Robbie Allen

Mandatory bundles in surgery are a bi-partisan objective, and (in)ability to optimize cost/quality will dramatically impact hospital P&L. Regular insights from granular data , and AI-based decision support are the only way to systemically reduce unwanted variability and be both profitable and high quality.

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AI is revolutionizing the healthcare industry, transforming the way professionals deliver care and how patients experience it. I shared the stage with Glen Tullman, CEO of Transcarent, and Mark Cuban, Co-Founder of Cost Plus Drugs, at #CES2024, where we delved into this topic. ​ During our #CES conversation, Glen highlighted one of the most significant impacts of AI: Its ability to automate administrative tasks could liberate physicians from tedious paperwork and bureaucratic hurdles. ​ With these tasks streamlined, healthcare providers can redirect their focus toward what truly matters: their patients. ​ Beyond efficiency gains, AI also holds the promise of revolutionizing the patient experience. ​ Through personalized algorithms and predictive analytics, healthcare providers deliver treatments and interventions tailored to each patient's unique needs and circumstances. ​ This means better results and happier patients who trust their doctors more. ​ AI is not just a technological advancement. ​ It's a catalyst for positive change in healthcare. ​ I'm excited to see how it will keep improving healthcare for everyone.

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Good summary by Noah Tong from Fierce Healthcare on the recent NAACOS spring meeting. At the event, four specific areas of focus were highlighted, including monitoring of DME fraud, a new best practices playbook, an expected pause in legislation passage this year, and SNF partnerships. ACOs are shifting to eCQM, with pilot testing for digital quality measures mentioned. MRO just posted a valuable blog on this topic for ACOs making the change. Check it out! #accountablecare #ACO #MIPS #valuebasedcare #healthcarequalityreporting Noah Tong Fierce Healthcare

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As the demand for GLP-1 receptor agonist drugs continues to rise, plan sponsors face the challenge of ensuring their optimal and safe use within their health plans. The key to success lies in implementing effective educational programs and decision-support tools. By providing plan members with the knowledge and resources they need to make informed decisions about GLP-1 use, sponsors can: ✅ Promote the responsible use of these medications ✅ Maximize the benefits for eligible members ✅ Minimize potential risks and adverse events By investing in these initiatives, plan sponsors can ensure that GLP-1s are used in a manner that optimizes outcomes, manages costs, and prioritizes member health and well-being. #GLP1Optimization #SponsoredHealthPlans #EducationalPrograms #Healthcare

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The US Physician Workforce will be decimated by the boomer doctor retirement cliff between now and 2030. A disturbing pattern in recent study findings makes this issue much more urgent - and the timeline to impact much shorter - than the government predictions. Let me show you why. The new statistics, the references ... everything The dots will all line up when you watch this short video and I'm happy to have the chance to show them to you. If you are a physician leader, this video is a Must-Watch because the mainstream media is not covering this phenomenon. Employers are only focused on short-term results: the numbers at the end of this second quarter, or the end of 2024.  They don't see this long-term trend. I also strongly recommend you share these videos with your C-suite - especially if your organization does not have a Corporate Wellness Strategy in place at this time. Learn what to watch out for - and what you must start doing now - to implement a Physician Wellness Strategy while there's still time. This trend will play out over the next three or four years. It's inevitable. You can't fight father time and nobody's getting any younger. Every doctor needs to know what is coming. Watch these short outtakes from this week's Wellness Champion Summit Webinar https://lnkd.in/gFYckWS4 **You will learn** 👉 What is the Boomer Doc retirement cliff? 👉🏽 How bad is it? 👉🏿 Recent changes in female physician and medical student behavior make things much worse. 👉 How the answer to this one question to your CMO doubles the projected physician shortage of 2030. 👉 Does AI at the same time make things better or worse? 👉🏿 What your organization must do now to prepare. 👉🏽 Why I'm predicting a brief window of opportunity for a corporate Physician Wellness Strategy - but you must act now!

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Title: Bridging the Gap: Public and Private Healthcare Collaboration On June 11, we hosted a pivotal meeting with key voices from both private healthcare providers and public healthcare regulators and providers. The consensus was clear: collaboration between the public and private sectors is essential to create a robust and sustainable healthcare system. Here’s how we can achieve this: 1. Unified Vision:Establish common goals like improving patient outcomes and increasing accessibility. 2. Leverage Strengths:Public systems excel in broad coverage and preventive care, while private providers lead in innovation and efficiency. 3. Data Sharing:Integrate data to enhance diagnosis, treatment, and preventive measures. 4. Joint Investment:Collaborate on funding for advanced medical technologies and telemedicine. 5. Policy Harmonization:Align policies to reduce bureaucratic hurdles and foster innovation. 6. Public-Private Partnerships: Pool resources to tackle infrastructure and rural healthcare challenges. 7. Continuous Improvement: Regular feedback and communication to adapt to changing needs. Our meeting highlighted the potential of collaboration in transforming healthcare. By working together, we can build a more efficient, equitable, and responsive healthcare system. Let’s commit to this collaborative journey for a healthier future. #UHC #medicalai #health #PPP

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On this episode of Healthcare Americana, Christopher Habig is joined by president and founder of The Market Institute, Charles Sauer. Charles shares the role of profit motive in healthcare, the concept of opportunity cost in patient care, and the impact of policy decisions on market freedom and innovation. If you've ever wondered how policy decisions shape the healthcare industry, this episode is for you. Click here to access the interview: https://lnkd.in/g5GUx9KF

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A top down approach to tech adoption will never work in healthcare. While this approach may work in other industries where liability lies on the executive team, in healthcare liability more often rests with the clinician. At the end of the day we answer to the medical authorities which regulate our medical license. To be blunt, while painful its okay if I get fired because I do not adopt new technologies adopted by my institution. Its not okay and my entire medical career is in jeopardy if I do not follow the regulations set out by my provincial college of physician and surgeons. Part of which is to maintain the standard of care and follow a patient centric approach to healthcare. Technology adoption in healthcare requires a bottoms up approach to adoption. You need buy-in from clinicians and payors. Both are necessary and neither alone is sufficient. I realize I did not say you need buy-in from patients but I am assuming this is a given. #healthcare #technology #innovation #physician

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$1.6 billion. That's what UnitedHealth Group projects as the total earnings impact in 2024 of the February Change Healthcare #ransomware attack. This includes both direct response costs (e.g. platform restoration and increased medical care expenditures) and business disruption impacts (e.g. lost revenue). The figure is now so large that it shows up in the net earnings calculation as part of the first-quarter 2024 financial results announced on Tuesday. And remember that UnitedHealth hasn't yet disclosed the amount of personal #data breached in the hack - it needs to do this within 60 days of learning about the breach, and that time expires next week. The damage could get even worse. More needs to be done to detect and prevent ransomware. 10-figure costs should not become the norm. If you're a #founder working on a new idea, please reach out! Reuters Article: https://lnkd.in/gXBQ5pwb P.S. In case you're wondering, I have lots of thoughts on Lacework/Wiz but waiting for a little more information before sharing a post. Rumors are just rumors.

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New solutions as a result of new thinking are needed as the healthcare ecosystem grows exponentially and costs continue to rise. Where a patient has a surgical procedure done will have a direct effect on the out-of-pocket costs they experience because the cost of performing the procedure can vary significantly. SPDx is a logistics solution designed to solve a significant surgical bottleneck in the markets we enter. Surgical support trays are retrieved, sterilized, and stored ready to support the next surgery whether that occurs in a hospital or ASC anywhere in the market. Healthcare facilities can perform more surgeries than the current consignment model allows because we are more efficient operating as a sterilization factory environment. We always ensure 100% patient safety meeting or exceeding all regulatory IFUs. Staffing issues and equipment failures no longer put surgery schedules in jeopardy saving both the surgeon and patient time and frustration. Implant manufacturers get more procedures done with the same number of support trays due to increased asset utilization. This lowers healthcare costs by removing the need to deploy additional expensive surgical support tray tool sets as the number of points of care grows. SPDx is good for patients, implant manufactures, and healthcare providers. We are not a value shift; we actually create value for all stakeholders.

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Too big to care and "too big to fail" What policies made healthcare more vulnerable to hacking and made taking care of patients even more difficult? Is healthcare consolidation, integration good for patients, medicine? #Consolidation #Integration #MedicalInsurance #HealthcareAdvocacy #Healthcare #Medicine #Patients #CyberSecurity #CyberAttacks "Ascension suffered ransomware attack: Report" https://lnkd.in/gT_ywSwT

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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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AI in healthcare opens up so many additional opportunities for lawyers to make even more money. It warms the heart just thinking about it... https://lnkd.in/gyS9Pvmd #healthcare #healthcareai #medicalai #chatgpt #generativeai

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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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Top 10 Things we need to do to Fix health care in the US. #6 PE and Financial institutions and the corporate practice of medicine. Ok, now this one is tricky. Right off the bat people are going to think that I'm going to say that PE firms are evil and should never be called to be involved in health care. Not so. Hear me out. Private Equity is a financing mechanism. It is a tool just like any tool. Narcotics used in the right situation and under the right supervision of a doctor are an incredibly powerful tool. They can also do incredible damage in the wrong hands. PE is much the same. So, here is my recommendation. We need to have more oversight into the management and business practices whenever an external financial entity owns some part of heath care delivery. We need to make sure they are doing the right thing and not just putting profits before patients. That means PE and to be honest that means UHC's ownership of physicians, ASCs etc. UHC is a financial entity just like PE. Part of these rules should be physicians in decision making positions to make sure that patients come first. These physicians need to be more than a King or Queen that comes out on parade days but doesn't have any real power but rather a critical part of the senior management team. There needs to be other controls put in place but you get the drift. https://lnkd.in/eFNekyum

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