“I met John nearly 15 years ago and we've been collaborating on healthcare IT media and marketing projects ever since. His passion for healthcare IT is relentless. In addition to brilliant and innovative thinking, John is dedicated, transparent, trustworthy and inspirational. If you're looking for someone who truly cares about healthcare and knows how to improve your brand, just reach out to John. ”
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Henderson, Nevada, United States
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Healthcare IT Today
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Jason Barry
If anyone's looking for some light AI reimbursement reading to accompany their Taylor Swift listening party: An NEJM AI article from a trio of rockstar researchers unpacked the pros and cons of various paths to financially sustainable AI adoption. > Traditional FFS still makes the world go 'round. It's a viable path for the AI developers that can both demonstrate an outcomes impact and endure the long road to establishing a CPT code. > VBC is a solid alternative since obtaining authorization for medical AI to “count” toward closing care gaps for MIPS and HEDIS has been shown to be considerably more straightforward than clearing the hurdles involved with FFS reimbursement. > BONUS: The authors also offer a novel approach derived from the Medicare Part B model, which reimburses drugs administered in an outpatient setting based on a “cost plus” markup. >> Here, providers could acquire the rights to use AI, then get reimbursed based on the average cost of the service plus a specified margin, contingent upon CMS coverage of a particular code. >> This model essentially splits revenue between AI creators and users, and would alleviate some of the tensions of both FFS and VBC models, but unfortunately still carries the risk of overutilization. Hats off to Michael D Abramoff, Tinglong Dai, and James Zou https://lnkd.in/g-KWChdG
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Nicole Bocskocsky
A whirlwind of activity last week at the America's Physician Groups conference. Lots of solid insights shared by health system leaders. Some notable thoughts: +++ Artificial intelligence is intelligent in different ways: By now, we all know ai has a diverse set of use cases, incorporated in different applications and tools. But there are fundamental differences in how the intelligence itself is brought to life. Examples include: - Predictive AI, used to forecast future outcomes by leveraging historical data. Shout out to UCLA’s CKD/ESRD early intervention protocol (Joycee Berin) and Diagnostic Robotics’ intelligence care post-dicharge journeys (Kira Radinsky) - Protocolized AI, used to automating a user’s administrative load by using a set of detailed, pre-defined rule sets. Thanks to ARC for sharing their experience using Elaborate 's automated outpatient lab summaries (Manish Naik) - Generative AI, used to create new content. Great overview of ambient documentation at MGB as well as Cedars’ Sinai talking through its medical ontology model powering acute triage (Caroline Goldzweig) Across system leaders and experts, there was clear agreement that the first step to implementing intelligence intelligently is defining the ‘jobs to be done’. That way, internal and external stakeholders are clear on what they're solving for when they architect the solution. +++ Scaling AI takes time and rigorous observation: Market leaders describe a phased pilot approach that allows clinicians to build confidence and system leaders to measure ROI before deploying systemwide. Loved hearing Rebecca Mishuris outline MGB’s novel approach of piloting two solutions against one another, to pressure test implementation, workflow, and value creation. +++ Proving ROI continues to be challenging: Lots of vendors using lots of different metrics to prove value, but the majority of leaders agreed that estimating the ROI of these new tools today is part science, part art. Demonstrating the ROI of the “soft” metrics around provider burnout and retention seemed to be a big opportunity, especially for investment in more efficient primary care and PCP wellbeing. After all, PCPs drive referrals to specialty-level care (and higher reimbursements) for health systems. Appreciated Anurang Revri's overview of how working team setup can also impact ROI estimates. +++ Value-based care = tools + humanity: VBC will require not only implementing tools to support clinical documentation, risk capture, upcoding, etc, but also humanizing interactions to engage patients. Countless examples, but one that made me smile was a depression focused chat bot responding in the following interaction: - Context: post-discharge check in Bot: Hi Freida, how are you feeling today after your surgery? Patient: I’m having a tough time, am in a lot of pain. Bot: Well, it can’t be that bad, I’m sure it will get better with a positive mindset! 🤣 🤣 🤣 Can't wait for next go-around!
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Christopher Algera
Last Friday, we chatted with Carrie Liken and Christian J. Ward to discuss #AI and how its innovations are impacting #healthcare. Carrie explained the importance of recognizing that #providerdata is actually "#inventory." Understanding the intricacies of these data -- especially in the patient journey -- will be key for organizations taking a leap forward in combining quality patient care with cutting-edge AI #technology. Listen to the entire podcast here: https://okt.to/nzuYEW #HealthTechnology #ArtificialIntelligence #HealthcareMarketing #GEO #SEO
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Amanda Norris
Here are the trends we are following so far this week at HealthLeaders. #Healthcare #transformation is all the rage on the conference circuit these days, but are health systems and hospitals really transforming anything? Healthcare executives are always looking at new technology like AI and virtual care, but Arthur Gianelli, MA, MBA, MPH, FACHE, chief transformation officer for New York’s Mount Sinai Health System, points out that technology may have caused just as much harm as good. Healthcare transformation is an evolving strategy and some say a slow-but-steady approach works. Others—not so much. Take Sachin H. Jain, MD, MBA for example. He says to make any real difference, healthcare leaders need to start "calling your baby ugly," and everyone's afraid to do it (https://lnkd.in/eDnBuGBn). In other news, when it comes to the workforce, what health systems are doing is not working, says one nurse leader. On this episode of HL Shorts, we hear from Jennifer Croland, VP and CNO at OSF HealthCare Saint Francis Medical Center, about effective recruitment and retention strategies that CNOs can use to tackle workforce issues (https://lnkd.in/eVn4FkJs). Speaking of nursing workforce strategies not working, there's a new study that found subbing lower-paid staff for RNs leads to negative outcomes, including higher hospital mortality, longer lengths of stay, and increased hospital readmissions (https://lnkd.in/epibdCvN). In more news, new reports are predicting significant increases in #healthcarespending through 2032. What does it mean? Well, as these increases draw in more attention to price control methods, tensions between payers and providers could rise (https://lnkd.in/eunEwAwP). With that, happy Tuesday! We'll be back with the latest insights and analysis in healthcare.
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Julia Komissarchik
The votes are in and the most used healthcare buzzword of 2024 is... "Generative AI"! "Breaking down silos" came in at a close second. Check out the full results of the Healthcare Buzzwords Tournament and see if your favorite buzzword made the cut! https://lnkd.in/gqpp6etV #GenerativeAI #AIinMed #BigData
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Carmalitha L. Gumbs, MBA, MHA
🌟 Exciting Insights from the Latest Harvard-Inovalon Medicare Study! 🌟 As professionals in the Medicare Advantage space, we’re always on the lookout for data that underscores the efficacy and efficiency of MA plans. A recent study by Harvard and Inovalon has brought some compelling findings to light, showing that Medicare Advantage not only reduces healthcare expenditures but also maintains high levels of care compared to traditional Medicare Fee-for-Service. Here are some key takeaways: - MA enrollees experience over 50% fewer inpatient stays and 22% fewer emergency visits compared to FFS, with no significant reduction in primary care or prescription drug services. - Overall, MA shows a 12% reduction in health expenditures, highlighting its efficiency in managing healthcare resources. At Sonder Health Plans, we're proud to say that we're already implementing many of the strategies that make Medicare Advantage so beneficial. Our focus on care coordination and preventive care isn’t just about keeping costs down—it's about providing a foundation for healthier, happier lives for all our members. This study reinforces the value of the Medicare Advantage program and the potential for more innovative, cost-effective care models. Let’s continue to push forward, driving improvements that matter. #MedicareAdvantage #HealthcareInnovation #SonderHealthPlans
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Stefan Harrer, PhD
This is a cautionary tale that points to the crux of bringing virtual care and telehealth to primary care: do you have a clear, efficient, scalable reimbursement model for your tech or do you not? While having a reimbursement strategy at the core of any digital health business model is a make or break criteria, defining reimbursement pathways is often overseen or assumed to be a self fulfilling prophecy once the tech hits the market. It is not. You can have the best tech in the world (throw as much AI into the mix as you want) and even with a bullet proof value proposition, clinical studies, consumer centric service design, a pressing client need and deep pockets: if your reimbursement strategy does not work, the business won’t work. It’s not easy to get reimbursement strategies right: within specific markets conditions can change (today you might have a reimbursement code, tomorrow you might not - and vice Versa) and things get extremely complicated when scaling across multiple markets, jurisdictions and geographies. https://lnkd.in/gXFRzJXQ
39
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Saamer Siddiqi M.D.
🥼Bridging the Gaps in Inpatient Healthcare: Lessons Learned As a founder of a digital health company, I’ve faced critical gaps in inpatient care. Here’s what I’ve learned about addressing these challenges effectively: Key Challenges 1. Specialty Physician Shortages: A shortage of specialty physicians leads to overworked staff and longer wait times. 2. Financial Constraints: Budget limitations often prevent investment in new technologies or service expansion. 3. Outdated Technology: Many hospitals rely on outdated systems that hinder efficiency and patient outcomes. 4. Disintegrated Systems: Lack of integration between tech systems results in fragmented care. Strategies for Success 1. Start with the Lowest Hanging Fruit: Begin by tackling the most immediate issue—in our case, specialty physician shortages. Implementing telehealth for remote consultations can significantly extend the reach of specialists. 2. Develop Cost-Effective Solutions: Instead of relying on expensive out-of-the-box options, consider developing your own technology. This approach can provide advanced capabilities while keeping costs manageable. 3. Ensure Integration: Design solutions that integrate seamlessly with existing hospital systems. This minimizes disruption and enhances current workflows. 4. Leverage Clinician Expertise: Involve tech-savvy clinicians in your core team. Their insights are invaluable in creating practical and effective innovations. 5. Utilize AI for Communication: Use AI to improve clinical communication. This can enhance the quality and timeliness of care by streamlining information sharing and reducing errors. 6. Invest in Training: Prioritize training for hospital staff to ensure they can effectively use new technology. This is crucial for maximizing the benefits of any new system. Addressing inpatient healthcare gaps requires a focused, practical approach. At LIVEMED Telehealth™ we started with the most pressing issues, developed cost-effective and integrated solutions, and leveraged clinician expertise. Utilizing AI and investing in staff training has further enhanced outcomes. These strategies can help bridge the gaps in healthcare delivery, improving both patient care and hospital efficiency. #physicianleadership #digitalhealth #healthcare #medicine #healthcareinnovation #aiinhealthcare #medtech #hospitals
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Megan Williams
The US hospital information system market is a $60 billion industry...but most tech vendors I talk to have a fuzzy idea *at best* of the true potential of their content marketing. They often under, or OVERestimate what's possible for their sales and marketing department. This makes it incredibly difficult to set realistic goals for a content marketing program...it's also why I always suggest some level of market research for early-stage programs before we do any significant content work. https://buff.ly/49tLJ5q
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Michael Nadeau, P.Eng.
Walmart Exits Healthcare Market: RPM Steps Up to Fill the Gap... Walmart's departure from the healthcare market, including its virtual health care services, will leave a void in care services for underserved communities. While hospitals and primary care providers (PCPs) remain the backbone of our healthcare ecosystem, their resilience is rooted in the trust relationships they've built with patients. This trust is a cornerstone of effective care, and RPM can help hospitals and PCPs extend their reach. RPM uses digital technologies to monitor patients' vital signs, health data, and other relevant information remotely, enabling healthcare providers to deliver timely interventions and preventive care. By leveraging RPM, we can: - Increase access to care for underserved communities - Detect health issues early, preventing complications - Deliver personalized care plans - Reduce healthcare costs - Empower patients to take a more active role in their healthcare As we move forward, RPM can help address the disparities in healthcare access and ensure that everyone has access to quality care, regardless of their zip code or background. Let's harness the power of RPM to create a more equitable and accessible healthcare ecosystem! #RemotePatientMonitoring #Telehealth #DigitalHealth #HealthcareAccess https://lnkd.in/eD7CcaEm
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5 Comments -
Sam Holliday
Robin Goldsmith thanks so much for having Sameer Berry, MD, MBA on your show to talk about Oshi Health and our innovative care for #digestivehealth conditions. Such a great conversation around the challenges in #gastroenterology and how new care models like ours address them in ways that are a win for all stakeholders. #valuebasedcare #accountablecare #wholepersoncare
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This Week Health
Is your healthcare organization transitioning to an automated system? Join Dr. Eric Lee, Medical Director of Clinical Informatics at AltaMed Health Services, as he discusses the challenges and solutions in integrating clinical informatics and EHR systems. Discover insights on automation vs. manual processes and realistic expectations post-EHR implementation in this #keynote: https://loom.ly/SjKDjf8 #TWH #HealthIT
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Sach Jain
What are some of the best examples of how AI is helping tackle and improve patient care? How is AI impacting patients in real time? These were some of the questions we tackled in a wide-ranging panel discussion at the recent Fortune Brainstorm Health conference. I came away inspired by the knowledge that we are actively deploying the technology in a multitude of ways, and as it evolves, its impact will only continue to grow. In a discussion moderated by Fortune’s senior writer Erika Fry, several of us shared insights into how it’s being utilized for precision care in women’s health, to assist clinicians with patient note-taking, in medical devices that deliver therapeutics, in assessing mental health, and in Carrum’s case, how it enables rigorous provider quality evaluations and in identifying patients at risk for chronic health issues even before they’re aware of it. # My take is that we can harness AI for virtually every component of patient care, but the human element is still key for the critical context we need to make decisions, and this is where care concierges who pull all the pieces together and steer the patients matter the most. AI has the potential to dramatically enhance the care concierge team's performance and help them serve patients more effectively. # Second, the challenge with healthcare claims data is that it’s not a clean set like it is in other industries like financial services. So cleaning up claims data is a project in itself. With patients facing critical health issues, weaving data into the mix needs to be done with care so it truly enhances the patient experience. We use AI to predict which members in a given population are on a path to an acute care event in the near future. This is where I see it truly making a difference - until now, health care has been sick care. But with sophisticated data analysis, we can upend that so health care is preventative care. Plus, data we currently generate from handling thousands of patients going through surgery and cancer care also informs all the potential ways to help future patients avoid pitfalls and navigate their care better. #fortunehealth #patientcentricai #patientexperience
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Megan Williams
I'm a big believer that most tech marketers selling into hospitals and health systems should be doing *less*—less so they can free themselves to move on to high-level strategy and even other verticals or segments. The road to unlocking new levels of efficiency in your work can be complex—but it all starts with accuracy...efficiency means next to nothing if you aren't covering the pain points *your* corner of healthcare is focused on today. (I've seen too many hospital tech vendors publishing content on results in an area that was important pre-COVID when their key decision makers and influencers are most concerned about emerging issues like rising labor costs and declining margins.) The fastest way to get there? Research. I put this piece together to help you get the easiest start possible. #HospitalContentMarketing
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Counting Sand Podcast
🆕 Episode: Continuing our recap of HIMSS 24, host Angelo Kastroulis sat down with Nicholas Stepro of Arcadia. In this clip, they touch on the topics of value-based care, social determinants, and AI in the healthcare setting. You can catch the full podcast with this link 👇 or on any major platform. https://lnkd.in/eYt2suhf #healthcare #data #analytics #sdoh #ai #himss24
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Arcadia
📡 What’s ambient signal, and how can it help address social determinants of health? Arcadia’s Chief Product and Technology Officer, Nicholas Stepro, explains in this episode of the Counting Sand Podcast. 🎙️ Give it a listen to learn how: ➡ Data and analytics provide an understanding of performance and identify areas for improvement in healthcare ➡ Artificial intelligence can be used to enhance healthcare efficiency and effectiveness ➡ Trust and transparency can lead to the adoption of AI in healthcare
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Jordan Harmon
90% of startups fail. So why do healthcare initiatives at large corporations fail at about the same rate? Many of these were launched with great fanfare but announced closures a few short years lateer. A few reasons might be: 1. Mission but no strategy: it's not enough to have a mission to treat a specific population or group of employees, you have to be in it for the long haul with a strategy that will evolve over time. 2. Misunderstanding of healthcare complexity: many executives believe they understand the problem and use tools from other industries to solve healthcare issues. You can't always bring things that work in banking, finance, retail for example. 3. Execution: rarely does leadership hire people who have a track record of execution in healthcare. I'm talking about people who have been able to gut through the losses. This is probably the biggest misstep. You agree with these reasons? What would you add to these? #healthcare #failures https://lnkd.in/etzZywnK
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Umbereen S. Nehal, MD, MPH, MBA
I’ve been given advice that the fastest way to monetize HER Heard without charging the end user (woman) is trackers and selling data. Instead, I’d like to build something more trustworthy. I don’t want to be in a headline like this. If you are not paying, then you are the product (you/your data are being sold). There are newer ways to deindentify data or even to aggregate things women search for that can be of interest to various stakeholders. In theory that could be okay to sell, but in a post-Roe world with laws encouraging bounty hunting, I am vetting the choices ahead. I am all for moving fast, without breaking things.
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Chris Jorgenson
The recent integration of AI-generated results ( formerly "Search Generative Experience" and now renamed "AI Overviews") in Google Search is changing how patients find care. Is your healthcare organization’s digital strategy helping patients find you when they need you most? I can't think of two better people to help guide you than Carrie Liken and Jason Hamrick. Join Yext and Phase2 on June 6 at 11 AM ET for an interactive virtual event. You’ll learn how to adjust your digital strategy so your healthcare organization shows up in search. https://lnkd.in/e7S7iRxc
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Sam Qamar
Walmart is exiting healthcare. This doesn’t surprise me. Walmart was never designed for healthcare, it was designed for retail. Everyone wants a piece of the $4T pie, but it’s a pie full of indigestible ingredients that would make the biggest companies choke. Especially companies that were never built for healthcare. - fee-for-service doesn’t work, especially with very low fees - relying on legacy payors doesn’t work - using insurance for primary care doesn’t work - not paying providers enough doesn’t work - having a clinic next to gardening supplies doesn’t work Throwing millions at healthcare doesn’t automatically work with a large base that comes to you for something else. I believe a properly built and well-executed healthcare startup that “thinks differently”, will eventually move the needle on improving the American healthcare experience. It’s coming, and will surprise everyone.
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