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Peter Prosol posted this'Amazon is looking to minimize "tokenmaxxing." The company is shutting down an employee-made leaderboard that tracked AI token use because it encouraged some staff to perform tasks that didn't necessarily solve problems, just so they could climb the ranks. "Please don't use AI just for the sake of using AI," Dave Treadwell, an Amazon senior vice president, told staff earlier this week. "Use AI to help you solve customer problems, to help you solve business problems, to innovate."' - From Business Insider It's an amazing combination of three forces: - First if you reward people for dumb raw effort they'll give you lots of activity and a big pile of nothing. - Second just because a tool lets you do something faster or better or more has no bearing on whether any of that gets you from A to B, it's worth working on at all, or it's properly channeled into results by clear thinking. - Third, the human mind evolved in an environment where calories are scarce so it tries to conserve and thinking is calorie expensive. So given the choice of working on a hard core boring problem that the business actually needs solved and chasing colorful new butterflies in green fields the butterflies usually win. Almost every day I have some nice satisfying aha moment where AI let me or my team do something we couldn't do before, or not as fast or well or cost effectively. But it does feel like you're driving on the edge of the cliff where the possibility of doing more and different things endlessly can overwhelm any sense of focus, strategy, or priorities.
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Peter Prosol shared this🚨 The deductible was supposed to control costs. Instead it's training your employees to skip care — and you're paying for it later in the ER. PayMedix just got independently validated proof that fixing affordability actually bends the cost curve. We're proud to recognize PayMedix for achieving Savings Validation from Validation Institute — an independent, rigorous confirmation that their healthcare payments model delivers measurable cost reduction for self-funded employers. 📌 What this means for you: When employees can't afford to use their benefits early in the plan year, they delay care. That delay turns into an ER visit, a hospitalization, a claim that dwarfs what a doctor's visit would have cost. PayMedix eliminates that dynamic — paying providers in full, consolidating billing, and offering uncapped interest-free financing for all in-network costs. The result is independently verified: employer medical trend of 3.2% vs. the Milliman benchmark of 8.8% at one year, and 3.7% vs. 5.6% at two years. With over $7 billion in payments processed, this isn't a pilot program. It's a proven model. 🔍 Read the full Validation Report: https://lnkd.in/ep8X63uc 💡 Industry-Leading Credibility Guarantee: Validation Institute is backing this validation with a $100,000 ERISA Immunity Guarantee as part of our Credibility Guarantee Program. Congratulations to PayMedix — and especially Tom Policelli — for proving that affordability and cost control aren't opposites. 👏 Al Lewis 🇺🇦 | Bernie Weiss | Deepali Patel LPC, NCC | Monica Camille David #ValidationInstitute #HealthcareInnovation #ValidatedResults #HealthOutcomes #BenefitsThatWork #SelfInsured
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Peter Prosol posted thisI’ve talked to about a hundred people this month about how they use AI. One thing jumps out above everything else. The biggest divide isn’t how many questions you ask the LLM. It’s how you architect the context. You can ask it cold to draft an email. Or you can use something like Claude’s Projects with a folder that provides real context — and critically, feed the results back in as summary documents. Now you’re not just prompting. You’re building a knowledge base that compounds. But there’s another level to this game. The LLM knows nothing about you — your goals, your skills, your situation. You carry all of that context around and never think to share it. So have it interview you. Do exercises like the perfect day or write-your-own-obituary. Save the output as a summary document and carry it into future prompts. Refine it over time. Eventually you get to the point where it knows you and the project you’re focused on as well as someone who’s worked alongside you for years. That’s when things get interesting.
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Peter Prosol posted thisI'm setting up Claude with my entire team at work. Here's what I'm learning so far: 1) we could all use some practice with prompting and creative use cases (e.g., play the role of a potential customer in evaluating an offer), 2) connectors are 🔥, save so much time and add so much context easily, 3) the more the project folder contains relevant materials the better the output.
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Peter Prosol reposted thisPeter Prosol reposted this“We don’t pay our broker. The carrier does.” That sentence has cost some employers more than any fee ever would. A regional employer I met had a long‑time broker relationship: No explicit fees Annual renewal lunch Occasional wellness webinar Every year: A spreadsheet of renewal options that looked suspiciously similar A story about “medical inflation” Maybe a narrow network or wellness program thrown in as a “strategy” Then a new CFO asked: “Show me all the ways this broker gets paid.” When they dug into it, they found: Standard commissions buried in premiums Year‑end bonuses for hitting premium volume targets Extra dollars for placing business with specific carriers The broker was not just an advisor. They were a distribution channel with incentives that pulled against the employer’s goals. At the household level, it looked like: Employees absorbing higher premiums and deductibles each year Families changing doctors because of carrier swaps Confusion and frustration every open enrollment On the employer’s P&L, it looked like: Six‑figure overpayment versus what they could have achieved with an aligned, transparent model No real alternative strategies being brought to the table (self‑funding, DPC, transparent PBMs, etc.) When they switched to a broker who: Put all compensation in writing Carved out carrier bonuses and overrides Tied part of their pay to actual cost and quality outcomes …they didn’t just cut fees. They unlocked strategies their old broker never had a financial reason to recommend. The broker was never truly “free.” The bill just showed up in employee paychecks, skipped appointments, and your renewal line.
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Peter Prosol posted thisSo you're a CEO or CFO. Someone mentions lowering healthcare costs. Your response: eye-roll or blank stare, right? Plus you checked around with some other brokers and know you're getting an ok deal. Well it's not ok, it's always a terrible deal, but no MORE terrible at least. You've done your job as a fiduciary. Someone at the company got everyone a fair price in a competitive market, yes? I've got to break this down for an audience in a couple of months and have been hitting the books. One interesting anecdote to consider about how competitive some markets truly are: "For decades, NASDAQ market makers were supposed to be competing with each other to offer the best prices to buyers and sellers. Competition should have meant tight spreads — the gap between what you could buy and sell a stock for. But spreads on NASDAQ were mysteriously, persistently wider than they should have been. Investors were quietly losing billions in the gap and had no way to know it. In 1994, two finance professors — William Christie and Paul Schultz — noticed something bizarre in the data. On most stocks, quotes almost never landed on odd eighths. Prices would jump from 20 to 20¼ to 20½ — skipping 20⅛ and 20⅜. In a genuinely competitive market, that pattern is statistically near-impossible. It was like flipping a coin a million times and never landing on heads. What they'd stumbled into was an unwritten code. Market makers had an implicit agreement: don't quote in odd eighths. By skipping those increments, the minimum spread stayed at 25 cents instead of 12.5 cents — on every single trade, across millions of trades a day. No contract. No memo. No secret meeting in a parking garage. Just a norm, enforced socially. Any market maker who broke ranks and quoted an odd eighth would get frozen out — other firms would stop returning their calls, stop trading with them. The punishment was swift and informal."
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Peter Prosol posted thisIf you’re dissatisfied with your outsourced dev team you can now save that entire budget. Or direct it at something much better that adds real value faster. If you’re interested I can send you the playbook I’m using to developer faster and cheaper with fewer but better engineers.
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Peter Prosol shared thisOpenclaw is an addiction. Got it running all night doing all sorts of research, including day trading algorithms for fun. All through Telegram too, I don’t even need a computer with me half the time anymore.
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Peter Prosol reposted thisPeter Prosol reposted thisAt Validation Institute, we believe trust in healthcare starts with transparency — and that’s exactly what validated solutions deliver. We’re proud to recognize Truemed for achieving Contractual Integrity Validation (for Clinical Validation). This validation confirms that TrueMed’s clinical validation approach is backed by clear, credible methodology and contract language designed to align expectations, reduce ambiguity, and strengthen confidence for employers and stakeholders alike. 🔍 Read the full Validation Report: https://lnkd.in/erhA3TGQ 💡 Industry-Leading Credibility Guarantee: Validation Institute is backing this conclusion with separate $100,000 guarantees for both Credibility (exceeding the Supplement Industry standard) and ERISA Immunity guarantee. #ValidationInstitute #HealthcareInnovation #HealthValue #ContractualIntegrity 👏 Congratulations to the TrueMed team for their leadership in advancing integrity and transparency in healthcare. Tom Dahl Bo Hickey Justin Mares Al Lewis 🇺🇦 Peter Prosol Bernie Weiss Jianke Xiong Deepali Patel
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Peter Prosol liked thisPeter Prosol liked thisGlad to be joined with Al Lewis 🇺🇦 to share latest innovations by Validation Institute at Nelson Griswold’s Ascend Conference in Nashville this week https://lnkd.in/e-nKutF7 Great collaboration with hundreds delegates and quality vendors Shout out to Validated vendors like Green Imaging Elan Insurance Group Serve You Rx AIMM - Ault International Medical Management DisclosedRx ScriptSourcing, LLC US-RX Care Liviniti Vālenz Health® CheckMySpot Chronilogix participating
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Peter Prosol liked thisPeter Prosol liked this📣 Your employees are drowning in caregiving responsibilities. Most of them won't tell you. And by the time you notice, it's already showing up in your productivity data. We're proud to recognize Cleo for achieving Metrics Validation, an independent confirmation that their Parenting and Caregiving platform is measuring what actually matters, and moving the needle on it. 📌 What this means for you: Cleo built something rare: a tool that connects family stress directly to workforce performance. Their Family Health Index tracks emotional wellness, burnout risk, and caregiving burden — and the data across 8,882 members shows it works. Higher scores, fewer lost work hours. Among high-risk members who engaged, 69% improved within 6 months. For maternity members, estimated savings averaged $5,079 per member. Reviewed by independent epidemiologists and statisticians. Not a vendor deck or a pilot study, but a real analysis. We are backing this conclusion with a $100,000 guarantee as part of our Credibility Guarantee Program. Congratulations to the Cleo team and Madhavi Vemireddy, MD for building something that actually holds up. 👏 Read their full Validation report on the first comment. Al Lewis 🇺🇦 | Peter Prosol | Bernie Weiss
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Peter Prosol liked thisPeter Prosol liked thisWe are excited to announce we've entered into a strategic distribution partnership with Mobil Saúde in Brazil, one of the world’s largest markets for diabetes, GLP-1 therapies, and temperature-sensitive biologics. Diabetes market alone reached USD $2.15 Billion in 2025! Mobil Saúde is a Brazilian healthcare commercialization and distribution company focused on expanding access to innovative healthcare technologies across Brazil’s pharmacy, healthcare, and medical distribution sectors. The company is headquartered in São Paulo State and is expected to support regulatory, commercial, and launch activities throughout the Brazilian market. https://lnkd.in/g24mAy8YTempraMed Signs Agreement for Exclusive Distribution Partnership in Brazil, One of the Largest Diabetes and Biologics Markets GloballyTempraMed Signs Agreement for Exclusive Distribution Partnership in Brazil, One of the Largest Diabetes and Biologics Markets Globally
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Peter Prosol liked thisPeter Prosol liked thisSpecial Recognition to all of the companies at #SALGBA conference, this week in Providence Rhode Island, with 'Validation Institute Certification' up to $100,000 for exceeding benchmarks in cost, quality, outcomes, savings, transparency, fiduciary standards, and/or contract integrity. Great to see organizations like Lantern Health, Alight Solutions, Calibrate, Green Imaging, Carrot Fertility, Quizzify, Abacus Health Solutions, CVS Health, finHealth, Hello Heart, Personify Health, Quantum Health, Spring Health, Sword Health, Hibiscus Health, WellGenie, Virta Health, Included Health For Employers, Health Plans, Public Purchasers, Brokers, Consultants, Advisors, and TPAs, prioritizing 'Validated Solutions' de-risks the decision-making for a new vendor, point solution, or service. These programs are backed by a $100,000 guarantee, which is truly meaningful in a competitive situation. Always 'Ask for the Validation' For more information on joining this mission for transparency, value, efficiency, and results, contact me at bernie.weiss@validationinstitute.com https://lnkd.in/gwKEtE45
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Peter Prosol liked this🚨 The deductible was supposed to control costs. Instead it's training your employees to skip care — and you're paying for it later in the ER. PayMedix just got independently validated proof that fixing affordability actually bends the cost curve. We're proud to recognize PayMedix for achieving Savings Validation from Validation Institute — an independent, rigorous confirmation that their healthcare payments model delivers measurable cost reduction for self-funded employers. 📌 What this means for you: When employees can't afford to use their benefits early in the plan year, they delay care. That delay turns into an ER visit, a hospitalization, a claim that dwarfs what a doctor's visit would have cost. PayMedix eliminates that dynamic — paying providers in full, consolidating billing, and offering uncapped interest-free financing for all in-network costs. The result is independently verified: employer medical trend of 3.2% vs. the Milliman benchmark of 8.8% at one year, and 3.7% vs. 5.6% at two years. With over $7 billion in payments processed, this isn't a pilot program. It's a proven model. 🔍 Read the full Validation Report: https://lnkd.in/ep8X63uc 💡 Industry-Leading Credibility Guarantee: Validation Institute is backing this validation with a $100,000 ERISA Immunity Guarantee as part of our Credibility Guarantee Program. Congratulations to PayMedix — and especially Tom Policelli — for proving that affordability and cost control aren't opposites. 👏 Al Lewis 🇺🇦 | Bernie Weiss | Deepali Patel LPC, NCC | Monica Camille David #ValidationInstitute #HealthcareInnovation #ValidatedResults #HealthOutcomes #BenefitsThatWork #SelfInsured
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Peter Prosol liked thisPeter Prosol liked thisThe next wave of ERISA fiduciary lawsuits has arrived – and 𝗜𝗧'𝗦 𝗧𝗔𝗥𝗚𝗘𝗧𝗜𝗡𝗚 𝗕𝗘𝗡𝗘𝗙𝗜𝗧𝗦 𝗕𝗥𝗢𝗞𝗘𝗥𝗦 as well as employers. Feared tort attorney Jerry Schlichter’s latest ERISA actions are using voluntary benefits to target conflicts of interest and opaque compensation practices across employee benefits. With 𝗠𝗲𝗿𝗰𝗲𝗿, 𝗟𝗼𝗰𝗸𝘁𝗼𝗻, 𝗚𝗮𝗹𝗹𝗮𝗴𝗵𝗲𝗿 & 𝗪𝗧𝗪 now named as defendants in these lawsuits, this is a clear signal: 𝗕𝗨𝗦𝗜𝗡𝗘𝗦𝗦 𝗔𝗦 𝗨𝗦𝗨𝗔𝗟 𝗜𝗦 𝗕𝗘𝗖𝗢𝗠𝗜𝗡𝗚 𝗟𝗘𝗚𝗔𝗟𝗟𝗬 𝗗𝗔𝗡𝗚𝗘𝗥𝗢𝗨𝗦. The real question is whether these cases are about voluntary benefits — or whether they are part of a much larger strategy to force transparency and fiduciary discipline across the entire benefits ecosystem. I am hosting a webinar with renowned ERISA attorney Jennifer Spiegel Berman to break down what is really happening, where employers are exposed... ...and how independent advisers can seize this moment to create a powerful competitive edge by stepping into a true fiduciary role. ▶️ 𝗧𝗛𝗘 𝗡𝗘𝗪 𝗟𝗔𝗪𝗦𝗨𝗜𝗧𝗦 𝗔𝗚𝗔𝗜𝗡𝗦𝗧 𝗘𝗠𝗣𝗟𝗢𝗬𝗘𝗥𝗦 & 𝗕𝗥𝗢𝗞𝗘𝗥𝗔𝗚𝗘𝗦… and the Adviser Opportunity They Create 📆 𝗧𝘂𝗲𝘀𝗱𝗮𝘆, 𝗙𝗲𝗯𝗿𝘂𝗮𝗿𝘆 𝟭𝟬 🕜 𝟭:𝟯𝟬 𝗖𝗲𝗻𝘁𝗿𝗮𝗹 👥 𝗝𝗲𝗻 𝗕𝗲𝗿𝗺𝗮𝗻, 𝗝𝗗, 𝗠𝗕𝗔 & 𝗡𝗲𝗹𝘀𝗼𝗻 𝗚𝗿𝗶𝘀𝘄𝗼𝗹𝗱 We will also share a turnkey solution advisers can take to clients to help protect them from fiduciary lawsuits and DOL fines – right now. If you advise employers, this is not optional knowledge. It's table stakes. 𝐑𝐄𝐆𝐈𝐒𝐓𝐄𝐑 𝐍𝐎𝐖: https://lnkd.in/e57ZHFdu Dan LaBroad Terry Shook John Troutman Deb Ault Omar Andres Haedo Andrew McNerlin Eric Silverman Harlon Pickett Beth Johnson Nick Lease Naama O. Pozniak Nick Hansen Shabsai Shuchatowitz, Dottie Allen
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Yubin Park, PhD
falcon health • 20K followers
Thrilled to share new research I co-authored with Michael Ellenbogen, just published in AJMC - The American Journal of Managed Care. We examined the relationship between industry payments to cardiologists and Medicare spending — and the signal is clear: a $10,000 increase in industry payments is associated with a $14.1 increase in mean Medicare spending per beneficiary (95% CI, $11.9–$16.3). Correlation, not causation — but meaningful nonetheless. What excites me about this work is that it was powered entirely by publicly available data: Open Payments and CMS datasets, surfaced through mimilabs. For ACOs, Medicare Advantage plans, and risk-bearing organizations thinking about cost drivers, this is exactly the kind of pattern worth knowing. Full paper: https://lnkd.in/epKqBbbG Grateful to my co-authors Michael Ellenbogen, Joseph Marine, and Brady Post for making this work possible.
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Yuvii Consultancy Inc
76 followers
One of the biggest revenue leaks in 2025 isn’t denials… It’s zero-pay claims that look approved. Payers are marking claims as “processed” but reimbursing $0 — and most clinics don’t even notice it until their AR explodes. Why? Because it doesn’t show up as a denial. It hides inside your EOBs and ERAs under quiet adjustment codes. A missing note. A bundling edit. A tiny modifier issue. And suddenly your claim is “processed”… but unpaid. Clinics think the claim is done. But the payer kept the money. This is why weekly zero-pay audits are no longer optional — they’re the only way to protect your revenue in 2025. If it shows $0, it’s not processed. It’s unpaid. #MedicalBilling #ZeroPayClaims #RevenueCycleManagement #RcmTrends #MedicalCoding #ClaimDenials #BillingErrors #HealthcareFinance #MedicalBillingServices #ProcessedNotPaid #PayerTactics #MedicalPracticeGrowth #USHealthcare #RCMExperts #YuviiConsultancy #HealthcareBusiness #PracticeManagement #DeniedClaims #BillingTips #RevenueLeakage #usa #newyork #texas #wyoming #acworth #gorgia
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Zhe Yu, MD, MPH
Oliver Wyman • 2K followers
The ACA Marketplace is facing real headwinds, but it’s far from finished. Carriers that invest now in disciplined pricing, better risk‑adjustment, proactive member outreach, and creative market entry will be best positioned to protect margins and win share. Practical steps insurers should take to thrive in this evolving environment here > https://owy.mn/4oMGy9g
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Clarity RCM
2K followers
📢 New issue of The Practice Layer is live! This week, we break down: 🏛️ Aetna expanding claims reviews starting 9/1 🏛️ NCQA convening on AI risk 🏛️ Hopkins splitting from UHC 📈 A $250M bet on AI for front-desk automation 💡 A social media playbook that actually moves the needle for dermatology practices (Reels are now ~50% of time spent on Instagram, but YouTube is still king for evergreen education) The Practice Layer is your weekly, evidence-driven briefing on policy, payers, tech, and growth, built for independent dermatology leaders.
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Ehtisham Ilyas
Woltrio • 617 followers
Go to Market Strategy for Product. The core architecture for our EHR is finalized. The system is stable and ready for deployment in a live environment. The logic is defined and the code is objective. We are now shifting focus to the Practice Acquisition Strategy. The immediate objective is not mass scale, but securing the first 5-10 pilot clients to validate the workflow and data integrity. The primary challenge at this stage is identifying the correct entry point for engagement. To professionals with experience in Healthtech and Practice Management: What is the most effective protocol for approaching medical practices to secure a pilot arrangement? I am specifically looking for insights on the method of initial outreach and engagement. I invite your professional recommendations in the comments. #HealthTech #SaaS #BusinessStrategy #GTM #Startup #EMR #EHR
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Eric Bricker, MD
Frontier Direct Care • 101K followers
Future Healthcare Profits: Providers 570% More than Insurers. McKinsey & Company Report on Future of Healthcare. The report focuses on 4 areas of future profits for healthcare companies in 2025: 1) #InsuranceCarriers - $57B in annual profit from growth in the Government Programs of Medicare Advantage and Managed Medicaid. 2) #Pharmacy Services/#PBMs - $62B in annual profit from growth in specialty pharmacy and infusions. 3) #Services and #Software - $68B in annual profit from growth in revenue cycle and software. 4) #Providers - $326B from growth in outpatient services. These 4 areas total $513B in healthcare profit per year by 2025. That's $1,545 in profit for every person in America. Interestingly, these future profit areas are exactly the strategic focus of UnitedHealth Group... which is so big, it essentially IS the US Healthcare System. Either McKinsey is parroting United's strategy or United is following McKinsey strategy. Who knows?! Sources at AHealthcareZ YouTube Channel. #HealthInsurance #Healthcare
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Rishad Usmani, MD
Manna Health AI • 9K followers
The future of autonomous AI in healthcare isn’t a technology problem. It’s an underwriting problem. We’ve spent years talking about AI as a "co-pilot" or a "scribe," but the real paradigm shift happens the moment an insurance company is willing to underwrite malpractice risk for an AI clinician with no human in the loop. Once the liability shifts from a person to a model, the economics of healthcare change overnight. The massive opportunity isn't in solving the world’s most complex oncology cases. It’s in the "low risk" 80% the routine refills, the standard metabolic health cases, and the high volume primary care that currently bogs down our health systems. The hard part isn’t actually improving outcomes for these low risk patients. For a healthy 30 year old the clinical pathway is a solved equation. The hard part is accurate Triage. The real "moat" for AI in healthcare isn't how well it treats; it’s how well it identifies. Before an AI can autonomously prescribe or treat, it must be 100% accurate in distinguishing between: 1. Low-Risk: The patient who fits the protocol and can be handled safely by a "no human" loop. 2. High-Risk: The "Red Flag" patient who looks low risk on paper but has a subtle clinical nuance that requires human intuition. Insurance companies won't underwrite an AI because it's "smart." They will underwrite it when the triage logic is so robust that the risk of a "false low risk" classification is lower than that of a human physician. The Shift in Malpractice When an AI makes a mistake, who pays? If the liability sits with the software developer or a dedicated insurance pool, the clinician's role evolves from "prescriber" to "oversight architect." We are moving toward a world where the "clinician" is the one who designs and audits the triage logic, while the AI executes the care. The question isn't whether the tech is ready. The question is: Who is building the triage layer that insurance companies will actually trust? #HealthTech #DigitalHealth #AI #MedicalMalpractice #FutureOfMedicine #Telehealth
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Will Falk
Yale University - Yale School… • 10K followers
Key line from a stron post: “My personal opinion is this isn’t a technology limitation. It’s a business model. Systems of record don’t love opening their moat.” Two comments: 1) I think AI can solve the integration problem by creating a clinical copilot layer above the SoR. 2) This is where the action will be in 26/27
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Prem Talreja
LunaGen • 7K followers
Developing an AI solution for our physicians' clinical conversations has provided valuable insights into the fissures within the healthcare system. The current emphasis on specialty care and the search for sickness has overshadowed the importance of wellness and the role of Primary Care. Each day, I come across articles highlighting this growing issue and the movement towards directing private care practices. Stellicare has recently launched a tool designed to help physicians reduce their workload by automating the workflow for making notes and charts, giving them over an hour or more back each day. This innovation aims to restore work-life balance for healthcare professionals. At the recent Direct Primary Care Summit in Atlanta, Dr. Kant, CEO and Founder of Stellicare, spoke eloquently about the significance of Direct Primary Care and the much needed changes to the medical care industry. Here is a link to this thought provoking talk: https://lnkd.in/eXBDCP9B #DPC #DirectPrimaryCare #Wellness #PrivatePhysicians #DPCAlliance
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Daniel Abrams
3K followers
I’m interested in FHIR-native implementations of health-care workflows that are not primarily data analysis or interchange. Because Ottehr is a FHIR-native EHR, all our real-world workflows are FHIR-based. Front desk staff checks-in a patient on the tracking board, FHIR. Clinician orders a lab, documents a procedure, FHIR. Coding an encounter for claim submission, FHIR. Message sent to patient via SMS reminding them to complete paperwork for upcoming visit, FHIR. Writing a prescription, collecting a co-pay via credit card, and on and on. Of course there is a great deal of integration work under the hood to communicate with external systems using legacy formats, but we have a strong preference for working with tech-forward solutions. For example, we have a wonderful partner in AdvaHealth Solutions, which provides great FHIR APIs for sending radiology orders and retrieving results. Are there others? If you are implementing a clinical solution with a FHIR-first API that isn't just data interchange, we’d love to learn more and promote it.
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Jeff Gasser
Deerhold Ltd. • 12K followers
Imagine going to a client/prospect meeting and showing projected next year costs across 4 networks based on their employee census. If you know member count, current pmpm, average age and male/female ratio, #PRIZM can do it in a second or two. If you are pitching RBP or some alternative pricing, you now have your comparison numbers to establish the value.
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Arun Penmetsa
Seraphic Security • 10K followers
A great example of how Carta Healthcare's intelligence platform can deliver real value for health systems. Most health systems view registry abstraction as a cost center, a necessary check box for compliance. But when a single metric like "Elective PCI with Stress Imaging" (Metric 4462) flags a fallout, it’s a hit to quality of care, reputation and reimbursement. The work Jessica Norman, MSN, RN, CPPS and Betsy Castillo just published in JACC: Case Reports is a great example of how to use Carta’s hybrid intelligence approach to deconstruct the logic of the failure. (link in the comments) The result? A 68% reduction in fallouts. Huge congratulations to Jessica, Betsy, and the entire Carta Healthcare team for demonstrating that accurate data is the best route to better performance. If your organization is still treating abstraction as manual labor rather than business intelligence, you need to look at what Carta is building with Atlas and Navigator. Dozens of health systems are doing the same! Brent Dover Mary H. Christopher Mazzanti Lucas Tanner James Matheson Greg Miller Jared Crapo #HealthTech #ClinicalData #AI #CartaHealthcare
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