medicare in most cases. Medicaid is very beneficial. Many times people have the, when we speak with somebody, speak with a family member or anyone on Medicaid, they often think it's just something for lazy people.

Lazy people is about over three quarters of the US population is going to require Medicaid or requires Medicaid. At some point in their life. I mean, it's very instrumental and it's the payer for a lot of your co-pays. It's the payer for a lot of your long-term care. Anything that's going to be, you're at home or if you're in a community setting or a facility setting, the payer for the vast majority of that's going to be Medicaid. So that's always something they kind of need to, you know, speak to your elected local elected officials about

and making sure that's funded properly. And unfortunately, it's not always funded properly. When it's not funded properly, it becomes very difficult for post acute care providers to operate at the top of their license. You know, for example, a patient who's on a ventilator requires a mechanical machine to keep their lungs open so that they can breathe air. You know, if you have a state, the state of Florida has roughly, let me just check real quick. So we're going to be looking at a state of Florida has roughly 20, 20 level one, level two trauma centers throughout the state.

Let's just say, and you know, average bed size can be about 500 beds. There's going to be quite a few of those individuals who, and because it's a trauma center, this is a severe injury. They require a ventilation for the remain for the rest of their life. And there's literally only maybe half a dozen skilled nursing facilities

in the state of Florida that can handle a vet. Really? Wow. There were more, but the reimbursement is just too low for what it costs to pay employees, what it costs to pay a respiratory therapist, to pay for the equipment. It just becomes a very challenging thing. And typically those facilities,

you want to make sure Medicare is present on the front end for those patients. So in a lot of states, we end up having to look outside that state for placement for those patients. You know, LTACs are an option in some cases, but LTACs are only going to take that patient typically if they have a plan for what's going to happen when they can't get that patient to recover

or they can't wean that patient off that ventilator. Wow. It's unfortunate. Our company really shouldn't exist, and yet this is a situation that we're in. Yeah, I mean, healthcare is complex. I mean, just trying to figure out my insurance every year is what's going on with it and what I'm paying for that I never use. Your deductible is probably growing more and more, and you're sitting there saying to yourself, are the services really getting more expensive? I haven't used any of my deductible in 35 years i think i'll be using it next year

for a hernia injury but the but even then i think i'm paying most of the deductible the upfront whatever the hell it is and and i don't mind that just this is cheap i've got a buck or two. But yeah, this is really interesting. You know, my sister is in a care center. And do you do advocation for people in care centers, things like that? I imagine they would have to be able to pay you out of pocket. No. I mean, if someone reaches out to us and they are having an issue, well, you know, you got to try to help them. At least point them in the right direction and say, yeah.

I mean, if you have that knowledge, you should try to help them, at least point them in the right direction and say, yeah. I mean, if you have that knowledge, you should try to do something with it. I know that just having people advocate for people that can't sometimes advocate for themselves either because of their health condition, dementia, you know, that's what she deals with, dementia. So she can't advocate for herself and then the systems the health care systems at least from what i've gathered seem so stressed anyway between having enough a workforce you know evidently one of the things that covid did and one of the problems that we're having you know with the way insurance companies pay or don't pay or take forever to pay that a lot of doctors are just like fuck this we're out we're gonna go i't know, do real estate. Direct primary care. Yeah. And a lot of younger people are just not that interested. They're more interested in

becoming TikTok influencers. And so there's a real glut coming down the pike from what I understand in healthcare, in doctors, nurses, providers, and it doesn't look good the way it's going. You look around the facilities and the hospitals and you see who's there, and those people, they want to be there. They wake up every morning, you know, wanting to do the best damn job that they can do, you know, and we really need to work to make sure

that they have the tools and resources to do their jobs. You know, those of us who, you know, know listen i can't take care of a patient but i can press a button and i can press the shit out of that button okay you know do you need me to send an email i can draft you an email like nobody's business especially with chad gpt4 right but i mean that we have to like put a little bit more of a focus on okay we need to get these resources for these individuals who are doing the work, right? Because they want to be there. There's a lot of other things that these folks could be doing. They're very smart people.

So for those people listening, who's your target audience? How much do they need? Do they need a certain amount of cash or net worth? Do they need to be on Medicare or Medicaid or have their own cash? They want to invest in an AI platform. That's one thing, right? That's one way to do it. Right.

But no. So in most individuals, most states, it's about the cutoff is between $1,800 to $2,400 per month. If you're making more than that, you might have some challenges getting Medicaid. If you're under that for most states, and when I say most states, I'm talking about nearly all 50, you're going to qualify for Medicaid pretty much a pay-okay. And that would be something that you would want to consider because that's going to be at the end of the day that's going to be your your payer and even you know and if you're and if you're not of age for disability or for you know for you know for for Medicare or Medicaid you know you need to also take a take a look at

life insurance policies that have a a nursing home or long-term care benefit. We really want a long-term care benefit, something that can be used that's going to keep you home in your place of residence, right? Those are the types of things that you really want to have set up. And that's the first thing I would tell that i tell everybody that contacts us so if you can get through that first part and you still need to contact us then then by by by sure you can contact us not a problem but we're pretty reasonable on the price there you have to be because i mean the vast majority of people they're looking at medicaid they think that they're not rich. Yeah, it's

crazy what's going on in this country between everything else and laws and healthcare. Now, does the AIL work largely more with the hospitals, providers, insurance companies? Are you trying to juggle all this? Yeah, it's basically the world's

greatest full-time employee for a hospital and post-acute care provider. It's basically the world's greatest full-time employee for a hospital and post-acute care provider. It's pulling through and going through all that data. And as much as the healthcare organizations are comfortable with it, it can follow their rules however they want it to follow them. Really? Yeah, because they have to set up rules and say, okay, this is what we're okay with, and this is what we're not okay with. This is what we want to be checked back with on decisions, right? And then you have to have some sort of human control in that.

So does it help them maybe, I know one pain point for hospitals and doctors is getting paid for insurance. Can it help them get paid maybe better and faster? That's definitely something that it would do. Yeah. Yes, it's doing it pretty regularly, right? I mean, and it understands the rules. There you go. And so you put the rules in to tell the follow what you're looking for. And does it, I imagine it helps with the workflow of, okay, move this patient there at this point, things along those lines.

Yes. There you go. There you go. And the AI comes to healthcare. That'll be great. I can't just. It's already, it's already there. There you go.

Healthcare is actually kind of slow on the uptake. There's a lot of this has already been present in most other industries. And it is just kind of like a lot of us were kind of just like sitting around saying, what's going to be the thing that tips it over the edge here and gets it rolling? Unfortunately, it's probably what we were having to deal with for a couple years there i don't even want to talk about that thing i hate that thing so much and you guys and it helps assist hospitals in placing difficult patients so like complexities like obesity criminal records geriatric diseases drug abuse no payer source. So it helps figure out who's paying, who's not.

Drug abuse, maybe who not to give fentanyl to. Those types of decisions on who to give or not give, that's a clinical decision. And they need to be making that decision. But when it actually comes down towards the workflow of the platform, it can assist and show what are the options for those organizations that are involved to help pull that patient through. Because a lot of the times it's how systems work, many healthcare systems and the hospital side, they work in a very departmental, compartmentalized, even in a hospital. So you'll have multiple teams training all the patients throughout the patient's recovery, which, you know, it's, you know, how can you do that? And all this because there's so many patients and there's so few people that you have to kind of do it in that sort of situation.

You can't just have one person just stay with the entire patient. So in this case, the AI is actually what's staying with the patient the entire time. Wow. I'm reading some of the case studies you have on your website, and this is really interesting. I never really thought that, you know, after you have some sort of trauma or injury that, you know, there's follow-up care that needs to take place. I've been kind of lucky in my life at not dealing with that knock on wood. But I never really thought about it.

It looks like there's a real thing with placing people after in short-term rehab. ATP healthcare helps assist in getting the facility and the insurance and transportation. Transportation is always a pain in the ass for stuff too and getting that all done. Are opioid dependent?

There's a case study you have on here. Is opioid dependent people like my sister who live on fentanyl because they just have to? Yeah, there you go. I was just wondering if that term applied to her. I'm just after my own stuff here at this point. But no, it's good. This is good educational stuff because I hope I never reach that point. But there are times when that comes.

Yeah, these are interesting. I never knew there's so much different stuff that goes into this post-care. Yeah, and the other thing is that we're still experiencing a lot of the ripple effects from COVID. You know, we mentioned, we talked about it already about the workforce issues. But you also have to kind of think about there's a lot of cases where people were supposed to get surgeries and it didn't happen. And so what type of surgery is surgery for patients who are bariatric or extreme bariatric, which they were going to go and have some sort of like reduction surgery or something like that. And that was just really for two years that was essentially put on hold. And so you have individuals who were appropriate for surgery at a certain point.

Maybe they're not appropriate for it anymore. Maybe their health has deteriorated because of that. Now we have those extra effects. So when we started the company, and originally it was just a bunch of hospitals in Florida that had our phone number written on a bathroom wall somewhere. It's for a good time, call ATP or something. What's that number? Right.

It's pretty easy to find. 05309? Yeah, that's it but we had one case one patient that was 600 pounds back in 2019 but by

the time of by the end of 2022 but at the end of 2022 we had over 24 cases in the same area. Right. So, and that's, I mean, those are individuals who are requiring, you know, nursing home placement, and they are considered extreme bariatric. And so, like, COVID really, I said it,

but it really wreaked a lot of havoc, and not directly. So, we're going to see some of these, of these ripple effects from this for quite a while. Workforce is going to be one issue, but also just the strain on individuals in health care that needed care that it placed on them also. And then long COVID. My sister has long COVID. She had it four times in the care facility,

and I'm surprised she isn't up to five or six at this point, but there's still time. In fact, they just locked down the thing again. So, yeah, long COVID. I have friends suffering from long COVID. It's no joke. People tell me COVID's just some made-up lie. I just about want to pop them in the face. So if you see the suffering they're

going through, it's not cool. And near as I can tell from some of my friends that have long COVID, especially my sister, it's probably taken 10 years off their life. They're probably going to die 10 years earlier. I'm no doctor, but that's just what you can tell. And I think a couple of my friends have said that. They go, I'm pretty sure this took 10 years off my life. And some of the cases are pretty extreme. The body just reacted in such a way that it did damage to itself and trying to eradicate the disease that it didn't have a blueprint for. And it just damaged its own things and the swelling that a body does to combat disease.

One thing I noticed on your website for individual and family services it looks like you handle like moving estate sales selling your home and i mean i mentioned the ai handles this placement insurance audits oh that's yeah ai that doesn't doesn't touch that or anything okay yeah that's how we work the ai is strictly strictly with on the hospital side um we will and the post-acute care provider side. And that is a local network that we will work with you to find the people that can do that in your area. Power of attorney, caregivers and things. You know, this is a big deal for I think a lot of people that are having their parents and loved ones, you know, go into early stage dementia, go into health care issues.

I know, you know, for my immediate family, being at home and spending all their time at home, if they're in some sort of care, is really important to them. Because, you know, I don't want to die in a hospital either. I don't even like being in a hospital for five minutes. Oh, the ginger ale. They get all that ginger ale. It's great. It's ginger ale. Is it?

Wait, sign me up then. As long as I can mix it with vodka, I'll start drinking again once I get back into a hospital. The, but you know, handling some of these different things of, of, for us as suddenly when you become a caregiver and stuff is definitely daunting. You know, my mom's got like some file that's a down an inch thick of all the things that

need to be taken care of both for my sister and for her, if things were to go into it. And it's just something you have to kind of plan for as you get older and you know, you're going to have to take care of family members. And I think more and more of the studies show that more and more families are taking care of their elderly loved ones at home. Yeah. And so it's more complex, especially when you need caregivers to come to the house to take care of everything between dementia care, Parkinson's, Alzheimer's. I've got friends that have Alzheimer's. Parents are taken care of. And it's tough.

It's tough to be a carrier in that case. You definitely see the science of it, too, because in the health economy, there was a company a few years ago. It was a wonderful idea of care pods, where they would put everything that you need literally like in a pod, and it would be there for you. That was a wonderful idea. But now we have groups like Care Academy where you can go online, and it's going to tell a family member,

what do you need to educate yourself on? What can you do to provide care for your loved one? Really? And it's a really great idea. I mean, it's, you know, and actually through Medicaid long-term care in a lot of states, they will pay a caregiver, a family member to be essentially a CNA because you can't, because they understand like, yeah, you're taking care of this person now. You're not really working. I can't really do this for myself.

Managed Medicaid companies will say, yeah, we will pay you as an employee for $18, $19 an hour. It's not a whole lot, but it's something at least. So we see that provision in a lot of states where they'll allow it for Medicaid long-term care individuals to stay home. It's a lot cheaper to do that. I would much rather do that as a state than to pay for long-term care in a nursing home. Yeah. I mean, there's a certain point where when it takes two or three people to shower you, lift you out of bed, put you in your chair and stuff, that you have to be in a facility.

But I know that no one wants to be in a – I mean, maybe there's some people who really love being in a hospital. Maybe they like the food or something. There are some individuals. You know, there's the cases we've worked on where the hospital's contacted us and the patient's been there for over a year. This patient has rights.

They had to be formally evicted at this time. Yeah, because if they're receiving mail, one of our first ideas for an advertisement was going to be to have a Roomba right because this patient we showed this this is back before COVID go would go to a hospital in person this patient

oh my god there's this there's this Roomba like rolling around the hospital like on the floor and stuff like that I was like that's really cool you guys have that for you know to keep the place clean and stuff like that and they're like shaking their head. It's like, what the fuck? Like I go into the guy's room and there's like Amazon boxes, like prime boxes stacked. Holy crap. The guy's just moved in, man. He's got a couch.

He says, yeah, I thought I would just like, you know, help, you know, keep the place clean. Been there for so long. He's got him a Roomba. He's got a Roomba. I guess there's people like that. Yeah. There's the more power that can be given to caregivers and families that go through this.

Cause it's a tough road and you know, it's, it's unfortunate where, where my mom can handle is retired so she can handle my sister's issues. But eventually they're going to, you know, I i'm gonna have to deal with them and you know the paperwork and the you know there's whatever the rules are for medicaid medicare i i still don't even understand what all that is i kind of have a relative idea but i kind of don't want to know at this point until i have to but i mean i i know it's important and stuff but until i have to but uh yeah let's not this show without knowing what that is i mean i i know it's important and stuff but you know it's but someday i'm gonna have to

navigate all this stuff and if there's something that can make that definitely easier and help me advocate because i've seen the importance of of if you if you don't have someone advocating, like I can tell you, if you have a loved one in a care center, you need to visit them on a, if not daily, like biweekly or weekly basis to check on their care. It's extraordinary some of the abuses that go on in care centers. So our facilities and our buildings, buildings unfortunately the vast majority of the residents didn't have anybody visiting them ever yeah and you know and and and it's it's very it's very troubling you know i might think to myself like you know i'm the freaking you know the business development guy you know and i'm the one that's sitting here with the patient with this with this guy here in the icu you know, who is a resident

in the family, there's, they're no, they're nowhere, you know, like type deal, not, not involved in it at all. They're like, yeah, let us know when, when he passes. Like, really? You know, it's like that, that, and so a lot of times the folks in nursing homes, they, I don't think y'all real, I mean, a lot of people realize that that's, that's their family. You know, it's, you know, it's, you know, it's Mike down the hall family you know it's you know it's you know it's mike down the hall you know when when my father passed away you know i i had to take a few days off of work and i

came back when the first person that visited me was you know was this gentleman mike and you know he just he just sat with me for a while and you know i i love him i miss him every day i i remember the day he passed away and that was a lot yeah it definitely is it's it's a tough thing that people go through and then and then on top of the sorrow and pain like you you talk about the loss you're trying to square that and then you've got you know selling selling the house if that's a factor you know accounts they're banking you know you've got to do the the whole state thing with the state and whatever that is the all you know all that all that i forget what it's called the the the thing where the state figures out how much they're going to take taxes on you and meanwhile you're just

like hey man i just lost you know one of the most important people in my life and i'm going through grief and and you know you want to stack all this crap on top of it you know so yeah the the some of the you know case managers are fantastic people when you're in the hospital that's your best friend when you're outside the hospital an elder law attorney an elder or family law law attorney, somebody who can do those trusts, who can do the Medicaid applications, that sort of stuff. I don't know what deal the devil that elder law attorneys made, but when they do a Medicaid application, typically when they're running it through the state, generally it's approved faster and it's right pretty much every time. I don't know what it is. You know, I would highly, I would highly recommend your listeners at least speak with a good

elder law attorney. It doesn't matter if you're years away from it or not. The other thing is, if you're like in that sandwich and you're having to take care of your parents or you're approaching the age and you're having to take care of your parents, you have your kids, you kind of need to lay down the law and just sit there and say, what level of my life am I to sacrifice in order for you to maintain your current

standard of living? What are we looking at here? We actually offer that conversation. We'll have that with your family, usually free of charge. It was if it's a mom or dad, it isn't quite getting that, you know, type deal. But, you know, that's really a conversation that the kids should be having with their with their with their family or something. And just you got to put it down very bluntly. What what is it?

What does it look like? You know where where do we have to be at do you have to be like you know you know in a wheelchair you know all the time you know and having having your diaper changed what is it you know and once you have that and as tough as it is once you have that information you know where that line is at they make them stick to it right and say okay this is this is what it is all right and and when we and yeah you fell last week or something like that or you left the stove on you know type deal okay let's you know we're going to start looking at plan b now you know and that's i mean you don't put it that bluntly to them but you know that that's we're all on the same page yeah everyone thinks everything's gonna be fine and that shit

ain't gonna be fine i'm telling you it is not it gets it's really rough yeah and so the more support you can give do you guys see yourself developing other uh variations or other silos in the ai segment of dealing with some maybe some of the other issues that we have or you yeah you know because especially it'd be much more beneficial to have somebody, you know, they could just go on and just chat with an AI system and say, you know, they would come to ATP Healthcare or something like that.

And what we're working on is just having a system for chat where they could just answer the questions they need, point them in the right direction, and then allow them to move on. You know, if it's, you know, I need assisted point them in the right direction, and then allow them to move on. You know, if it's, you know, I need assisted living, you know, recommendations for my 86-year-old grandmother who has X, Y, and Z, having that in place and this is okay, this is what you need. These are your options within 25 miles of your zip code, that sort of stuff. And, you know, it's pretty straightforward to do that.

What you would want to do is make sure that the system was a HIPAA compliant. We're not going to be, you know, anybody's going to be able to scrape information off of it. But the other thing is, you also want to make sure you go one step further and put the families in contact with the appropriate individuals, whether it be an elder law group, whether it be somebody who works on Medicaid specifically or whatever it may be, and that sort of stuff, just so that they have the resources and also be able to sit there and coach them through if they want to sit there and say,

hey, I want to do Medicaid on my own, and I'll have the money to afford for a specialist, say, okay, this is what you're going to need for Medicaid. This is the site, and this is how you need to be answering these questions. Most definitely. I mean, hopefully the AI can just change the whole mode of healthcare and

streamline it if it's even possible. Yeah, that's something actually we're working on on the ATP healthcare side. The AI platform is actually under a new code because we are a partnership. But, yeah, the ATP Healthcare is working on that. Because, yeah, it's, I mean, like I said before earlier, most of the phone calls are just pointing people in the right direction.

People are pretty smart. There you go. Mark Billings says, nice job, Tim, from your audience. So there you go. He's a good guy. Timothy, give us a final pitch out dot coms where people can find you on the interwebs yeah so if you're a hospital patient or even a family member you have any questions about the placement or post-acute care needs feel free to give us a feel

free to reach out to us this business at atbhealthcare.com. There you go. Our fax line is a secure fax line for hospitals. We are on Careport and that makes it pretty easy to communicate with us. Is that one of those HIPAA things where it's... Yeah, I don't want anybody sending me patient information on our

website. Don't do that. No, no, no, no, no. I tried to get my blood work emailed to me recently and they were like, no, I can't do that. We have to, no, no, no. I tried to get my blood work emailed to me recently and they were like, no, I can't do that. We have to add it to you. I'm like, seriously, it's 2023, but I get it. Yeah. Yeah. What are you going to do? I mean, I'm like, is anybody, what, is there someone trying to steal my blood work? I don't think they want it. My blood work came out green and they said I was an alien. So we're looking into it. It came out.

Hey, so surprising. It doesn't cause I actually eat a lot of case. I love case. So, so there you go. Thank you very much, Tim, for coming on the show. We really appreciate it. Oh, thank you. Thank you so much for having me.

It was a great time. Yeah. Great discussion about AI and man, you give me hope that, you know, right before AI kills us and destroys us, terminator style, it can help us save on our health code bills. Yeah.

Let's put it nowhere to put us. Put them all in the hospitals. AI will be putting me in a rubber room. I got a special place for you. They'll be putting me in a rubber room. Yeah. Put them in a rubber room. One flows over the cuckoo's nest. So thank you, Tim, for coming on the show. place for you. They'll be putting me in a rubber room. Yeah, put them in a rubber room. One flows over the cuckoo's nest.

So thank you, Tim, for coming on the show. Thanks for tuning in. Go to goodreads.com, ForrestSchrissFoss, LinkedIn.com, ForrestSchrissFoss. Subscribe to the big LinkedIn newsletter. That thing is crazy in its growth. And also our 130,000 group on LinkedIn. Go to ChrisFoss1 on Tickety-Tockety

and ChrisFossFacebook.com. Thanks for tuning in. Be good to each other. Stay safe. And we'll see you guys next time.