Vishal Raizada

@unusual_whales This is just one of many stabs that insurance has taken at anesthesia. Few years ago Anthem also stopped paying for anesthesia for colonoscopies. That is until one of the higher ups demanded it be covered for them and when that was leaked they payed again.

BREAKING: Anthem Blue Cross Blue Shield calls off decision to cap anesthesia for surgical patients

@elonmusk If you want to know how, I have already started to work on a solution.

@elonmusk @elonmusk if you want to address this it is important to take the middlemen out of the equation. This is why there is a strong movement for DPC care and a return to establishing the physician-patient relationship again.

Major driver of healthcare cost

@BrianFeroldi I can tell you that in healthcare that metric is false depending on many things. Most insurers go off of Medicare DRG(diagnosis related group) that is used to pay for the typical cost to treat a condition. The basic goal for a hospital is to keep cost below the DRG.

@dunkindonuts why is it when O get coffee at your stores it is a gamble if there will actually be cream and sweetener in it? Usually it is one or the other? I keep making the mistake of giving you guys a chance and you keep making me regret it

@jbcarmody I did research at a top 10 school for anesthesia while in medical school. The program director wrote a glowing letter of recommendation. However, when it came to applying the chair of the department point blank said he would not interview a DO as we are not real physicians

According to the AAMC’s Residency Explorer, there are exactly -zero- resident physicians with a DO degree at any of the ‘top 10’ internal medicine residency programs.

@rhpMike @fran_cowboy @CrumblCookies As a physician I have turned down medical director roles because of the liability. More physicians are seeing how they are being used and not compensated or protected adequately in these types of franchises. I would suggest lining up a medical director before signing a contract

@Vish_Raizada @fran_cowboy @CrumblCookies Agree that you need to be able to say no, and that's going to be on the medical director of the facility. But, I don't think that is something that cannot be navigated.

@HoustonHealth Can you tell me where you are getting the numbers. Harris county health is not updating their site. Are these from TMC?

#Houston's 14-day average #COVID19 positivity rate is 14.5%, and the wastewater virus load is 132% of the baseline. Stay up to date with vaccines to help lower the numbers. Free vaccine sites: bit.ly/3jy5Rzv or 832-393-4220

@ColtonOrtolf I understand what you are saying, but the biggest thing that is needed in the EMR space is interoperability. This of course will never happen unless federally mandated. This is a major hindrance to a lot of digital tech that could streamline documentation as well as delivery

Epic has probably one of the most incredible suites of software in the world - kudos to their team and to the business Judy built. But ... they only have so much time left. The concept of the "EMR" is antiquated, as is the full-stack approach to healthcare tech.

@davidkierz @ArjunMahadevan It is legal because in all the forms you sign you allow them to sell your de-identified information to research and other companies. How de-intensified it is I don’t know as that would be up to Epic. Either way they own your records not you!

@Vish_Raizada @ArjunMahadevan Isn’t that illegal? Do their customers store data onprem or in cloud? Is there a mechanism to request a permanent deletion of your file?

What if I told you there is a billionaire who controls your medical records. She started Epic Systems in a Wisconsin basement in 1979. And now she's the richest woman you've never heard of. 10 matter-of-fact messages from the Midwest billionaire, Judy Faulkner: 1. “If you see a snake, kill it; don’t form a committee on snakes.” 2. “What you put up with is what you stand for.” 3. "One of the things that made Epic strong when I wrote the original code was that it never occurred to me to do anything other than put the patient at the center. I developed a clinical system at a time when the health care world had pretty much only billing and lab systems available." 4. “I have never had any personal desire to live lavishly.  I’m probably among the billionaires who are indifferent to the lifestyle that great wealth can buy.  There is no apartment in New York or Paris.  There is no ranch in Aspen.  There are no private or even corporate jets.” 5. “I was a programmer, I thought it was fun.  I’m not sure in the beginning I felt that I’m here to save lives.  Why do you come to work?  For the paycheck?  For something interesting to do?  For customers?  For the competition?  For the mission?  If I had to circle one reason, it’s for my customers.” 6. “Programming is a mix of language, math and art, and I remain a software developer at heart.  And I have no plans to retire or even slow down.” 7. “[On living in Wisconsin] The first thing you’ve got to like is the people.  It’s the Midwest work ethic, the Midwest nice.  I was just in an area with gated communities.  I do like the Midwest where there is much more a feeling of… we trust each other.” 8. “I think it’s very interesting, the difference between ‘thank you’ and ‘congratulations.’  To me, ‘thank you’ makes it a personal thing, like you did it for me, and I don’t like to take that from a person unless it was something they did for me.  So, I prefer to congratulate them on a job well done if that was something they did themselves.” 9. “Many years ago I asked my young children what two things they needed from their parents.  They said ‘food and money.’  I told them ‘roots and wings.’  My goal in pledging 99% of my assets to philanthropy is to help others with roots – food, warmth, shelter, health care, education – so they too can have wings.” 10. “I took the route of higher education and took a risk starting a business.  My success didn’t happen overnight, but over time with steady improvement.” *** Remember: It's never too late to turn your dream idea into your dream business. *** That's a wrap. Hope you enjoyed these matter-of-fact messages from Judy. If you did: 1. Follow me @arjunmahadevan for more like this (and for more on how to turn your dream idea into your dream US business with @doolaHQ) 2. RT this, if you can, to share these messages with a friend

@akiffpremjee I would think so as each state determines Medicaid policy.

@Vish_Raizada Appreciate this - feel like I may have to go state by state…

Does anyone have any good sources to read more about Medicaid VBC and what risk adjustment (or lack thereof) in Medicaid looks like Trying to figure out if more people will be open to building in Medicaid and if not then why (outside of state variability)

@jareddashevsky Amazon has been in the healthcare space for a long time with their comprehend medical. However the diagnostic part of medicine is a long way away. Babylon health, K health, 97point6 have all made a go at it and are still struggling to make it work as well as a physician

Amazon Web Services launched HealthScribe, an ambient clinical documentation service using generative AI. It was only a matter of time before Amazon launched something like this. HealthScribe will allow seamless voice-to-text transcribing that will generate encounter summaries using key details mentioned in doctor-patient conversations. I envision a downstream feature where HealthScribe suggests evidence-based treatment plans based on the problems discussed 🤔

@wHenryCrocker @AjKavanaugh Unfortunately, coming back and getting a residency after being a FMG is hard.

@AjKavanaugh How much does medical school cost in India? I assume the schools are good. We have a lot of Indian immigrants practicing here.

@esmccalley @AjKavanaugh Those are community owned hospitals. Unfortunately without significant subsidies from state or other entities most community hospitals have shit down. Economically it is hard to run a community run hospital.

@AjKavanaugh Why don’t you have the option of owned by patients?

@krumpverse @ismat On top of this, medicine is not stagnant. There is an art to coming up with a diagnosis. That is why there are “horses” and “zebras”. The AI company that helps augment clinicians is who wins, rather than those who try to replace them.

AI means a brilliant doctor on your phone. Who can diagnose you instantly, for free, privately, using only your locally stored medical records. Do you think the doctors will be happy about that? Or the lawyers? The artists? The others that AI disrupts? They’ll fight it. Hard.

@ismat @krumpverse Physicians do not oppose AI, the problem not being addressed is AI and many non physicians acting like physicians make significant mistakes. If there is an AI that can work to the level of physicians as well as be held responsible for their actions more power to them.

@krumpverse Hello! For a story about social prescribing, I’m looking for doctors or patients who can share their positive experiences with it. Could you point me to someone who might be willing to chat?

@podiatryres Who referred this to PT? Was it urgent care?