Telehealth Back Office Outsourcing Services (Managed)

Managed Telehealth Back Office Services: Scale Patient Care, Not Overhead

Stop letting administrative chaos drain your resources. Our AI-enabled, HIPAA-compliant back office teams integrate with your EMR to cut operational costs by up to 60% and eliminate revenue cycle leakage.

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Operational Excellence

Scale Patient Care, Not Overhead.

Stop letting administrative chaos drain your resources. Our AI-enabled, HIPAA-compliant back office teams integrate with your EMR to cut operational costs by up to 60% and eliminate revenue cycle leakage.

As telehealth becomes a permanent fixture in healthcare, the administrative burden grows exponentially. Your team is likely drowning in a sea of patient scheduling, insurance verifications, coding, billing, and claim denials. This administrative drag doesn't just inflate your costs; it pulls your clinical staff away from patient care and creates revenue leaks that silently kill your margins.

Our Strategic Commitment

We provide a dedicated, managed back-office team that plugs directly into your practice. We take 100% of the administrative weight off your shoulders, allowing you to focus on what you do best: delivering excellent patient care while our AI-augmented processes handle the complexity behind the scenes.

TRUSTED BY GLOBAL LEADERS
Boston Consulting Group
Nokia
UPS
eBay
Careem
Amcor
World Vision
CMMI 5 Accredited
ISO 27001 Certified
ISO 9001:2015 Certified
SOC 2 Accredited
PCI DSS Accredited
Microsoft Gold Certified Partner
Google Cloud Partner
Boston Consulting Group
Nokia
UPS
eBay
Careem
Amcor
World Vision
CMMI 5 Accredited
ISO 27001 Certified
ISO 9001:2015 Certified
SOC 2 Accredited
PCI DSS Accredited
Microsoft Gold Certified Partner
Google Cloud Partner

Is Your Back Office Holding Your Practice Back?

If these challenges look familiar, you're not alone. Telehealth providers are facing a perfect storm of rising patient expectations and shrinking margins. The culprit is often an inefficient back office.

Revenue Cycle Leakage

Coding errors, claim denials, and slow A/R follow-up mean you're not collecting the money you've earned. Every percentage point in lost revenue adds up to tens or hundreds of thousands of dollars a year.

Inability to Scale

Each new patient adds more administrative work. Hiring in-house staff is slow and expensive, creating a bottleneck that caps your growth and prevents you from meeting patient demand.

Compliance & Security Risks

Managing HIPAA/HITECH compliance with a stretched-thin team is a constant worry. A single data breach or compliance slip-up can lead to crippling fines and irreparable damage to your reputation.

Clinician Burnout & Distraction

When administrative tasks spill over, your highly-paid clinical staff end up handling paperwork instead of patients. This drives burnout, reduces job satisfaction, and is a deeply inefficient use of resources.

It doesn't have to be this way. See how our managed model solves these problems from day one.

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Why Choose LiveHelpIndia for Your Telehealth Back Office?

Ironclad Security & Compliance

We are SOC 2, ISO 27001, and CMMI Level 5 certified. Your patient data is protected by enterprise-grade security protocols and our staff undergo continuous, rigorous HIPAA training, eliminating your compliance burden.

AI-Powered Accuracy

Our human-led teams are augmented by AI tools that validate data, flag potential coding errors, and predict claim denials before they happen. This results in a clean claims rate of over 98.5%, maximizing your revenue.

Seamless EMR Integration

Our teams are experts in all major EMR/EHR platforms (Epic, Cerner, Athenahealth, etc.). We work directly within your existing systems as a secure, remote extension of your team, requiring zero changes to your clinical workflow.

Dedicated Expert Teams

You get a hand-picked team of specialists—not generalists—who are 100% dedicated to your practice. They understand your specialty and workflows, led by a US-based account manager who ensures perfect alignment.

Radical Cost Reduction

By leveraging global talent and operational efficiencies, we reduce your back-office operating costs by up to 60% compared to the fully-loaded cost of an in-house team. This is a direct boost to your bottom line.

Total Operational Transparency

With real-time dashboards and daily performance reports, you have complete visibility into your back-office operations. Track KPIs like A/R days, denial rates, and patient scheduling times without getting bogged down in management.

Scale On-Demand

Need to handle a surge in patient volume? We can scale your team up in days, not months. Need to adjust for a slow period? We can scale down just as easily. You only pay for the resources you need.

Focus on Patient Care

By offloading 100% of the administrative burden to us, you free your clinical staff to focus exclusively on patient outcomes. This improves care quality, boosts staff morale, and enhances your practice's reputation.

Proven Process Maturity

Our CMMI Level 5 appraisal means our processes are not just documented, but are continuously optimized through statistical analysis. This ensures consistent, predictable, and high-quality outcomes for your practice.

Comprehensive Telehealth Back Office Services

We provide a full-spectrum, managed back-office solution designed to eliminate administrative bottlenecks, improve revenue cycle performance, and allow your clinical team to focus 100% on patient care.

Patient Scheduling & Appointment Management

We manage your entire appointment lifecycle, from initial booking and rescheduling to sending reminders. Our team ensures your providers' schedules are optimized and patient no-show rates are minimized.

  • Reduce patient no-show rates by up to 25%.
  • Optimize provider schedules for maximum utilization.
  • Improve patient satisfaction with prompt, professional communication.

Insurance Eligibility & Benefits Verification

Before every appointment, we verify patient insurance coverage and benefits in real-time. This proactive step prevents downstream claim denials and ensures patients understand their financial responsibility upfront.

  • Eliminate eligibility-related claim denials.
  • Increase point-of-service collections.
  • Enhance transparency for patients.

Medical Coding & Charge Entry

Our certified coders (AAPC, AHIMA) translate provider documentation into accurate medical codes. AI-assisted tools double-check for accuracy and compliance, ensuring claims are coded to the highest level of specificity.

  • Ensure coding compliance and reduce audit risk.
  • Maximize reimbursement with accurate and specific coding.
  • Decrease coding-related denials by over 90%.

Claims Submission & Clearinghouse Management

We manage the entire claims submission process, scrubbing each claim for errors before it goes to the clearinghouse. This meticulous process results in a first-pass clean claim rate of over 98.5%.

  • Accelerate payment velocity significantly.
  • Reduce administrative rework from rejected claims.
  • Gain visibility into the entire claims lifecycle.

Denial Management & Proactive Appeals

We don't just manage denials; we analyze their root causes to prevent them from recurring. Our specialists aggressively work every denied claim, submitting appeals with supporting documentation to recover revenue.

  • Recover up to 70% of previously denied claims.
  • Identify and fix root causes of denials.
  • Reduce your overall denial rate month-over-month.

Payment Posting & Reconciliation

We accurately and promptly post all payments, whether from payers (EOBs/ERAs) or patients. Our automated and manual reconciliation processes ensure your accounts are always balanced.

  • Ensure accurate and timely revenue attribution.
  • Quickly identify and resolve underpayments.
  • Maintain a clear view of your practice's financial health.

Patient Billing & Inquiries Support

Our team serves as the primary point of contact for all patient billing questions. We provide clear, empathetic, and professional support, helping patients understand their statements and payment options.

  • Improve the patient financial experience.
  • Reduce the administrative burden on your front-desk staff.
  • Increase on-time patient payments.

Accounts Receivable (A/R) Follow-up

Our dedicated A/R team systematically follows up on all outstanding claims and patient balances. We prioritize accounts by age and value to ensure consistent cash flow.

  • Reduce A/R days by an average of 30-40%.
  • Improve cash flow consistency and predictability.
  • Minimize revenue loss from aging accounts.

Telehealth Platform Administrative Support

We handle the administrative side of your telehealth platform, including setting up virtual waiting rooms, managing user accounts, and ensuring session data is correctly logged in the EMR.

  • Free up clinical staff from platform admin tasks.
  • Ensure a smoother technical experience for patients.
  • Maintain data consistency between platforms.

EMR/EHR Data Entry & Management

Our team handles high-volume, critical data entry tasks within your EMR/EHR, such as uploading patient records, transcribing notes, and managing referral documents.

  • Ensure patient records are always current and accurate.
  • Reduce the data entry workload for your clinical team.
  • Improve data quality for reporting and analytics.

Prior Authorization & Referrals Management

We manage the time-consuming process of obtaining prior authorizations for procedures and medications. Our team also handles the end-to-end referral process, ensuring continuity of care.

  • Prevent authorization-related claim denials.
  • Reduce patient wait times for specialized care.
  • Eliminate a major administrative headache for your staff.

Provider Credentialing Services

We handle the entire credentialing and re-credentialing process for your providers with various insurance payers, ensuring your practice can be reimbursed without delays.

  • Accelerate the onboarding of new providers.
  • Prevent revenue loss due to credentialing issues.
  • Maintain compliance with all payer requirements.

Custom Reporting & Performance Analytics

We go beyond standard reports to provide you with custom analytics on the KPIs that matter most to your practice, giving you visibility into your performance.

  • Gain actionable insights into your financial performance.
  • Make data-driven decisions to optimize operations.
  • Track progress against your business goals.

Virtual Medical Scribe Services

Our remote scribes join patient encounters virtually to handle real-time documentation directly in the EMR, allowing providers to focus completely on the patient.

  • Reduce provider documentation time by up to 75%.
  • Improve the quality and detail of clinical notes.
  • Combat clinician burnout and increase job satisfaction.

HIPAA Compliance Support & Auditing

We act as your compliance partner, helping you manage documentation, conduct risk assessments, and stay up-to-date with evolving HIPAA/HITECH regulations.

  • Strengthen your overall compliance posture.
  • Simplify preparation for potential HIPAA audits.
  • Gain peace of mind knowing your back office is compliant.
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Our Managed Process: From Chaos to Control in 4 Steps

We've refined our onboarding to be fast, secure, and non-disruptive. Our goal is to get you fully operational with your new team in under three weeks, providing value from day one.

Step 01

Discovery & Workflow Mapping

We start with a deep-dive session to understand your practice, specialty, workflows, and existing EMR/tech stack. We map your current processes to identify bottlenecks and opportunities for immediate improvement. This forms the blueprint for your dedicated team's operations.

Step 02

Team Assembly & System Training

Based on the blueprint, we assemble your dedicated team of specialists (billers, coders, schedulers). We then train them rigorously on your specific processes and EMR instance in a secure sandbox environment, ensuring they are productive from the moment they start.

Step 03

Secure Integration & Go-Live

We establish secure, role-based access to your systems through encrypted VPNs. We then 'go live', often running in parallel with your existing process for a short period to ensure a seamless transition. Your dedicated US-based account manager oversees the entire process.

Step 04

Continuous Optimization & Reporting

Your team is now fully operational. You receive daily performance reports and have access to a real-time dashboard. We hold weekly or bi-weekly check-ins to review KPIs and proactively identify opportunities to further optimize your revenue cycle and administrative efficiency.

The Right Model Makes All the Difference

Choosing how to run your back office is a critical decision. Here’s a transparent look at how a managed service model compares to traditional alternatives.

Factor In-House Team Freelancers / Contractors LiveHelpIndia Managed Service
Total Cost High (salaries + benefits, taxes, IT, office space) Variable & unpredictable; often high hourly rates Up to 60% lower; fixed, predictable monthly cost
Security & HIPAA Compliance Your full responsibility; difficult to maintain High risk; variable protocols, difficult to audit Built-in; SOC 2, ISO 27001 certified, fully auditable
Scalability Slow and expensive; requires lengthy hiring process Difficult to scale quickly or for complex roles On-demand; scale team up or down in days
Management Overhead Very high; direct management, HR, payroll, training High; requires managing multiple individuals Zero; includes dedicated management and QA
Expertise & Quality Dependent on hiring; specialists are expensive Inconsistent quality; no standardized process High; dedicated specialists with AI-powered QA process
Technology & Tools You bear the full cost of all software and tools Bring their own tools, creating system fragmentation Includes access to our AI and automation toolset

What Our Partners Say

Avatar for Lauren Gentry

"The level of detail in their process is incredible. They identified revenue leaks we didn't even know we had. Our A/R is cleaner than it has ever been, and my team can finally focus on patient experience instead of chasing down claims."

Lauren Gentry

Operations Director, Thrive Specialty Clinics

Healthcare • 150 Employees, USA
Avatar for Samuel Gordon

"As a CFO, I look at the numbers. The 60% cost saving is real, but the true value is in the predictability. I know exactly what my back-office costs are each month, and our cash flow has improved dramatically. Their transparency is refreshing."

Samuel Gordon

CFO, NextGen Virtual Health

HealthTech • 75 Employees, USA
Avatar for Rachel Manning

"As a founder, I have to wear many hats. LiveHelpIndia took the entire billing and scheduling hat off my head. It's allowed me to focus on growing the business and recruiting more therapists. I couldn't have scaled this fast without them."

Rachel Manning

Founder, Mindful Path Therapy

Mental Health • 20 Employees, USA
Avatar for Thomas Lamb

"My primary concern was security and integration with Epic. The LiveHelpIndia team came prepared with their SOC 2 report and a detailed integration plan. The process was smooth, secure, and they operate as a trusted extension of our own IT environment."

Thomas Lamb

IT Director, Mid-Atlantic Medical Group

Healthcare • 800 Employees, USA
Avatar for Veronica Dale

"We were hesitant about an offshore team, but the communication has been flawless. Our dedicated team lead is available every morning our time for a quick huddle. They are more responsive than our previous local billing company."

Veronica Dale

Practice Manager, Evergreen Dermatology

Healthcare • 40 Employees, Australia
Avatar for Warren Doyle

"LiveHelpIndia's ability to provide a multi-lingual support team for patient billing inquiries across the UK, Germany, and France was a game-changer for us. They handle the complexity of cross-border billing with professionalism and accuracy."

Warren Doyle

CEO, Digital Diagnostics Inc.

HealthTech • 120 Employees, EMEA

Flexible Engagement Models Tailored to Your Growth

We understand that one size does not fit all. Choose the engagement model that aligns perfectly with your current operational needs, budget, and growth strategy.

Dedicated Team Model

Ideal for: Mid-sized to large practices needing a fully managed, scalable back-office solution.

  • A hand-picked team 100% dedicated to your practice.
  • A US-based Account Manager and onshore/offshore Team Lead.
  • Comprehensive QA, reporting, and performance management.
  • Full integration with your EMR, CRM, and communication tools.

Timeline: Full team operational in 2-4 weeks.

Commercials: Fixed monthly fee per team member. Significant savings over in-house.

Support Pod Model

Ideal for: Startups and smaller clinics needing to augment their existing team for specific functions.

  • A small, dedicated team (2-5 members) focused on specific tasks like scheduling or A/R follow-up.
  • Shared Account Management.
  • Daily performance reporting.
  • Flexibility to scale up to a dedicated team model as you grow.

Timeline: Pod operational in 1-2 weeks.

Commercials: Fixed monthly fee for the pod. A cost-effective way to access specialized talent.

Project-Based Services

Ideal for: Practices needing help with a one-time, specific challenge.

  • A temporary team of specialists to tackle a defined project.
  • Common projects include: A/R cleanup of aged accounts, credentialing for a new provider group, or clearing a backlog of data entry.
  • Clear project scope, timeline, and deliverables.

Timeline: Varies by project scope (e.g., 60-90 days for A/R cleanup).

Commercials: Fixed fee for the entire project. Clear ROI.

Proven Outcomes: Real-World Results

Mental & Behavioral Health

Mid-Sized Behavioral Health Group Reduces A/R Days by 42% with a Managed Back Office

Overview: A multi-state behavioral health group with 15 locations and over 80 providers was struggling with a decentralized and inefficient revenue cycle. Each office handled its own billing, leading to inconsistent processes, high denial rates, and an average A/R of 65 days. They needed to standardize operations and improve cash flow without disrupting patient care.

Key Challenges:

  • Inconsistent billing and coding practices across 15 locations.
  • A high denial rate of 18% due to eligibility and coding errors.
  • Average Accounts Receivable (A/R) aging of 65 days, hurting cash flow.
  • Administrative burden on Practice Managers, distracting them from core duties.

The Solution: LiveHelpIndia deployed a dedicated 12-person managed team to centralize the entire revenue cycle. First, we conducted a full audit and created a standardized best-practice workflow for all locations. The team, trained on the client's specific EMR, took over all eligibility verification, coding, claims submission, and A/R follow-up. We implemented AI-powered claim scrubbing to catch errors before submission. Finally, we provided the COO with a real-time dashboard to track performance across all locations from a single screen.

Measurable Outcomes:

  • Reduced average A/R days from 65 to 38 (a 42% improvement).
  • Lowered the overall claim denial rate from 18% to just 2.5%.
  • Increased monthly cash collections by 22% within the first six months.
"The transformation was night and day. LiveHelpIndia didn't just take over our billing; they re-engineered it. Our cash flow has never been more predictable, and our denial rate fell off a cliff. Our practice managers can now focus on supporting our therapists and patients, which was the entire goal."
Paige Ford
Chief Operating Officer, Serenity Wellness Group
Virtual Primary Care

Telehealth Startup Scales Patient Onboarding by 300% While Maintaining a Lean In-House Team

Overview: A venture-backed primary care startup was experiencing explosive growth after a successful launch in three states. Their small in-house team of two administrators was completely overwhelmed with patient scheduling, insurance verification, and handling inquiries. This created long wait times for new patients and threatened to derail their growth trajectory. They needed to scale their administrative capacity immediately without the high cost and long timeline of direct hiring.

Key Challenges:

  • Inability to handle a 300% increase in new patient inquiries.
  • A 48-hour+ delay in responding to new appointment requests.
  • Risk of burning out their small, critical administrative team.
  • Lack of a systematic process for insurance eligibility verification.

The Solution: We deployed a 5-person 'Patient Support Pod' within one week. This team was tasked with managing all inbound patient scheduling requests via phone, email, and webform. They were trained to perform real-time insurance verification for every new patient. The pod integrated directly with the startup's CRM and EMR, logging all interactions and ensuring a seamless handoff to the clinical team. They provided 24/7 coverage, eliminating response delays.

Measurable Outcomes:

  • Increased new patient onboarding capacity by 300% in 90 days.
  • Reduced average new patient response time from 48 hours to under 1 hour.
  • Achieved a 99.5% accuracy rate on pre-appointment insurance verifications.
"We were growing so fast that our admin function was about to break. LiveHelpIndia gave us a scalable 'admin engine' overnight. We were able to triple our patient intake in one quarter with the same two-person team in-house. They are a critical partner for any high-growth healthcare company."
Zachary Ellis
Founder & CEO, ConnectCare Virtual
Hospital & Healthcare System

Large Hospital System Centralizes Telehealth Billing, Saving $800k in Annual Operational Costs

Overview: A regional hospital system with a rapidly expanding telehealth service line across multiple departments (cardiology, neurology, primary care) faced significant operational challenges. Each department had its own billing staff and processes, leading to massive inefficiencies, compliance risks, and high overhead. The CFO mandated a project to centralize telehealth RCM to cut costs and improve performance.

Key Challenges:

  • Fragmented billing processes across five different departments.
  • High operational costs exceeding budget by 15%.
  • Inconsistent compliance with telehealth-specific payer rules.
  • Lack of centralized reporting and visibility for leadership.

The Solution: We proposed a phased centralization project. A 25-person managed team was created to serve as the central RCM hub for all telehealth services. We worked with each department's stakeholders to map their unique requirements and build a unified workflow. Leveraging RPA bots, we automated charge entry from the EMR and payment posting. The team provided consolidated, department-specific reporting to leadership, offering unprecedented visibility into the entire service line's performance.

Measurable Outcomes:

  • Realized annual operational cost savings of over $800,000.
  • Standardized all telehealth billing, ensuring 100% payer rule compliance.
  • Improved the overall clean claims rate for telehealth services to 99%.
"LiveHelpIndia brought the process, security, and scale we needed to make our telehealth expansion financially viable. Their CMMI Level 5 and SOC 2 certifications gave our CIO and compliance officers immediate confidence. The $800,000 in savings is a real number that has allowed us to reinvest in patient-facing technology."
Quentin Carter
CFO, Oakridge Regional Health System

Your Future-Proof Back Office: Our AI & Automation Roadmap

Outsourcing shouldn't just be about labor. It should be about leveraging technology to create compounding efficiencies. We are committed to investing in AI and automation to ensure your back office becomes smarter, faster, and more cost-effective every year.

TodayTomorrowAutonomous

What We Do Today: AI-Augmented Operations

AI-Powered Claim Scrubbing

Our proprietary algorithms analyze every claim against a massive database of payer rules and historical denial data, flagging potential errors for human review before submission. This is a key driver of our 98.5%+ clean claim rate.

RPA for Data Automation

We use Robotic Process Automation (RPA) bots to handle repetitive, rule-based tasks like payment posting and data transfer between systems. This eliminates human error, operates 24/7, and frees up our specialists for higher-value work like denial analysis.

Predictive Denial Analysis

Our machine learning models identify patterns in your denials to predict which claims are most likely to be rejected. This allows our A/R team to prioritize their efforts and proactively gather necessary documentation.

Where We're Going: Towards Autonomous Operations

Autonomous Medical Coding

We are developing AI agents that can read clinical documentation and suggest the most accurate ICD-10 and CPT codes with minimal human oversight, further increasing speed and accuracy.

Generative AI for Appeals

Our future systems will use generative AI to automatically draft compelling appeal letters for denied claims, complete with references to payer policies and medical necessity guidelines, for a human to approve.

Conversational AI for Patient Support

We are building sophisticated voice and chat bots that can handle a wide range of patient inquiries regarding scheduling and billing, providing instant, 24/7 support and escalating to a human agent only when necessary.

Frequently Asked Questions

Everything you need to know about scaling your telehealth practice with a managed, AI-enabled back office partner.

How do you ensure HIPAA compliance with an offshore team?

Compliance is our foundation. We are SOC 2 and ISO 27001 certified, with strict protocols including: 1) End-to-end data encryption. 2) Secure, access-controlled facilities with no personal devices allowed. 3) Continuous, mandatory HIPAA training and testing for all employees. 4) All work is done on secure, company-owned hardware through encrypted VPNs. 5) Regular third-party audits. We provide a Business Associate Agreement (BAA) with all clients.

What EMR/EHR systems can you work with?

We are system-agnostic and have experience with virtually every major EMR/EHR and practice management system on the market, including Epic, Cerner, Athenahealth, Allscripts, eClinicalWorks, Kareo, AdvancedMD, and many more. Our implementation process includes specific training on your instance of the software.

How do we communicate with our dedicated team?

Your team functions as a direct extension of your own. We integrate into your preferred communication channels, whether it's Slack, Microsoft Teams, email, or scheduled calls. You will have a dedicated, US-based account manager as your primary point of contact, as well as a team lead who can provide daily updates.

What is the typical cost savings we can expect?

Most of our clients see a reduction in their total back-office operational costs of 40-60%. This calculation includes not just the salaries of in-house staff but also the 'fully-loaded' costs: benefits, payroll taxes, recruitment fees, IT support, office space, and management overhead. We can provide a detailed cost-benefit analysis for your specific practice.

How long does it take to get started?

Our standard onboarding process is designed to be fast and efficient. For a Support Pod, we can be operational in 1-2 weeks. For a larger Dedicated Team, we are typically fully integrated and operational within 3-4 weeks from the signing of the agreement. The process is designed to be non-disruptive to your current operations.

What if a team member isn't a good fit?

We offer a free replacement guarantee. While we have a rigorous vetting and training process with a 95%+ retention rate, if any member of your dedicated team is not meeting your expectations, we will replace them quickly and at no additional cost to you, ensuring a seamless knowledge transfer.

How do you handle rapid changes in patient volume?

We leverage an AI-streamlined onboarding and resource management process to scale your team up or down within 48-72 hours. This agility ensures you are never over-staffed during slow periods or under-resourced during growth spurts, maintaining your operational performance regardless of volume fluctuations.

Do we retain full control and ownership of our patient data?

Yes. You maintain 100% data sovereignty. Our services are provided under strict NDAs and Business Associate Agreements (BAA). We operate as a secure, remote extension of your practice, not a third-party data owner. Your data remains in your systems, under your control at all times.

How is accuracy and performance measured?

We use a multi-layer QA process: 100% of claims are audited by AI tools, and a high-percentage sample is manually audited by our quality leads. We report daily on KPIs including clean claim rates, denial rates, and turnaround times, giving you total transparency into the performance of your back office.

Will this disrupt our existing clinical workflows?

Absolutely not. We design our integration to mirror your current, successful workflows. We train our teams on your specific instance of your EMR and your established protocols, ensuring the only difference you notice is increased efficiency, reduced overhead, and more time for your clinical staff to focus on patients.