1 00:00:01,880 --> 00:00:04,080 Speaker 1: I'll get our team. Welcome to another installment of the show. 2 00:00:04,080 --> 00:00:09,240 Speaker 1: Tiffany and Cooker's over there in HQ typ HQ all 3 00:00:09,320 --> 00:00:12,040 Speaker 1: the letters. You're looking very rugged up. 4 00:00:12,039 --> 00:00:15,000 Speaker 2: Are you cold over there? Actually I'm a bit warm. 5 00:00:15,040 --> 00:00:16,079 Speaker 2: I've got the heater on too. 6 00:00:16,120 --> 00:00:18,880 Speaker 3: I've got two jackets, one's very wooly, and the heater 7 00:00:18,960 --> 00:00:19,599 Speaker 3: is on next to me. 8 00:00:19,680 --> 00:00:21,919 Speaker 2: But yeah, yeah, I'm a bit warm. 9 00:00:22,520 --> 00:00:25,000 Speaker 1: Well, a lot of people as they get older, you know, 10 00:00:25,160 --> 00:00:28,280 Speaker 1: and hit the menopause, as you've been talking about a lot. 11 00:00:28,640 --> 00:00:31,520 Speaker 1: I mean, oh, sorry, the Perry menopause, the change of life, 12 00:00:31,560 --> 00:00:33,839 Speaker 1: you know. And don't send me an email. She's been 13 00:00:33,880 --> 00:00:38,080 Speaker 1: talking about it. Adnaws him. It's probably you'll probably get 14 00:00:38,200 --> 00:00:40,120 Speaker 1: chill blades. I don't know what they are, but my 15 00:00:40,240 --> 00:00:43,200 Speaker 1: mum used to talk about those. Have you got cold 16 00:00:43,240 --> 00:00:44,400 Speaker 1: fingers and toes? 17 00:00:44,560 --> 00:00:46,400 Speaker 4: I've always had cold fingers and toes. 18 00:00:46,440 --> 00:00:48,920 Speaker 2: Maybe I was born in the menopause. 19 00:00:49,600 --> 00:00:53,640 Speaker 1: Maybe hey, I think James is blushing. He doesn't like 20 00:00:53,720 --> 00:00:56,720 Speaker 1: to talk about such such issues and topics. 21 00:00:57,800 --> 00:01:00,440 Speaker 2: Well, you just stay rugged up. Have you got ug 22 00:01:00,440 --> 00:01:00,880 Speaker 2: boots on? 23 00:01:01,240 --> 00:01:01,320 Speaker 5: No? 24 00:01:01,440 --> 00:01:04,880 Speaker 2: I don't have got runners on. That's of course you 25 00:01:05,000 --> 00:01:07,000 Speaker 2: have just in case you've got to get away quick. 26 00:01:07,120 --> 00:01:07,880 Speaker 2: Always ready. 27 00:01:08,400 --> 00:01:11,880 Speaker 1: Always take the corner table and the corner chair, so 28 00:01:11,920 --> 00:01:14,360 Speaker 1: you've got your back to nothing. I tell you who 29 00:01:14,520 --> 00:01:17,759 Speaker 1: needs to take the corner table because he's been ruffling 30 00:01:17,840 --> 00:01:19,039 Speaker 1: governmental feathers. 31 00:01:20,280 --> 00:01:22,200 Speaker 2: What the feather ruffler. 32 00:01:23,040 --> 00:01:25,400 Speaker 1: I'm a bit nervous to even do this podcast because 33 00:01:25,440 --> 00:01:27,199 Speaker 1: the briefing that I got before Tive. 34 00:01:27,920 --> 00:01:30,399 Speaker 2: I don't want to put you or me in harm's way. 35 00:01:30,840 --> 00:01:33,640 Speaker 1: I mean, I'm going to have to sleep with one 36 00:01:33,640 --> 00:01:36,480 Speaker 1: eye open from the day this goes to air. 37 00:01:36,520 --> 00:01:40,520 Speaker 2: But nonetheless, because we're all about the facts here we are, 38 00:01:40,840 --> 00:01:42,400 Speaker 2: I might cut me out of the edit. 39 00:01:42,520 --> 00:01:46,919 Speaker 3: And you're the only one. 40 00:01:47,240 --> 00:01:50,240 Speaker 1: You're the only one who can actually fight. You need 41 00:01:50,280 --> 00:01:52,720 Speaker 1: to just when I go to war. You're just walking 42 00:01:52,760 --> 00:01:53,640 Speaker 1: two meters. 43 00:01:53,360 --> 00:01:57,640 Speaker 2: In front of me. Don't worry about that. James Gillespie, 44 00:01:57,720 --> 00:02:00,720 Speaker 2: Welcome back to the show, my friend. How are you good? Good? 45 00:02:00,720 --> 00:02:02,720 Speaker 3: Thanks for having me Bauck Crog. You like it? 46 00:02:02,800 --> 00:02:05,240 Speaker 2: How I've thrown you under the bus before we even start. 47 00:02:05,800 --> 00:02:07,040 Speaker 3: I'm used to it by now, Craig. 48 00:02:09,240 --> 00:02:11,600 Speaker 2: How is it under there? How is it under that? 49 00:02:11,840 --> 00:02:14,080 Speaker 4: So basically building a house I had to hear at 50 00:02:14,080 --> 00:02:14,520 Speaker 4: this point. 51 00:02:16,240 --> 00:02:17,959 Speaker 2: Welcome back to life under the Bus. 52 00:02:18,040 --> 00:02:21,880 Speaker 1: I'm James Gillestie with my new podcast Life Under the 53 00:02:21,919 --> 00:02:27,520 Speaker 1: Bus courtesy of Harps. All Right, so it's been there's 54 00:02:27,560 --> 00:02:30,919 Speaker 1: been a few interesting goings on over the last month 55 00:02:31,040 --> 00:02:35,360 Speaker 1: or two on Planet You. We wanted to have a 56 00:02:35,440 --> 00:02:37,320 Speaker 1: chat about a few things. 57 00:02:37,440 --> 00:02:38,440 Speaker 2: So why don't you. 58 00:02:39,600 --> 00:02:44,679 Speaker 1: Try to distill in Craig and Tiff friendly language so 59 00:02:44,720 --> 00:02:45,840 Speaker 1: we can understand it. 60 00:02:47,560 --> 00:02:48,480 Speaker 2: What's been going on? 61 00:02:49,520 --> 00:02:52,800 Speaker 3: Well, the big thing in the healthcare space. 62 00:02:52,560 --> 00:02:56,239 Speaker 4: Over the last pretty much since February has been bulk billing. 63 00:02:56,520 --> 00:02:59,440 Speaker 4: Everyone's been talking about bulk billing and the reason behind 64 00:02:59,480 --> 00:03:02,480 Speaker 4: that is on the twenty third of February, just before 65 00:03:02,919 --> 00:03:05,560 Speaker 4: the election was called, the Health Minister came out and said, look, 66 00:03:05,560 --> 00:03:08,240 Speaker 4: if we win this election, we're going to put seven 67 00:03:08,280 --> 00:03:10,639 Speaker 4: point nine billion dollars out of an eight point five 68 00:03:10,639 --> 00:03:14,680 Speaker 4: billion dollar budget towards expanding the bulk billing incentive to 69 00:03:14,800 --> 00:03:18,680 Speaker 4: improve bulk billing for every single Australian and the media 70 00:03:18,720 --> 00:03:21,440 Speaker 4: release that came out alongside that said that it would 71 00:03:21,520 --> 00:03:25,200 Speaker 4: result in forty eight hundred fully bulk billing clinics across 72 00:03:25,240 --> 00:03:28,680 Speaker 4: the country, which is huge because at the moment it's 73 00:03:28,720 --> 00:03:31,919 Speaker 4: sitting just above thirteen hundred fully bold billion clinics across 74 00:03:31,919 --> 00:03:34,680 Speaker 4: the country. So forty eight hundred is a big improvement. 75 00:03:35,520 --> 00:03:37,520 Speaker 4: And this was all to come into effect from one 76 00:03:37,600 --> 00:03:39,800 Speaker 4: November this year if the government won the election. 77 00:03:39,880 --> 00:03:42,720 Speaker 3: And you know, I hate to preempt to. 78 00:03:42,720 --> 00:03:45,720 Speaker 4: Anyone who hasn't seen the results, but the government did 79 00:03:45,760 --> 00:03:49,280 Speaker 4: win the election. So where we're looking from one November 80 00:03:49,320 --> 00:03:52,000 Speaker 4: this year at seeing that coming into play. 81 00:03:52,760 --> 00:03:54,720 Speaker 2: What are the what are the odds? 82 00:03:54,760 --> 00:03:56,360 Speaker 1: I mean, I know you don't have a crystal ball, 83 00:03:56,360 --> 00:03:59,640 Speaker 1: but do you think that that forty eight that predicted 84 00:03:59,680 --> 00:04:05,160 Speaker 1: forty eight hundred clinics being fully bulk build or having 85 00:04:05,200 --> 00:04:08,520 Speaker 1: that option for people is going to be a reality? 86 00:04:08,880 --> 00:04:11,040 Speaker 2: Like, in other words, will that promise be met? 87 00:04:11,760 --> 00:04:15,600 Speaker 4: So we don't have a crystal wall, Craig, but clean Bill, 88 00:04:15,760 --> 00:04:19,400 Speaker 4: the company that I run, has the closest thing to 89 00:04:19,440 --> 00:04:22,080 Speaker 4: a crystal wall when it comes to this of anyone 90 00:04:22,279 --> 00:04:26,680 Speaker 4: in Australia. The ball building incentive change that they announced 91 00:04:26,720 --> 00:04:30,880 Speaker 4: is extraordinarily complex. It changes the billing arrangements of every 92 00:04:30,880 --> 00:04:33,280 Speaker 4: single GP clinic up and down the country and it's 93 00:04:33,400 --> 00:04:36,880 Speaker 4: probably the most complex change that's been instituted for GP 94 00:04:37,040 --> 00:04:40,200 Speaker 4: billing practices in the history of medicare but we have 95 00:04:40,279 --> 00:04:43,320 Speaker 4: a lot of data on GP clinics and so able 96 00:04:43,440 --> 00:04:46,640 Speaker 4: to conduct an analysis to see how many clinics are 97 00:04:46,720 --> 00:04:50,640 Speaker 4: likely to take it up. And so the report that 98 00:04:50,680 --> 00:04:54,680 Speaker 4: we released on Sunday just go on goes through all 99 00:04:54,720 --> 00:04:57,479 Speaker 4: of our data on a clinic by clinic basis and 100 00:04:57,560 --> 00:05:00,159 Speaker 4: looks at the number of clinics we'd expect it to 101 00:05:00,200 --> 00:05:04,200 Speaker 4: make economic sense to take up this change, and in 102 00:05:04,240 --> 00:05:07,200 Speaker 4: a straight comparison, so just a comparison of current clinic 103 00:05:07,240 --> 00:05:10,000 Speaker 4: out of pocket costs to how much the clinic will 104 00:05:10,000 --> 00:05:12,840 Speaker 4: receive if they become fully bulk billing, we found that 105 00:05:12,920 --> 00:05:15,360 Speaker 4: seven hundred and forty clinics across the country would take 106 00:05:15,400 --> 00:05:17,240 Speaker 4: up the change. It would make economic sense for those 107 00:05:17,279 --> 00:05:19,600 Speaker 4: clinics to take up the change, bringing the total number 108 00:05:19,600 --> 00:05:23,360 Speaker 4: to two thousand and eighty one. Now that's just less 109 00:05:23,360 --> 00:05:26,080 Speaker 4: than half the forty eight hundred clinics we were talking 110 00:05:26,160 --> 00:05:29,080 Speaker 4: about earlier. But we also did a bit of a 111 00:05:29,120 --> 00:05:32,120 Speaker 4: staged comparison out as well, because there are a lot 112 00:05:32,160 --> 00:05:34,279 Speaker 4: of clinics that are like right on that edge of 113 00:05:34,400 --> 00:05:36,280 Speaker 4: maybe they're out of pocket costs are just a little 114 00:05:36,279 --> 00:05:38,520 Speaker 4: bit higher than what the bolt building incentive would be. 115 00:05:38,640 --> 00:05:40,920 Speaker 4: They might switch down as a result of that, there 116 00:05:40,920 --> 00:05:43,400 Speaker 4: are also state based systems that need to be taken 117 00:05:43,440 --> 00:05:47,000 Speaker 4: into account. So we also did a comparison of Okay, 118 00:05:47,000 --> 00:05:50,479 Speaker 4: if the economic effects of this change, alongside all the 119 00:05:50,480 --> 00:05:53,839 Speaker 4: state changes and everything like that, are ten percent, twenty percent, 120 00:05:53,839 --> 00:05:56,880 Speaker 4: and thirty percent higher, how many fully bolt billing clinics 121 00:05:56,920 --> 00:05:59,480 Speaker 4: are we going to see? And we found that the 122 00:06:00,000 --> 00:06:03,240 Speaker 4: economic effects probably need to be between twenty and thirty 123 00:06:03,240 --> 00:06:06,720 Speaker 4: percent higher than just the total payment amount that a 124 00:06:06,760 --> 00:06:09,320 Speaker 4: clinic will receive in order for us to actually hit 125 00:06:09,360 --> 00:06:11,599 Speaker 4: forty eight hundred fully bulk billiing clinics as a result 126 00:06:11,600 --> 00:06:12,360 Speaker 4: of this change. 127 00:06:13,040 --> 00:06:16,880 Speaker 1: So when they say that by November one, forty eight 128 00:06:17,000 --> 00:06:23,760 Speaker 1: hundred clinics nationally would become fully bulk billing, how do 129 00:06:23,839 --> 00:06:24,840 Speaker 1: they ensure that? 130 00:06:24,960 --> 00:06:26,400 Speaker 2: I mean, do I mean. 131 00:06:26,400 --> 00:06:34,680 Speaker 1: Especially privately owned businesses. Is there a compulsion for businesses 132 00:06:34,760 --> 00:06:37,800 Speaker 1: to comply? Is it optional? I mean, these are the 133 00:06:37,839 --> 00:06:41,000 Speaker 1: probably the dumbest questions, But I literally know nothing. I 134 00:06:41,080 --> 00:06:44,040 Speaker 1: literally know nothing about this, So me trying to pretend 135 00:06:44,080 --> 00:06:47,800 Speaker 1: I'm somewhat educated in this space, it would be silly. 136 00:06:48,279 --> 00:06:50,640 Speaker 2: But how do they ensure that number? 137 00:06:51,400 --> 00:06:53,479 Speaker 4: So this is one of the reasons we wanted to 138 00:06:53,520 --> 00:06:56,400 Speaker 4: release this report because I think a lot of people 139 00:06:56,720 --> 00:07:00,320 Speaker 4: out in the general public that they look at this 140 00:07:00,440 --> 00:07:02,240 Speaker 4: number forty eight hundred and they think, you know what, 141 00:07:02,720 --> 00:07:04,720 Speaker 4: that's a really high number. I'm going to be bolk 142 00:07:04,720 --> 00:07:07,359 Speaker 4: built from one November, and we don't want people to 143 00:07:07,400 --> 00:07:10,280 Speaker 4: be walking into GP clinics and getting bill shocked. That's 144 00:07:10,320 --> 00:07:12,280 Speaker 4: the worst thing that can happen because if they get 145 00:07:12,280 --> 00:07:14,520 Speaker 4: bill shocked, they won't go in again when they need to. 146 00:07:15,920 --> 00:07:18,920 Speaker 4: And so it's a very very complex change, and it's 147 00:07:18,960 --> 00:07:21,560 Speaker 4: important to explain out the elements of it so people 148 00:07:21,600 --> 00:07:26,280 Speaker 4: can understand. The government can't compel GP clinics to change 149 00:07:26,320 --> 00:07:30,400 Speaker 4: their billing. You can't, really, they can't say you have 150 00:07:30,480 --> 00:07:33,520 Speaker 4: to charge this amount. What they've done with this is 151 00:07:33,760 --> 00:07:37,600 Speaker 4: they've taken the Medicare rebate that a GP clinic receives 152 00:07:37,640 --> 00:07:40,400 Speaker 4: for seeing a patient no matter what, and add it 153 00:07:40,440 --> 00:07:44,600 Speaker 4: on to additional payments. The first additional payment is called 154 00:07:44,600 --> 00:07:47,000 Speaker 4: the bold billing Incentive, and it's paid to a clinic 155 00:07:47,160 --> 00:07:50,280 Speaker 4: if they bolk build the patient. So a clinic can 156 00:07:50,360 --> 00:07:53,360 Speaker 4: either collect the Medicare rebate and charging out of pocket cost, 157 00:07:53,920 --> 00:07:56,240 Speaker 4: or they can collect the Medicare rebate and bulk build 158 00:07:56,280 --> 00:07:57,960 Speaker 4: the patient and get a little bit extra from the 159 00:07:57,960 --> 00:08:01,320 Speaker 4: government for doing so. But they cannot do both right, 160 00:08:01,800 --> 00:08:03,840 Speaker 4: And then the second payment that comes in is a 161 00:08:03,880 --> 00:08:07,240 Speaker 4: twelve point five percent additional payment on top of that one, 162 00:08:08,000 --> 00:08:10,200 Speaker 4: where if a clinic is fully ball billing so bok 163 00:08:10,200 --> 00:08:13,440 Speaker 4: bill's one hundred percent of the services it offers, it 164 00:08:13,480 --> 00:08:16,080 Speaker 4: gets an additional twelve point five percent for all of 165 00:08:16,080 --> 00:08:19,360 Speaker 4: those services. And so that's that's the change. 166 00:08:19,400 --> 00:08:21,040 Speaker 2: I would imagine that. 167 00:08:21,880 --> 00:08:24,080 Speaker 1: I mean, I think you said that seven hundred and 168 00:08:24,120 --> 00:08:28,760 Speaker 1: forty businesses, it would make commercial sense for them to transition, right, 169 00:08:31,000 --> 00:08:33,400 Speaker 1: what's the number here, twenty one hundred you or take, 170 00:08:33,520 --> 00:08:35,880 Speaker 1: So that kind of leads somewhere in the two and 171 00:08:35,880 --> 00:08:40,360 Speaker 1: a half thousand clinic space, or that leaves a considerable 172 00:08:40,360 --> 00:08:42,480 Speaker 1: gap from what they said would be happening to what 173 00:08:42,559 --> 00:08:48,360 Speaker 1: you think would be commercially viable. What why would a 174 00:08:48,640 --> 00:08:51,280 Speaker 1: Why would a like if I owned a medical clinic 175 00:08:51,280 --> 00:08:54,960 Speaker 1: and I had a bunch of medical professionals working for me, 176 00:08:55,240 --> 00:08:58,760 Speaker 1: and my business was a regular profit and lost business. 177 00:08:59,160 --> 00:09:00,760 Speaker 1: I need to make mon now, I need to pay 178 00:09:00,840 --> 00:09:04,200 Speaker 1: people and pay bills and make a profit because I'm 179 00:09:04,240 --> 00:09:06,480 Speaker 1: in business as well as I'm in healthcare and I 180 00:09:06,480 --> 00:09:10,080 Speaker 1: wouldn't look after people, But why would I choose to 181 00:09:10,120 --> 00:09:14,400 Speaker 1: do something which was financially disadvantageous. 182 00:09:15,200 --> 00:09:17,360 Speaker 4: So that's what really threw us off about that forty 183 00:09:17,360 --> 00:09:19,920 Speaker 4: eight hundred number, because even just looking at the high 184 00:09:20,040 --> 00:09:23,880 Speaker 4: level average statistics, we found it difficult to get there. 185 00:09:24,960 --> 00:09:28,840 Speaker 4: So if so, the bulk billing incentive payment, that first 186 00:09:28,840 --> 00:09:32,640 Speaker 4: additional payment that a clinic receives, that scales based on 187 00:09:32,679 --> 00:09:35,720 Speaker 4: where the clinic is located. It's lower in metro areas 188 00:09:35,720 --> 00:09:38,200 Speaker 4: across the country, some in the cities, and higher in 189 00:09:38,240 --> 00:09:41,520 Speaker 4: regional areas to try to encourage greater bulk billing rates 190 00:09:41,559 --> 00:09:46,160 Speaker 4: amongst regional gps in metro areas across the country where 191 00:09:46,200 --> 00:09:48,880 Speaker 4: seventy two percent of the GP clinics are located, because 192 00:09:48,920 --> 00:09:51,960 Speaker 4: that's where the vast majority of Australia's population is located. 193 00:09:52,880 --> 00:09:57,160 Speaker 4: The amount that a clinic receives accepting all full payments 194 00:09:57,160 --> 00:10:00,200 Speaker 4: from the government for bulk billing every single patient is 195 00:10:00,320 --> 00:10:04,920 Speaker 4: just over sixty nine dollars. Now, the average current cost 196 00:10:05,080 --> 00:10:07,480 Speaker 4: that those clinics are charging a patient for a standard 197 00:10:07,520 --> 00:10:12,199 Speaker 4: consultation is just over eighty five dollars, which means that 198 00:10:12,400 --> 00:10:17,000 Speaker 4: every single time a clinic accepts that bulk billing incentive 199 00:10:17,040 --> 00:10:21,719 Speaker 4: payment instead of charging the average standard consultation price, they 200 00:10:21,760 --> 00:10:23,640 Speaker 4: are foregoing sixteen. 201 00:10:23,240 --> 00:10:25,200 Speaker 3: Dollars per appointment for that. 202 00:10:26,000 --> 00:10:28,200 Speaker 4: So even just looking at that at a high level, 203 00:10:28,679 --> 00:10:31,800 Speaker 4: it was difficult for us to understand how you reach 204 00:10:32,480 --> 00:10:35,880 Speaker 4: that forty eight hundred number. Now, some of some clinics 205 00:10:35,920 --> 00:10:38,440 Speaker 4: will charge way below the average price, and so it 206 00:10:38,480 --> 00:10:41,199 Speaker 4: makes sense then for them to switch. But clinics that 207 00:10:41,240 --> 00:10:43,640 Speaker 4: are charging at that average or charging way above it, 208 00:10:44,520 --> 00:10:46,360 Speaker 4: the business decision doesn't seem there to me. 209 00:10:46,520 --> 00:10:50,560 Speaker 1: Craig, Yeah, well that I mean to me, who is 210 00:10:50,600 --> 00:10:55,679 Speaker 1: an outsider looking in and who's completely uneducated in this space? 211 00:10:59,640 --> 00:11:02,160 Speaker 1: I know we were joking that there's one or two 212 00:11:02,200 --> 00:11:06,600 Speaker 1: people or probably more that weren't particularly thrilled with you 213 00:11:07,000 --> 00:11:11,000 Speaker 1: bringing this to light, right, But I mean, if what 214 00:11:11,040 --> 00:11:13,400 Speaker 1: you're saying is true, which I believe it is, well, 215 00:11:13,440 --> 00:11:17,000 Speaker 1: then I mean that's not an opinion, that's not an 216 00:11:17,000 --> 00:11:19,520 Speaker 1: idea or a story. This is just data, right, This 217 00:11:19,679 --> 00:11:23,280 Speaker 1: is literally these are literally just numbers. And so when 218 00:11:23,320 --> 00:11:27,800 Speaker 1: you think about that sixteen dollar gap or discrepancy, and 219 00:11:27,840 --> 00:11:30,640 Speaker 1: you think, well, how often would that sixteen dollars happen 220 00:11:30,679 --> 00:11:32,600 Speaker 1: in a given day in a given clinic, and then 221 00:11:32,600 --> 00:11:35,640 Speaker 1: your times that by fifty two weeks in the year 222 00:11:36,480 --> 00:11:40,640 Speaker 1: and so which like the the you know, the income 223 00:11:40,840 --> 00:11:43,560 Speaker 1: is plummeting, but the expenses are not. 224 00:11:45,000 --> 00:11:50,360 Speaker 5: Yeah, so how how can without getting you into trouble, 225 00:11:50,520 --> 00:11:54,600 Speaker 5: how can they argue with what you're presenting, like when 226 00:11:54,640 --> 00:11:57,280 Speaker 5: you're saying, look, this is this is not a some 227 00:11:57,600 --> 00:12:00,800 Speaker 5: hysterical idea or construct or story. 228 00:12:01,679 --> 00:12:04,600 Speaker 1: You know, this is based on all the information we 229 00:12:04,679 --> 00:12:08,800 Speaker 1: have access to, which is legit well to. 230 00:12:08,480 --> 00:12:09,720 Speaker 3: Be completely honest. 231 00:12:09,920 --> 00:12:14,880 Speaker 4: Where yet to hear a coherent argument against our modeling 232 00:12:14,960 --> 00:12:17,600 Speaker 4: or our reporting. No one has come out at any 233 00:12:17,640 --> 00:12:20,880 Speaker 4: point and said, they've gotten the mats wrong here, they've 234 00:12:20,880 --> 00:12:25,280 Speaker 4: gotten the bulk billing incentive wrong. Here, that the underlying 235 00:12:25,360 --> 00:12:28,120 Speaker 4: figures that they're using, so the billing statistics that they 236 00:12:28,120 --> 00:12:31,080 Speaker 4: have for clinics are wrong. No one has at any 237 00:12:31,120 --> 00:12:34,880 Speaker 4: point come out and said and challenged us on the 238 00:12:34,920 --> 00:12:36,840 Speaker 4: mats of it, challenged us on the. 239 00:12:36,760 --> 00:12:38,119 Speaker 3: Merits of the assessment. 240 00:12:38,600 --> 00:12:43,560 Speaker 4: The entire challenge throughout the whole throughout the whole process, 241 00:12:43,600 --> 00:12:46,280 Speaker 4: has been on the credibility of clean ber, which to 242 00:12:46,360 --> 00:12:49,160 Speaker 4: me seems like the sort of thing that gets challenged 243 00:12:49,240 --> 00:12:52,240 Speaker 4: if you don't have a challenge to make on the data. 244 00:12:54,120 --> 00:12:59,160 Speaker 1: And I suppose the clinics that don't switch to bulk billing, 245 00:12:59,760 --> 00:13:02,560 Speaker 1: the the out of pocket expenses or costs for the 246 00:13:02,559 --> 00:13:04,600 Speaker 1: average punter will continue to rise. 247 00:13:04,720 --> 00:13:07,839 Speaker 4: Right, Yeah, so that's something that we've seen as well, 248 00:13:07,880 --> 00:13:09,720 Speaker 4: and Craig, I'm really glad you've brought it up. So, 249 00:13:11,000 --> 00:13:15,480 Speaker 4: because the additional payment is conditional upon a GP clinic 250 00:13:16,280 --> 00:13:19,200 Speaker 4: bolk billing, a patient who walks in the door, the 251 00:13:19,240 --> 00:13:23,000 Speaker 4: GP clinic actually isn't receiving any more money if they 252 00:13:23,000 --> 00:13:25,720 Speaker 4: don't bolk build, they're still just receiving the standard Medicare 253 00:13:25,800 --> 00:13:29,040 Speaker 4: rebate that they would have received regardless. And if they're 254 00:13:29,080 --> 00:13:32,640 Speaker 4: just receiving the standard Medicare rebate, it's reasonable to assume 255 00:13:32,800 --> 00:13:35,120 Speaker 4: that the out of pocket costs will stay the same 256 00:13:35,160 --> 00:13:38,560 Speaker 4: as well, or in a lot of cases increase as 257 00:13:38,600 --> 00:13:40,960 Speaker 4: they have each of the last two years. And so 258 00:13:40,960 --> 00:13:43,160 Speaker 4: that's a really important point to make for patients too, 259 00:13:43,200 --> 00:13:44,520 Speaker 4: because I think a lot of people look at this 260 00:13:44,559 --> 00:13:47,160 Speaker 4: headline spend and they see, you know, seven point nine 261 00:13:47,160 --> 00:13:49,160 Speaker 4: billion dollars. It's a huge amount of money. Even if 262 00:13:49,200 --> 00:13:51,880 Speaker 4: I'm not being bolk billed. This is going to lower 263 00:13:51,920 --> 00:13:54,560 Speaker 4: my costs when I go to the GP. And it's 264 00:13:54,600 --> 00:13:57,480 Speaker 4: important to know the cost before you go into that 265 00:13:57,600 --> 00:14:00,000 Speaker 4: practice because that may not actually be the case. 266 00:14:02,840 --> 00:14:09,960 Speaker 1: So where does the average person begin to understand this 267 00:14:10,080 --> 00:14:13,160 Speaker 1: and then apply this information in a practical way that 268 00:14:13,240 --> 00:14:19,040 Speaker 1: they can benefit from it? Like if I live hypothetically 269 00:14:19,120 --> 00:14:21,200 Speaker 1: in Hampton, who would live in Hampton? But if I 270 00:14:21,280 --> 00:14:26,720 Speaker 1: lived in Hampton, Victoria and I wanted to figure out 271 00:14:27,000 --> 00:14:32,920 Speaker 1: the most cost effective way without me traveling to you know, Geelong, 272 00:14:33,920 --> 00:14:37,560 Speaker 1: God blessed Geelong, how do I do that? I? Where 273 00:14:37,560 --> 00:14:40,320 Speaker 1: do I go? And so do I just go into 274 00:14:40,360 --> 00:14:42,800 Speaker 1: your website and type in my postcode? 275 00:14:43,360 --> 00:14:43,600 Speaker 2: Yeah? 276 00:14:43,640 --> 00:14:45,680 Speaker 3: So this is the purpose of clean Bill. 277 00:14:45,720 --> 00:14:48,640 Speaker 4: I mean, Australia already has one of the most complex 278 00:14:48,680 --> 00:14:52,400 Speaker 4: healthcare systems on earth even before these changes take effect, 279 00:14:52,680 --> 00:14:54,840 Speaker 4: and it's very very difficult for a person who is 280 00:14:54,960 --> 00:14:57,920 Speaker 4: busy with every other aspect of their lives to try 281 00:14:57,960 --> 00:15:01,000 Speaker 4: to figure out how to interact with this system, how 282 00:15:01,040 --> 00:15:03,680 Speaker 4: the different changes and policy a decisions that are made 283 00:15:03,720 --> 00:15:06,400 Speaker 4: are going to affect their everyday visit to the GP. 284 00:15:07,040 --> 00:15:10,880 Speaker 4: And so clean Bill's aim is to take all of 285 00:15:10,880 --> 00:15:14,560 Speaker 4: that information and simplify it, make it so that you 286 00:15:14,640 --> 00:15:17,520 Speaker 4: can do a search on a single directory. You can 287 00:15:17,560 --> 00:15:20,800 Speaker 4: see every single GP clinic around you. You can filter 288 00:15:20,880 --> 00:15:24,040 Speaker 4: them by price, filter them by availability, and you can 289 00:15:24,120 --> 00:15:26,720 Speaker 4: see exactly how much it's going to cost you to 290 00:15:26,760 --> 00:15:29,200 Speaker 4: go and visit that GP, before you have to pick 291 00:15:29,240 --> 00:15:30,800 Speaker 4: up the phone, before you walk in the door. 292 00:15:31,000 --> 00:15:33,360 Speaker 3: You can see exactly what that cost is going to be. 293 00:15:33,760 --> 00:15:37,680 Speaker 4: And we're going to continue to update this information throughout 294 00:15:37,840 --> 00:15:41,960 Speaker 4: from first November, taking into account the changes that GP 295 00:15:42,040 --> 00:15:44,840 Speaker 4: clinics will make as a result of this policy, and 296 00:15:45,280 --> 00:15:48,120 Speaker 4: as a result, will have updated information on our website 297 00:15:48,160 --> 00:15:50,560 Speaker 4: too that people can use. So rather than it being 298 00:15:50,640 --> 00:15:53,880 Speaker 4: kind of a cerebral discussion about how GP clinics are 299 00:15:53,880 --> 00:15:56,640 Speaker 4: going to adopt different BOLG building measures and whether it 300 00:15:56,640 --> 00:15:59,160 Speaker 4: makes economic sense, we're just going to take the figure 301 00:15:59,200 --> 00:16:01,120 Speaker 4: that matters to you, which is how much it's going 302 00:16:01,200 --> 00:16:03,040 Speaker 4: to cost you to see a GP, and we're just 303 00:16:03,080 --> 00:16:05,000 Speaker 4: going to put that online completely free of charge for 304 00:16:05,040 --> 00:16:05,640 Speaker 4: you to search up. 305 00:16:07,680 --> 00:16:11,000 Speaker 1: So I don't know if this is an answerable question, 306 00:16:11,080 --> 00:16:12,520 Speaker 1: but I'm sure it is. 307 00:16:13,000 --> 00:16:16,720 Speaker 2: How do you guys get all your data? Like, how 308 00:16:16,760 --> 00:16:19,600 Speaker 2: do you collect your data? What's that? I mean? 309 00:16:19,640 --> 00:16:22,400 Speaker 1: Because obviously you need to be I would imagine, very 310 00:16:22,440 --> 00:16:26,600 Speaker 1: transparent about all of that, so everyone can see what's 311 00:16:26,640 --> 00:16:30,480 Speaker 1: going on and go, well, you know, this is just 312 00:16:30,680 --> 00:16:33,360 Speaker 1: this is just numbers, this is just information, This is 313 00:16:33,480 --> 00:16:37,280 Speaker 1: just clear data. Ergo these, ergo this conversation. 314 00:16:38,400 --> 00:16:38,640 Speaker 2: Yeah. 315 00:16:38,760 --> 00:16:41,120 Speaker 4: Yeah, So that's a really good point, Greg, and we 316 00:16:41,920 --> 00:16:45,560 Speaker 4: have we are as transparent as we can be about 317 00:16:45,600 --> 00:16:49,280 Speaker 4: our data collection process, but at its base, it's really 318 00:16:49,360 --> 00:16:52,160 Speaker 4: not all that different from the process that you or 319 00:16:52,200 --> 00:16:53,200 Speaker 4: I would go through. 320 00:16:53,360 --> 00:16:55,640 Speaker 3: If we're trying to find a doctor around us. 321 00:16:56,040 --> 00:16:59,480 Speaker 4: We go out, we research, do online research, find every 322 00:16:59,560 --> 00:17:02,320 Speaker 4: single clinic around us around us that might be a 323 00:17:02,360 --> 00:17:05,399 Speaker 4: GP clinic and might be taking on new patients, and 324 00:17:05,440 --> 00:17:10,159 Speaker 4: then we create large scale lists for our teams of 325 00:17:10,280 --> 00:17:13,840 Speaker 4: callers to go through and call every single practitioner, every 326 00:17:13,840 --> 00:17:16,960 Speaker 4: single clinic rather on those lists and ask some very 327 00:17:17,000 --> 00:17:19,679 Speaker 4: basic questions of them, So are. 328 00:17:19,520 --> 00:17:20,879 Speaker 3: They taking on new patients? 329 00:17:21,000 --> 00:17:23,800 Speaker 4: Will they BOK bill a regular adult patients or non 330 00:17:23,840 --> 00:17:27,480 Speaker 4: concession adult patient, And if they won't, how much is 331 00:17:27,480 --> 00:17:30,399 Speaker 4: a standard and a long consultation going to cost with 332 00:17:30,480 --> 00:17:33,600 Speaker 4: that clinic for that patient, Which again is exactly what 333 00:17:34,080 --> 00:17:36,159 Speaker 4: any of us would do if we were looking for 334 00:17:36,240 --> 00:17:39,200 Speaker 4: a GP, and we just do it on a far 335 00:17:39,400 --> 00:17:43,440 Speaker 4: larger scale, with large teams of callers and researchers, data 336 00:17:43,440 --> 00:17:46,080 Speaker 4: managers as well helping us out, so that instead of 337 00:17:46,119 --> 00:17:48,679 Speaker 4: it being a case that each individual Australian has to 338 00:17:48,680 --> 00:17:51,280 Speaker 4: go out and do this calling themselves, we just do 339 00:17:51,359 --> 00:17:52,919 Speaker 4: it all in one goal and then put it on 340 00:17:52,960 --> 00:17:55,879 Speaker 4: a searchable directory so that anyone can find that information 341 00:17:56,440 --> 00:17:57,320 Speaker 4: in just one search. 342 00:17:58,840 --> 00:18:00,520 Speaker 1: I mean, I don't know this to each who, of course, 343 00:18:00,560 --> 00:18:02,640 Speaker 1: but it would seem to me that clinics who do 344 00:18:04,280 --> 00:18:09,880 Speaker 1: totally bulk bill would have to be overwhelmingly busy, wouldn't they. 345 00:18:10,080 --> 00:18:14,560 Speaker 1: I mean, wouldn't that like which would And again I'm 346 00:18:14,600 --> 00:18:16,879 Speaker 1: not talking about any clinic or any doctor or any person, 347 00:18:16,920 --> 00:18:20,320 Speaker 1: but I'm thinking how busy would they be? And how 348 00:18:20,880 --> 00:18:24,159 Speaker 1: under the pump would all of those medical professionals be 349 00:18:24,240 --> 00:18:26,040 Speaker 1: to see all of those people, to treat all of 350 00:18:26,080 --> 00:18:28,919 Speaker 1: those people, to give them the attention and energy and time. 351 00:18:29,800 --> 00:18:32,800 Speaker 1: That must be a tricky process as well. I know 352 00:18:32,880 --> 00:18:36,159 Speaker 1: I'm diverging a little bit off the chat, but I 353 00:18:36,200 --> 00:18:39,280 Speaker 1: was just thinking practically. I mean, if there's one across 354 00:18:39,280 --> 00:18:41,280 Speaker 1: the road that's fully bulk built and one down the 355 00:18:41,359 --> 00:18:43,879 Speaker 1: road that isn't I'm guessing I know which is the 356 00:18:43,880 --> 00:18:44,440 Speaker 1: busy one. 357 00:18:45,400 --> 00:18:45,640 Speaker 2: Yeah. 358 00:18:45,760 --> 00:18:48,880 Speaker 4: No, Look, I think that you've touched on a really 359 00:18:48,920 --> 00:18:53,400 Speaker 4: important point in the last part there, Craig, is that, yes, 360 00:18:53,480 --> 00:18:56,200 Speaker 4: I imagine a lot of fully balled billing clinics are busy, 361 00:18:56,440 --> 00:19:00,240 Speaker 4: but we're also in a system a very imperfect information 362 00:19:00,440 --> 00:19:04,399 Speaker 4: at the moment. That's what clean bill is trying to fix. 363 00:19:04,760 --> 00:19:08,200 Speaker 4: So if you have, for example, the Yellow Pages, the 364 00:19:08,240 --> 00:19:11,359 Speaker 4: Yellow Pages might only list eighty percent of GP clinics 365 00:19:11,400 --> 00:19:15,080 Speaker 4: around you, and the bulk billing clinics may be too 366 00:19:15,160 --> 00:19:18,720 Speaker 4: busy or may not make enough money to advertise through 367 00:19:18,720 --> 00:19:21,880 Speaker 4: the Yellow Pages. So when you're going on the Yellow Pages, 368 00:19:22,000 --> 00:19:25,119 Speaker 4: you're only finding the clinics around you who aren't bulk billing, 369 00:19:25,480 --> 00:19:27,040 Speaker 4: and that's not helpful for you if you need a 370 00:19:27,080 --> 00:19:30,880 Speaker 4: bulk billing GP. So clean Bill doesn't rely on clinics 371 00:19:30,920 --> 00:19:33,520 Speaker 4: coming to us and paying us in order to be 372 00:19:33,560 --> 00:19:35,920 Speaker 4: a part of it. We go out and find them 373 00:19:36,359 --> 00:19:37,760 Speaker 4: and we say we're just going to put you on 374 00:19:37,760 --> 00:19:41,400 Speaker 4: the website. Everyone gets put on the website, so it's 375 00:19:41,840 --> 00:19:44,040 Speaker 4: it's not an either all thing. Every single person we 376 00:19:44,040 --> 00:19:46,200 Speaker 4: can find is on the website and then it means 377 00:19:46,200 --> 00:19:49,280 Speaker 4: that you, as a patient, have that perfect information and 378 00:19:49,320 --> 00:19:51,320 Speaker 4: can see every single clinic around you. 379 00:19:53,520 --> 00:19:59,240 Speaker 2: What do you hope happens like you? And what's your goal? 380 00:19:59,320 --> 00:20:03,280 Speaker 1: What's your intent behind all the research and the report, Like, 381 00:20:03,400 --> 00:20:06,320 Speaker 1: what do you want to see that perhaps we're not 382 00:20:06,480 --> 00:20:07,359 Speaker 1: currently seeing? 383 00:20:08,200 --> 00:20:11,840 Speaker 4: Well, we really see our goal as being twofold. The 384 00:20:11,920 --> 00:20:15,600 Speaker 4: first is related to the directory. What we hope happens 385 00:20:15,640 --> 00:20:19,040 Speaker 4: as a result of the directory is that patients have 386 00:20:19,119 --> 00:20:22,560 Speaker 4: access to all the information they need to make clear 387 00:20:22,640 --> 00:20:27,199 Speaker 4: decisions about affordable and available healthcare options around them. And 388 00:20:27,240 --> 00:20:29,800 Speaker 4: that sounds complex, but basically, we just want a world 389 00:20:29,840 --> 00:20:33,280 Speaker 4: in which people can see all of the doctors around 390 00:20:33,280 --> 00:20:36,320 Speaker 4: them and can book in with them, knowing all the 391 00:20:36,359 --> 00:20:39,919 Speaker 4: information about pricing, knowing all of the information about bookings, 392 00:20:40,240 --> 00:20:42,920 Speaker 4: knowing those doctors' specialist areas. We don't want it to 393 00:20:42,960 --> 00:20:45,280 Speaker 4: be the case that people need to do hours of 394 00:20:45,280 --> 00:20:48,119 Speaker 4: online research themselves and then take time off work to 395 00:20:48,160 --> 00:20:50,919 Speaker 4: do calls during business hours to find that information. We 396 00:20:51,000 --> 00:20:53,679 Speaker 4: just want it to be ready to go. And the 397 00:20:53,720 --> 00:20:59,000 Speaker 4: second point, and this one relates more to our reports, 398 00:20:59,640 --> 00:21:03,800 Speaker 4: is our focus with the reports is on improving the 399 00:21:03,800 --> 00:21:09,560 Speaker 4: public discussion around healthcare in Australia. We want to make 400 00:21:09,600 --> 00:21:12,919 Speaker 4: sure that our decision makers when they're considering changes to 401 00:21:12,960 --> 00:21:16,480 Speaker 4: healthcare policy, have all of the information they can possibly 402 00:21:16,560 --> 00:21:20,560 Speaker 4: have on the table, and clean Bill provides a set 403 00:21:20,560 --> 00:21:23,960 Speaker 4: of information that is not available in any other from 404 00:21:23,960 --> 00:21:28,280 Speaker 4: any other data source, but which is the information the 405 00:21:28,960 --> 00:21:32,240 Speaker 4: perspective of the system that every day Australians see every 406 00:21:32,280 --> 00:21:32,880 Speaker 4: single day. 407 00:21:34,320 --> 00:21:35,760 Speaker 3: So that's that's our focus there. 408 00:21:35,760 --> 00:21:39,720 Speaker 4: But there's also there's also a I guess behind our reporting, 409 00:21:40,760 --> 00:21:45,600 Speaker 4: an attempt as well to provide more transparency in the 410 00:21:45,600 --> 00:21:49,919 Speaker 4: public debate around how Medicare works and how the billing 411 00:21:49,960 --> 00:21:53,639 Speaker 4: of it works, so that when there are policy decisions 412 00:21:53,800 --> 00:21:58,280 Speaker 4: that are made everyday, people are able to effectively vet 413 00:21:58,359 --> 00:22:02,120 Speaker 4: what that means for them ahead of and make conscious 414 00:22:02,160 --> 00:22:03,719 Speaker 4: healthcare decisions as a result of it. 415 00:22:05,640 --> 00:22:08,160 Speaker 1: I guess November one is going to be interesting. I mean, 416 00:22:08,200 --> 00:22:10,680 Speaker 1: that's the thing about putting. I mean, when you think 417 00:22:10,720 --> 00:22:14,720 Speaker 1: about it, or here's a timeline and here's a number. Yeah, well, 418 00:22:15,160 --> 00:22:18,840 Speaker 1: I mean that's not up for interpretation, so we go, okay, 419 00:22:19,000 --> 00:22:22,480 Speaker 1: oh mate, you said at this date this would be reality. 420 00:22:23,880 --> 00:22:26,080 Speaker 1: I you know, and I'm not trying to be as 421 00:22:26,080 --> 00:22:29,160 Speaker 1: smart ass here I'm just thinking, well, that's there's either 422 00:22:29,200 --> 00:22:31,840 Speaker 1: going to be four thy eight hundred clinics nationally that 423 00:22:31,960 --> 00:22:35,040 Speaker 1: will be fully bulk billing or there isn't. 424 00:22:35,560 --> 00:22:38,959 Speaker 2: Like it's a pretty it's a pretty clear kind of metric. 425 00:22:39,160 --> 00:22:40,880 Speaker 1: Isn't it to go, oh, you did what you said 426 00:22:40,920 --> 00:22:42,280 Speaker 1: you were going to do or you didn't do what 427 00:22:42,320 --> 00:22:43,199 Speaker 1: you said you were going to do. 428 00:22:43,840 --> 00:22:45,600 Speaker 2: I wonder what's going to happen around then. 429 00:22:46,880 --> 00:22:49,520 Speaker 4: Well, I think it'll probably be a little bit delayed 430 00:22:49,560 --> 00:22:52,400 Speaker 4: after one November, so we'll be collecting our data from 431 00:22:52,400 --> 00:22:55,440 Speaker 4: one November until mid December, and then we'll be releasing 432 00:22:55,440 --> 00:22:58,879 Speaker 4: it as soon as we've collected it. So our Blue 433 00:22:58,920 --> 00:23:01,360 Speaker 4: Report will come out in early January next year, as 434 00:23:01,359 --> 00:23:04,480 Speaker 4: it has each of the last three years, and that'll 435 00:23:04,480 --> 00:23:07,080 Speaker 4: be the first, at least to my understanding, that'll be 436 00:23:07,119 --> 00:23:11,360 Speaker 4: the first comprehensive independent assessment of how many GP clinics 437 00:23:11,440 --> 00:23:15,800 Speaker 4: have started fully bolk billing as a result of this change. 438 00:23:15,840 --> 00:23:18,040 Speaker 4: And yeah, I suspect there's there's going to be a 439 00:23:18,080 --> 00:23:19,240 Speaker 4: fair bit of attention paid to that. 440 00:23:20,119 --> 00:23:22,480 Speaker 2: I bet they love you in Canberra, or at least 441 00:23:22,480 --> 00:23:23,359 Speaker 2: one or two people. 442 00:23:23,760 --> 00:23:27,240 Speaker 1: I bet, I bet, I bet he doesn't I bet 443 00:23:27,240 --> 00:23:29,320 Speaker 1: he doesn't have pictures of or he or she. I'm 444 00:23:29,320 --> 00:23:31,320 Speaker 1: not sure who the health minister is. I should know 445 00:23:31,359 --> 00:23:35,680 Speaker 1: that I have, you know, like pictures of you are 446 00:23:36,080 --> 00:23:39,880 Speaker 1: sitting on his desk framed or maybe he does with a. 447 00:23:39,520 --> 00:23:43,040 Speaker 2: Target in the middle of it or something. Mate, It's 448 00:23:43,080 --> 00:23:43,800 Speaker 2: good to talk to you. 449 00:23:43,880 --> 00:23:46,439 Speaker 1: Anything else that I'm not asking you that I should 450 00:23:46,480 --> 00:23:48,800 Speaker 1: ask you anything that you want to drop on us 451 00:23:48,880 --> 00:23:50,400 Speaker 1: or share before we say goodbye. 452 00:23:50,920 --> 00:23:53,280 Speaker 3: No, I think I think you covered off on everything. 453 00:23:53,320 --> 00:23:55,240 Speaker 3: Craig has always a pleasure to talk to you about 454 00:23:55,240 --> 00:23:55,719 Speaker 3: this stuff. 455 00:23:56,440 --> 00:23:56,680 Speaker 2: Mate. 456 00:23:56,680 --> 00:24:00,200 Speaker 1: We appreciate you because I try not to talk about 457 00:24:00,240 --> 00:24:00,920 Speaker 1: your old man, but. 458 00:24:00,880 --> 00:24:02,440 Speaker 2: You're such a ship off the old block. 459 00:24:02,480 --> 00:24:04,000 Speaker 1: And I tell you, what, if he could be as 460 00:24:04,040 --> 00:24:07,200 Speaker 1: good as you are, Hey, gilespo sonor if you're listening, 461 00:24:08,160 --> 00:24:10,320 Speaker 1: watch your son. Listen to your son and do better 462 00:24:10,440 --> 00:24:16,399 Speaker 1: you old fat. I'm seeing him tonight, mate, we're recording tonight, 463 00:24:16,480 --> 00:24:20,080 Speaker 1: so no kidding, yeah, yeah, yeah, anyway, we'll say goodbye 464 00:24:20,160 --> 00:24:22,840 Speaker 1: fair but James, always great to talk to you. 465 00:24:22,960 --> 00:24:27,199 Speaker 2: Well done on what you're doing. I love your reason, 466 00:24:27,240 --> 00:24:28,800 Speaker 2: I love your motivation, I love. 467 00:24:28,680 --> 00:24:32,320 Speaker 1: Your ethics, and I love how driven you are to 468 00:24:32,400 --> 00:24:36,040 Speaker 1: do some good stuff and make a positive impact despite 469 00:24:36,119 --> 00:24:38,679 Speaker 1: a little bit of pushback at times. Thanks for chatting 470 00:24:38,720 --> 00:24:42,280 Speaker 1: with us on the new project, Mate and TIV, thanks too. 471 00:24:43,119 --> 00:24:45,280 Speaker 3: Thanks guys, Thank you guys.