A Curious Way to Improve Outcomes in Substance Use Disorder Space with Jacob Levenson, CEO at MAP Health Management
Episode 128

Jacob Levenson, CEO at MAP Health Management

A Curious Way to Improve Outcomes in Substance Use Disorder Space

Managing people who are recovering from substance abuse through tech and data

A Curious Way to Improve Outcomes in Substance Use Disorder Space with Jacob Levenson, CEO at MAP Health Management

Episode 128

Outcomes Rocket - Jacon Levenson

A Curious Way to Improve Outcomes in Substance Use Disorder Space with Jacob Levenson, CEO at MAP Health Management

: [00:00:01] Welcome to the Outcomes Rocket podcast where we inspire collaborative thinking, improved outcomes and business success with today’s most successful and inspiring health care leaders and influencers. And now your host, Saul Marquez

Saul Marquez: [00:00:18] Welcome back to the outcome rcoket podcast where we chat today’s most successful and inspiring healthcare leaders really wish that you could visit us at outcomesrocket.health/reviews where you could rate and review today’s episode. We have an amazing guest. His name is Jacob Levenson. He’s the CEO at map health management. Jacob’s extensive career is focused on being very dialed into the healthcare center. He’s been Member of Board of Directors Levinson Foundation a privately funded philanthropic organization. It’s a really develop managed fund diverse portfolio ad humanitarian activities around the world. He’s a member at Trei private capital. He’s just done so many things in the realm of just contributing to this humanitarian capacity that his sit in health care makes so much sense. And you guys all hear the passion in his voice when we dive deeper. What I want to do is open up the microphone to Jacob so he could fill in any of the gaps in the introduction. Jacob welcome to the podcast.

Jacob Levenson: [00:01:21] Thanks for having me. Excited to be on with you. No. Good job introduction. I think to add looking forward to the next 45 minutes or so of hitting some of these topics.

Saul Marquez: [00:01:32] Absolutely and so Jacob why did you decide to get in the medical sector. You could have done so many things but you decided to land here. Why.

Jacob Levenson: [00:01:40] Ask myself that often. It’s like a Greek tragedy where the more you run from it. The more you run into it. So I grew up around a lot of active substance use disorder in my house. Know child of the late 80s 90s kind of grew up and had seen that kind of stuff and watched family members struggle. And the last thing I ever wanted to do was align my professional career with anything that had to do with addiction or substance use disorder. So of course that’s exactly what happened. So it was it by choice it was by you know I don’t know some sort of gravitational pull. Maybe backtrack to what I knew so it’s no I don’t think it’s any secret that you grow up around substance use disorder and in someone like me ends up involved in writing algorithm to detect ACTA’s substance use. I mean I’ve been doing since I was 2 now right. So I don’t know if there’s a coherent explanation but I was born into the addiction world in that sense.

Saul Marquez: [00:02:39] Yeah it was woven into your fiber as a as a kid. And it’s sort of like something you’ve been doing so why not continue to do it.

Jacob Levenson: [00:02:47] There’s a lot of work that needs to be done in this space out there and I felt like that we had an opportunity to make some change and that we need to put our best foot forward to do something. So yeah it’s exciting time and really pivotal kind of a critical juncture in history. We’re watching so many things transformed that are going to drive this for the next generation to generation. So we’re going to have a front seat of some of the real exciting.

Saul Marquez: [00:03:12] Yeah that’s super exciting. And so for the listeners maybe you could dive in a little bit on what some of the work that you guys do and how it’s relevant to the space.

Jacob Levenson: [00:03:20] Sure. So try to keep it simple. We focus predominately on individuals who have a substance use disorder diagnosis what we call addiction just to kind of put that some staggering in terms. Twenty two and a half 23 million Americans fit the criteria for substance use disorder which is.

Saul Marquez: [00:03:36] That’s a big number. I don’t know was that high.

Jacob Levenson: [00:03:38] That high. And this is a bigger number. It’s mindblowing. The national economic impact of substance abuse a little bit different than substance use disorder but substance abuse is about 740 billion dollars annually. Wow. So that’s almost in line with our national defense budget. But that’s things like work lost productivity that’s every dollar that is expended if you will as a result of substance abuse sweeping up glass entered you IREX everything. So Trump couple of weeks ago declared this a public health emergency a public emergency. Yes we do have a public health crisis. Opioid crisis which is grabbing headlines. Yes. But it’s by far not the number one cost driver nor is it the number one kind of killer in the world if you will. Outwell well set tobacco aside of alcohol by far it kills more people and OPU it still to this day now it just doesn’t do it in a headline grabbing way like a Finnell overdose does. But to jump your question quickly we manage people who have a substance use disorder diagnosis using tears. I mean people who are in successful recovery. But what we do that’s really interesting we tech enable them and the data enable them. So we put a lot of tech and other tools at their fingertips that help them identify people who are struggling make better decisions and helping them. Ultimately the whole game here is to improve outcomes for people with substance use disorder and chip away at 740 billion dollars that we’re hemorrhaging as a nation.

Saul Marquez: [00:05:05] Yeah that’s pretty sweet definitely worthwhile work. You’re named one of Beckers 112 entrepreneurs to know you’re obviously making a splash in this space. What do you think is going to be the key to make sure that this issue the substance use disorder gets addressed in a way that needs to be in order to reduce the cost then the Kerger.

Jacob Levenson: [00:05:28] Well here’s the bad news is this opioid crisis is not going to end anytime soon. This is so interwoven into our care delivery system just from the opioid prescribing techniques that aren’t changing anytime soon. Culturally as a nation I think whilst I will speak for you all speak for me. When I was a 17 18 19 20 there’s a rite of passage that happens in the American psyche of we are entitled to go out and party and a lot of that entails substance use the chemicals aren’t going away. OK. So what are we going to do about it. I think is the response now. Ultimately I think that we have to bring data to bear so that we can make more informed decisions where in the absence of data myths flourishes. Right. Right. You think back like a map in Europe from the 13th hundreds and you go and you look out on the edges and there’s dragons and the world is flat. Well they didn’t know what was out there. So we use the imagination while they put dragons in the earth just flat right. Flourishes right. So we have very little data that drives the delivery of treatment services in the country and it doesn’t have to be that way. So we can improve that ultimately just to get far out there. I do believe that the end solution lies in genomics which predict. I think we have a brain disease here that one day I would like to believe there’s a genomic solution but we’re nowhere even in the stratosphere of that yet.

Saul Marquez: [00:06:54] Interesting. That’s an interesting hook.

Jacob Levenson: [00:06:56] Either it’s physiological and it has it’s a brain disease or it’s not. If it is and we talk about addiction being genetic and having features that point to people having a genetic propensity for addiction those kinds of things I’ve seen in my own family.

Saul Marquez: [00:07:11] Yeah.

Jacob Levenson: [00:07:12] And I don’t think that’s totally the way it this but it does seem to have a physical and structural feature to it around how the brain structure if that’s true what role does Epigenetics Genomics have down the road and really from a therapeutics.

Saul Marquez: [00:07:28] That Super. Super fascinating. You obviously spend a good amount of time thinking about this and working in the field. So really excited to dive into maybe some examples. Can you share a story with the listeners about how you guys have applied this and gotten some improved outcomes.

Jacob Levenson: [00:07:46] Yeah I’ll just go with the first reaction. There is maybe not the most important one but one that comes to mind. Historically we have followed spouses of different metrics around people in early recovery people not in recovery at all who are totally just using or trying to understand their uses and why. Who gets well and why. Who doesn’t get well. And if you’re going to understand all that this cause and effect relationship when can you go in and take interceding action to improve people’s outcomes. So I’m just winging it here and it goes off of my head.

Saul Marquez: [00:08:21] That’s fine.

Jacob Levenson: [00:08:22] Anything I’m late revert to but anecdotally here is one that I always thought was critical that stood out in the emerging adult population I’ll go and add on the young professional that matters to. So basically the 35 18 to 35 in that range there is about a 90 day window when they get out of an acute care setting like intensive outpatient or above like basically they’ve gone away to treatment somewhere. It’s about a 90 day window for them to get back in school or find employment or return to their job if they don’t do one of the three. It is such a leading indicator that someone is going to experience recidivism or go back to a higher level of care have a colossal relapse. Right. And so what we’ve been able to do with that kind of information. Basically here’s what it says. If you do not have a job if you’re not back in school or you’ve not found a new job in 90 days your likelihood of a successful outcome is very low. So that said what does that mean in the acute care side. That data goes back it informs that acute care environment and it says you better have some serious job training going on.

Saul Marquez: [00:09:24] Yeah.

Jacob Levenson: [00:09:25] You have some serious some programming to that end. So that’s my reaction. I mean we could pull 100 these off the shelf now.

Saul Marquez: [00:09:32] It’s good. It’s good. It. And think that one falls directly on the social determinants of health. Would you agree.

Jacob Levenson: [00:09:39] Agree. I don’t think we have a client which our clients are primarily healthcare plans by the way who is not caught up in social determinants of health. We need those to be more proactive and are prospective sorry in nature but it’s good to see any form of standardization happening in the behavioral health or substance use disorder space which is the most fragment saying in the world. So.

Saul Marquez: [00:10:01] Yeah I think it’s a great Khala you know and a lot of times it’s it’s what happens outside of the hospital that actually determines somebody’s outcomes. And with the substance abuse field it’s interesting to note that there’s nothing very different from it.

Jacob Levenson: [00:10:16] It’s a chronic disease. Retreat it primarily with an acute care model. I mean imagine if we employed that model for say diabetes and we would be back in the early 90s late 80s. So we still as a country use an acute care model for chronic disease. Twenty 22 and a half million Americans fit the criteria for which it just boggles my mind that we’re like in the dark ages over that chronic disease requires chronic management. OK. So that’s where some of our initiatives have come in and I think the world really moving in this way saying wait a minute we can’t just discharge people out the back door and not give them the tools to manage their disease keep it in remission and more effectively to get get a sustainable life you’re in recovery.

Saul Marquez: [00:10:59] Yeah I think that’s a really neat idea. And you know you guys have tried a lot of things. Map health management. You guys are very focused on the outcomes. You guys are very focused on the data out of all the things that you’ve tried. I’m sure not all of them have have worked. Jacob and so my question to you here as we look for ways to innovate and create better results. Can you share a story with the listeners of a time when you had a setback and what you learned from it.

Jacob Levenson: [00:11:27] Yeah. I would say my experience is mostly full of anecdotal stories or I can tell you what not to do. Right so there’s a lot of the G’s don’t do this don’t do that. If you go when you open the earliest kind of notebooks of map when map was an idea and started being stood up it.

Saul Marquez: [00:11:47] How long was that by the way.

Jacob Levenson: [00:11:48] 2010 2010 and then it we went live in 2011.

Saul Marquez: [00:11:53] Awesome.

Jacob Levenson: [00:11:54] I’ve got these notebooks. I’ve got them home I look at them old time and make sure that I’m not losing my way here.

Saul Marquez: [00:12:00] I love it.

Jacob Levenson: [00:12:01] Literally it’s like how do we get these services covered by insurance. OK. So went out started talking to insurance companies and the response that I got was a little bit more diplomatic than this but not much more you want us to pay your drug addicts to talk to other drug addicts are you crazy. We’re not going to pay for that and we didn’t take that for an answer and it took many years of believing our own B.S. right. Refusing to give in to that. We’ve since we’re in the process of getting that covered today and by the end of this year. A hundred and sixty seven million Americans will have coverage for peer services solely as a result of map efforts since 2010. Right now we just have we are wrapping up 15 16 health care arrangements where all the members under those plans will have peer services covered by insurance. And that is the one that comes to mind from going. We will never pay your dope fiends to talk to dope fiends to saying here’s a contract. Years later crisis that changed everything.

Saul Marquez: [00:13:08] Oh my goodness. That right there is impressive. JACOB I CANNOT BELIEVE YOU have hung on for that long. And you are just. And now you’re like you I see your face. Yeah me either. I can’t believe I have. But now it worked. So how do you feel.

Jacob Levenson: [00:13:25] First of all there’s work with 130 240 other people here at map who played a huge role in that. And so I’m just kind of the guy who maybe is kick the ball in play here and there but far from could I take any credit or be responsible for for that the success we’ve had so far I feel damn good I’ll tell you why because I think that a lot of people are going to be helped by the kinds of services we’re talking about bringing chronic management to the space of a chronic disease standing up an industry where peers are going to be gainfully employed and truly utilized. It’s gonna help a lot of people these people we care about. These are co-workers or friends or family so that feels good because that’s part of the mission. It is the mission that’s so so that feels good but it’s one of those say it’s kind of anticlimactic when we the very first time we’ve got this covered by insurance. It was like my God. OK. Now it’s just another day at work. I don’t know.

Saul Marquez: [00:14:17] Now what do we do now.

Jacob Levenson: [00:14:18] Exactly.

Saul Marquez: [00:14:19] Now what’s the big challenge. We’ve got to tackle.

Jacob Levenson: [00:14:21] Actually provide the service. And you know when when you’ve got an insurance plan saying we want to send you twenty eight thousand new members every month. You know it’s like my God that’s more people than we’ve ever had in our whole system. Right. And you want to send it every month so change management and you know how do you go from little idea on a spiral notebook paper to 28000 new individuals a month those kinds of things I like to sleep at night. So we work harder in the day and try to resolve these issues so we can all sleep.

Saul Marquez: [00:14:50] Yeah that’s some really cool stuff. So Jacob I think about all of the companies trying to do things right now in health care and for a lot of them the clock is and maybe they really can’t wait this long. From 2011 to 2018. Now what did you do in-between to keep the company going did you diversify start working on other things like tell me a little bit about that.

Jacob Levenson: [00:15:13] Well I wrote a lot of checks. So we were bootstrapped the entire way which was painful. Oh get out. But at the same time was gave us tremendous freedom and latitude. There’s no board to answer to no answer to. So we were allowed to do all these tidbits constantly you know without having to go in to a room of white hairs and explain what we were doing and why we were doing it. So I definitely think that that was liberating and most of startups probably don’t get that opportunity. We diversified in the sense that we had and continue to have a significant revenue cycle division that provides claim processing services to the behavioral health space. It’s not sexy it’s not it’s not in those sayings. It’s a darn good little business. And you know it’s been helpful along the way.

Saul Marquez: [00:15:59] That’s awesome. That’s awesome say. And you basically were able to do it without any funding. And then on the side you had a little engine running that produced income that helped you guys continue with your mission.

Jacob Levenson: [00:16:10] Anecdotally I think that little division grew into by volume the third biggest rev cycle in the space in the issued space which is that reffed cycles a small kind of vertical of Eshuys kind of a smaller vertical if you compare that to to oncology or cardiology or even on the map. But yeah and relevant to the space. Yeah. Yeah we grew that look it’s sport and stuff. I mean we were out there advocating for patients to get coverage for where the services are receiving. It’s not just getting claims paid. It’s also getting the coverage in the days of service through utilization management side that ensures that person holding that person’s healthcare plans feet to the fire to pay for their care.

Saul Marquez: [00:16:51] For sure.

Jacob Levenson: [00:16:52] And that feels good.

Saul Marquez: [00:16:53] Yeah. Oh absolutely I can imagine. And Jacob was this company alive before you started. The other one or it just came as a necessity.

Jacob Levenson: [00:17:01] So I went out 2012 2013. I visited maybe 100 treatment parameters kind of across the country just trying to understand the day in the life of an addiction treatment provider and the one thing that was ubiquitous everywhere was I hate my revenue cycle provider.

Saul Marquez: [00:17:18] Really?

Jacob Levenson: [00:17:19] That was just ubiquitous and I came back and I thought oh my god I’ve got an opportunity here. Yeah. So let’s bundle services together let’s try to provide an economy’s just rough cycle things right for disruption. So what we set out to do but it’s maybe outcomes fewer services data can kind of get it can be an entree into this space to recycle something that people have to need and we can kind of use the services bundle and provide the little better rate so savings in it work I mean what it ultimately nothing has been as stressful for MAP as when we first started getting the buy in from the health insurance plans. That’s Emmerich’s checks right. Yeah it was the right thing at the right time and I don’t regret doing that.

Saul Marquez: [00:17:57] Wow. Awesome. So listeners take note of this I mean Jacobs sharing some really awesome stories a couple of things that I’d like to just point out you know. Number one his tenacity in being able to knock on a hundred plus customers doors looking for answers ask the customer what they’re looking for without even wanting to go this route. He found an opportunity and that’s something that every awesome entrepreneur that I’ve met does. And so kudos to you Jacob for doing that. And secondly a friend a good friend Nick Atkins he. I love the pink socks movement guy I had up you know him or not. JACOB.

Jacob Levenson: [00:18:35] Yeah.

Saul Marquez: [00:18:35] He loved to say don’t chase to change follow your mission and that’s what Jacob and his team have done. They have not chased the change they’ve remained focused on their mission and now nine years later they’re here and things are going to start moving and shaken. I imagine you’re probably going to be hiring a lot of people pretty soon and to fulfill what you guys have set out to do and so just take note of that listeners and it doesn’t happen overnight but if you stay consistent you stay true everything will eventually work out. And so this is so awesome Jacob that your you and your team have experienced this milestone. So congratulations.

Jacob Levenson: [00:19:15] Thank you

Saul Marquez: [00:19:15] What would you say an exciting project that you’re working on today.

Jacob Levenson: [00:19:20] I think that IBM Watson partnership we have is super exciting because it’s going to unlock a huge and massive data store that we have that has never been actionable and it’s going to unlock this data and I think it’s going to propel our ability to detect early relapse in people. It’s going to propel it forward and allow us to do it much more efficiently. Here’s what I mean. We’re utilizing Watson unstructured data. So there’s tremendous amounts of data that flows in a map’s environment. It’s unstructured phone calls, counselor notes, like social soaped notes things that are coming into EMRs as did just some a data standpoint just go there to die. There’s no structure now so there’s no way to really utilize it. Instead of a database Watson is going to come in and just do our annotation and or work with Watson. It’s going to it’s structuring the info and so allow us to turn that around and drive much better predictive analytics and harness this whole kind to traunch of data we’ve never been able to touch that when he gets excited.

Saul Marquez: [00:20:26] That is very exciting.

Jacob Levenson: [00:20:27] Yes.

Saul Marquez: [00:20:28] And just being able to do the next thing with this right.

Jacob Levenson: [00:20:32] It never ends. And no completion I still feel like it were like a slap in car. Of wills on Amilcar here because I feel like there’s so far to go. But yeah I think that’s the next big thing for us. Much health care plans are excited about that and I think it’s going. Look it’s there is no doubt that’s going to make. It’s like if we’re playing Call of Duty the peers are leveling up about three levels with that information because what they’re going to understand about the people that they’re serving is going to be dramatically enhanced.

Saul Marquez: [00:21:06] Now that’s super exciting and again in Jacobs style you love going after the big goals. It’s not just the 10 percent you’re going for 10x baby.

Jacob Levenson: [00:21:15] You know if we weren’t there I don’t mean to be cliche but we’re not in the business right we’re dealing with human lives here we’ve got people into this who have a terminal if left untreated disease. And so I feel like we have an obligation to swing for the fences and get this right. Maybe if you’re creating like a printer or a spice for a brisket rub you can use to mark a little bit. No one dies. Right. Right. But I feel like that you know maybe it’s too big of a burden for us some of us carry around but I think we personalize it that we don’t get this stuff right. People die. Yeah. And I think that for me and they speak for me that drives me perhaps you me too much.

Saul Marquez: [00:21:52] Now in a big way I can see that I could see that. I think that’s really awesome what you guys are up to and what the future looks like. You always have to have a compelling future as well. The Good Book also says you know without a vision people perish. And so as a leader Jacob you’re setting up an outstanding vision once again for your people and leaders. If you’re at the home of your organization Keep this in mind because once your team reaches that goal that they’ve been working so hard to what’s next got to keep them inspired and so Jacob you’re doing an awesome job of that. Let’s pretend Jacob you and I are building a medical leadership course on what it takes to be successful. The ABC or 101 of Jacob. And so we’re going to help the listeners get tuned in here to the syllabus for questions lightning round style all about improving outcomes. And then we’ll followed up with a book that you recommend to them you ready. All right. What’s the best way to improve health care outcomes.

Jacob Levenson: [00:22:50] To inform the front of the care delivery process the care continuum with information. The number one way to impact positive or to influence a positive outcome is early intervention. I don’t care if it’s cancer or heart disease or addiction. And so what we have to do is have early intervention screening techniques assessment restraint understand who’s at risk for what and basically do better triage on the front end of the care continuum and not let the acuity level get such that some people can’t be brought back from the brink or that cost runs out of control. That’s my reaction.

: [00:23:27] Love it. What is the biggest mistake or pitfall to avoid.

Jacob Levenson: [00:23:31] Believing your own B.S. definitely that kind of which I think is very good I hear it all day every day. Don’t let people tell you who you are because they might not have the right motive. I think that you’ve got to have some some sense of identity before you go out into the world with your products and services. Otherwise people are going to hammer them into something you don’t even recognize. And that’s not good. Not good for us.

Saul Marquez: [00:23:53] Were you told you were something and you just refused to accept it.

Jacob Levenson: [00:23:56] I’ve told we were not something and recast except it got the other way around. I’ve told it peers aren’t capable of performing the kinds of services we’re talking about. But in fact Opioid appear up against the psychiatrist any day of the week and they’ll drive a better outcome for these kinds of services because it’s a hey bro it’s a Hey John I know where you are because I’ve been there too so it’s a horizontal relationship. Psychiatrists verdict. And people who want who engage with a guy in a white coat who is crunching them. I’d much rather sit there and shoot a bull with someone who knows what I’ve been through because I’ve been there.

Saul Marquez: [00:24:30] That’s powerful. How do you stay relevant as an organization. Despite constant change.

Jacob Levenson: [00:24:35] Here’s my reaction a couple of things. Number one you better damn well be in your clients in customer strategy if you’re not. You’re going to be irrelevant very quickly. And so I think you have to understand. Yeah it’s one of those sales and kind of business development. I think it’s back to the two eyes to ears one mouth that all the best is dead folks vessels people I know don’t talk that much they listen like crazy. They understand the client needs and they bring a solution to a business problem. You can’t do that. You know I wouldn’t want to be your beneficiary. Secondly you’ve got to be disruptive. Right. Go play hockey where the puck’s going outwards. Ben I think there’s there’s always some exceptions to some of these sayings but this whole health care it’s also ripe for disruption. So in a fish I mean from bumper to bumper I’ve never seen a more inefficient thing in my entire life. And I mean you can go pick any aspect of this saying it’s all ripe for disruption. It’s a wounded water buffalo at a watering hole on the savannah go eat it a.

Saul Marquez: [00:25:32] Love it. What’s the one focus area. Jacob that to drive everything else in an organization.

Jacob Levenson: [00:25:39] Sounds like such a BS answer but it’s true it isn’t true. It’s true integrity and honor. When we say it from my perspective Honore don’t know about other organizations. For me it’s the honor aspect is is critical. And then there’s a litmus test would I want my mom my wife for my daughters receiving the service we provide. And if I wouldn’t be comfortable with people I love on that level receiving it then I shouldn’t be asking anyone else to either. And to me that’s tied into the honor thing would be dishonorable to sell a service. I wouldn’t be willing to accept my own loved one.

Saul Marquez: [00:26:12] For sure, what would you recommend to the listeners.

Jacob Levenson: [00:26:15] Oh man. I’m an avid reader. I have some really weird subjects that I read about. So it would have to kind of depend on on the topic truly. All right. This is one that you’ve never probably gotten a response to and I hate to say this over a million words long. The four volume set regarding the Civil War written by Shelby Foote.

Saul Marquez: [00:26:40] All right.

Jacob Levenson: [00:26:40] And it is. It took him 25 years to write it and let me tell you why.

Saul Marquez: [00:26:45] Amazing.

Jacob Levenson: [00:26:45] Every facet of human personality human triumph human tragedy every situation you could possibly imagine is examined in that four volume series through the civil war. Right. And it gives you tremendous insight. It has everyone from the most honorable people doing honorable things to the most terrible you know dastardly people of all time. And it tells you what happened as a result of their decisions and how they approach things in me. It’s been one of the greatest like life lessons. Kind of books but wrapping a subject to care a lot about that which I read it a million words. I go and you know I never stop reading it’s kind of like a Bible. That is one has taught me more about life probably than any other book I’ve ever read.

Saul Marquez: [00:27:33] Wow. That is definitely one that we’ve never heard. And you and you’ve given a very compelling reason to go check it out. So listeners checked out the syllabus where you’ll find a link to this book that Jacob just recommended. All of our show notes and everything that you are looking for. Just go to outcomesrocket.health/map or map health management so outcomesrocket.health/map. You’ll be able to find that in our shownotes. Jacob. This has been a ton of fun. Just look at the clock in the mic. Oh wow. We’re over. But it’s worth it every minute. It has been awesome with you. I’d love if you could just share a closing thought with the listeners and then the best place where they can get a hold of you.

Jacob Levenson: [00:28:18] I think you said it did the resiliency piece to me that’s number one factor in success intelligence helps network helps all of those kinds of things help. It’s all worthless without the ability to dig your heels in and push forward. Resiliency wins the day. And that’s that’s been true in my life. Not the smartest guy in the most connected guy. Not all those things right. But you will have to shoot me to put me down. That has served me well and I think that’s the number one factor for success.

Saul Marquez: [00:28:49] Love it. And what would the best place to reach out to you or follow you.

Jacob Levenson: [00:28:53] Not a Twitter guy. Don’t waste too much time on social media spin We’re talking working linked in. I don’t even know how to tell someone to find me.

Saul Marquez: [00:29:02] Yeah. We come out of there. We could put in the shownotes. We’ll put a link to your link them propa sure and then maybe your company email address to the web address. This is map.com

: [00:29:13] This is map dot com that’s our. Yeah don’t ever name your company.

: [00:29:17] When are the like 20 most common words English language you’ll never. First of all it’s you’ll spend a huge amount of money on copyright and trademark attorneys. Secondly you’ll never get to a domain name you want. So map ends up. This is map so we got that.

Saul Marquez: [00:29:35] I love it man. I love I love what a straight shooter you are and literally the gold that you just ordered to our listeners I know that they’re taking notes. Don’t worry listeners you could listen to this again. That’s the beauty of the podcast. So don’t be shy. Do that and Jacob just want to say a big thank you to you. Keep doing what you’re doing. You’re doing some amazing things healthcare.

Jacob Levenson: [00:29:59] Thank you sir. Appreciate the opportunity to come on your show and share some thoughts. Very much.

: [00:30:07] Thanks for listening to the Outcomes Rocket podcast. Be sure to visit us on the web at www.outcomesrocket.health for the show notes, resources, inspiration and so much more.

Recommended Book/s:

Civil War Volumes 1-3 Box Set

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Linkedin – Jacob Levenson

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