Techy Surgeon | Christian Pean MD, MS | Substack

techy surgeon explainers

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Do Ambient Scribes Really Pay Off?

The ROI Story Is More Complicated Than the Hype...

Jan 5 • Christian Pean MD, MS

CMS ACCESS Model’s Substitute Service Adjustment: Managing the “First-Step” Dilemma

How CMS defines duplicate services creates complexity, could foster friction, and is meant to drive true value-based care delivery

Dec 29, 2025 • Christian Pean MD, MS

12 Days of ACCESS: The Medicare Beneficiary Journey

Technical deep-dive on patient flow, data requirements, and care coordination obligations

Dec 27, 2025 • Christian Pean MD, MS

The Battle for Clinical AI: A 2025 Year-End Briefing

OpenEvidence, Doximity, Epic, and UpToDate are racing to own the physician's decision-making moment

Dec 17, 2025 • Christian Pean MD, MS

ACCESS Model FAQs: Outcome Aligned Payments, PROMs, and Known Unknowns for Health Systems

There's a lot of confusion about this model. I try to clear up the most common questions I'm getting about it from physician and health leader…

Dec 14, 2025 • Christian Pean MD, MS

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