It's a wonderful question.
To be particular and exact, I feel I almost never make any recommendations. I try very hard to leave out my opinions. What bothers me a lot is when people don't understand what we are presenting as information. I've tried very hard to focus; instead of being complicated, I try to be clear in answering the question that the payer wants to know about.
I feel this is a missed opportunity. It is no mystery why many of the innovations are not being funded. It's because either the information to make that decision hasn't been collected, or once it has been collected it doesn't represent a wise investment.
To answer your question, I've tried hard to make myself understandable.