likeupliftingsmartfunny
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We will support you 💯 if it’s awesome, refreshing and different from the plethora of other resources.

likeuplifting

One key idea you could write about is the trend where the USA is moving away from practicing medicine, and practicing healthcare instead.

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I’m keen - am a manager too working only in life sciences

uplifting

I’d support this as well.

uplifting

I would support as well

uplifting

Thank you all! Glad to receive such strong interest. I’ll reach out to each of you to share the overall concept and hear any thoughts you may have.

funny

Awesome! I tried sending you a DM but wasn’t able to for whatever reason. Can you try sending me a direct message so we can coordinate a call? Thanks

I would support this - looking forward to learning more

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I’ll pin this post for more visibility

smart

Thanks so much!!

Would support too!

helpful

Would happily support!

helpful

I would also like to support you with this. Pls, include me as well :-)

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I would support this - looking forward to learning more on it

like

I’d support it too and would be interested in helping!

smart

Interested! I exited consulting recently to digital health strategy and bizdev. With EMR maturity, mapping of CMS-backed HIT initiatives, and topic of Telehealth being even more relevant in a post-pandemic world, the CNIO/CMIO’s are wanting to complement care coordination with meaningful streamlined solutions that connect Provider to Provider, Provider to Patient, and Provider to emerging Home Care. This industry is notoriously ripe for major disruption past the Health Record. We are in some exciting times for healthcare transformation this decade!

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🙋🏽‍♂️

Sounds interesting. I might be able to help.

Would support!

I’m going to rant a bit here and It is going to sound like a dig, but I would love to help refine ideas by being the spoiler for alot of the hype we’re seeing around telehealth, vbc, etc. l

I think change will continue to be incremental and slow across most HC industries rather than any immediate and complete upheaval of current way of operating.

I’d also argue in several instances that healthcare providers and payors are slow to adapt in general and if we just look back at the last ten years, we can see more examples of resistance to changes that we would have expected to become prevalent. VBC has been touted to be about to replace FFS since ACA passed in early 2010s, but it really hasn’t grown past a subset of payments for much of the industry. Telehealth may slowly find more and more of a foothold too, but we have to consider the entire population of patients and providers and who these groups are comprised of (elderly and established). Further hindering any immediate change is the inherently clunky government control of delivery and payment either directly or indirectly. CMS still sets trajectory for payment, while decision making ultimately follows what the govt decides for other payors as well as those relying on these payments for income. providers like hospitals are a legacy of the mid20th century that continue to be propped up by cms which also serves to hold them down and keep them alive in this kind of purgatory. The central nature of hospitals in many communities paradoxically maintains their foothold however too. By and large, hospitals are fragmented and operate on margins too thin to invest in capital / staff needed to reap benefits of new payment models (consider community hospitals w/ 5% margins in rural nowhere). Other service providers tend to spend minimally unless forced to do so because cms has a cost based approach to setting their payment levels. You listen to your biggest source of revenue. The hospitals continue to provide care to all and their economics are a mess. Apply can charge 1000 for a new iPad and we have to pay it, or we can decide not to pay it, but then we don’t get the iPad - not so with hospitals. go ask if hospitals have ever collected what they charge to Medicare for services provided to Medicare insured patients. They rarely collect more than a fraction of what they charge to patients. No other industry I’m aware of has this type of pressure on operators and it paralyzed decision making and long term planning.

Much of the physician population is older as well and the last thing they want to do is have to re-learn or reorient how they do things.

Last and maybe most importantly is the resistance to change we can expect from the elderly population which is the majority end consumer of healthcare services (they’re not changing their habits at 65+).

Would love to hear thought and arguments against my pushback. I’m Coming from a place of respect and want to help really figure out what we can expect in the next year or two.

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