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January 2012. Sure. We agree in partnership with blue shield that number is lower than we expect to see we dont understand the sever decreases in that so were undergoing an investigation right now we have not completed that but we intended to bring that back to the board. Thank you. Its just a hypothesis but we have several services that went and coordinated with the medical group. If its real its incredible but were not having as much duplication because there are other facilities that maybe involved but it maybe premature but the hypothesis is that the other systems that l have long been int...

Care and overall one of the things is the urgent care is onehundred and 56 visits power thousands and the c e os are experiencing higher visits. Moving on the cost of Outpatient Services one of the things a thats nice to see is the the surgical procedure costs reduced. And overall youll notice that United States outpatient costs has gone down 9. 7 percent and the main driving drivers are the surgical costs and this 313 decreases translates to approximately 1. 4 million for the trust fund. We then look at are our services being used. Were looking at the professional procedures per thousand if y...

Other systems that l have long been integrated yeah. A bit of history maybe work out discussing for a moment when i you were i was an intern in the hospital we checked labs on everyone everyday we didnt care about costs and over time if somebody was the the hospital you reorder those labs and you dont think about them everyday. So i move if everybody is normal i dont need to check it everyday. So i know that working between unsaturate and uc f if i send someone a blue shield patient to say a specialist they what to redo the sample because they trust their lab. I think the majority of the tests...

The cost per script has decreasesed. The cost percent month has drivers side 8. 8 percent but has gone to go back up at the rate of 3. 5 percent. Industry trends is between four and five percent so your clearly demonstrating a reduction and your judicial notice dispensing rate has gone down you will notice that comparing your prior period to this period theres been a doctors about 15. 3 percent and really what youll notice there hasnt been a change in the number of patient i mean 506 but youll see theres been a significant decreases in the number of complainants 53 vertigos 678 is rejected in ...

The board. Thank you. Its just a hypothesis but we have several services that went and coordinated with the medical group. If its real its incredible but were not having as much duplication because there are other facilities that maybe involved but it maybe premature but the hypothesis is that the other systems that l have long been integrated yeah. A bit of history maybe work out discussing for a moment when i you were i was an intern in the hospital we checked labs on everyone everyday we didnt care about costs and over time if somebody was the the hospital you reorder those labs and you don...