Lisa Bari

@nikillinit SOMEONE? Nikhil. It wasn't just someone.

someone at this JPM panel said the future of healthcare interoperability is going to end up being teleoperated humanoid bots sending faxes to each other to get information

@ben_golub @clairemfahy Another thing that's actually better today: no smoking on planes. I had the displeasure of flying on a charter airline in continental Europe when it was still allowed, and it was truly jarring to experience half the plane lighting up when we reached altitude.

@clairemfahy a gift article link for those who'd like to read the original nytimes.com/2025/11/27/tra…

This NYT article on the "golden age" of air travel is an amazing example of an unthinking journalist failing to make contact with reality. The narrative: air travel used to be much better, but less affordable. 1/

On today’s PHRME, @lisabari of @innovaccer shares how public health departments can become better prepared to use AI and Angela Davis of @montanastate highlights a statewide @AmeriCorps program tackling rural health needs. 🎧: discover.astho.org/3JnfSfQ.

@dp_oneill Exactly. This seems pro-patient/member.

I think some criticism of prior auth in trad Medicare is overblown. My critique is that CMMI isn’t including MA plans in the mandatory model. Seems like a missed opportunity to implement PA consistently for all seniors, to cut confusion & admin overhead nytimes.com/2025/08/28/hea…

There is no excuse for the world to stand by and watch two million human beings suffer on the brink of full-blown famine. A starving human being needs food today, not tomorrow. People of good conscience must stop the starvation in Gaza. nytimes.com/2025/07/27/opi…

@makerjak @dp_oneill $700+ for a low to medium acuity office visit.

@dp_oneill Yeah, you are right. In this case the employers wouldn't have a choice. Sucks though. It's like having to accept a cable bundle with channels that you don't really want that cost more than you want just to get HBO

It has been interesting to see One Medical caught up in this contract fight between Blue Shield and the University of California medical centers. Ultimately a revealing look at One Med’s business model - i.e. how and why their rates are often unusually high.

@healthapiguy @HeyEpic It's weird that they/someone has decided kid #2+ is worth less? As a middle child, OUCH.

There are many conventional wisdom criticisms of @HeyEpic that I disagree with, but one thing I do think it deserves criticism for is its maternity/paternity policy. - 2 weeks at 80% pay for first kid - 2 weeks at ~60% pay for second kid - Nothing for third or beyond - Pay back what you collect if you leave within 12 months of coming back I've also heard of anecdotal lower-end-of-year bonuses for that "non-productive" time off. I believe this is actually an improvement from prior policies of just unpaid FMLA but it just seems off to me. Most developed countries offer 12-26 weeks, and even basic U.S. policies typically provide 4-8 weeks. Reducing support for subsequent children also seems at least counterproductive and potentially discriminatory. Some paid leave is certainly better than nothing, but it's literally the largest health technology company in the country. You'd expect better.

@ottosipe Otto - I have had so many experiences in the last couple of months that made Photon's solution OBVIOUS and critically needed. As far as I'm concerned, you can't expand fast enough. Seems like the wedge is working.

For healthcare startups there is no “build something people want.” No actor can just pay for a desired experience. There is only: find a wedge into demand, monetize in some other complementary way. The traditional YC-endorsed, silicon-valley product development model does not apply.

@dp_oneill @rshawnm It reminds me of interoperability. Hasn't been a technical issue in a very long time. Absolutely a business choice and competition issue.

@rshawnm Yeah… can probably help in some areas, or at the margin, but I don’t think these are primarily computational (or generative) problems, at the core.

Two reasons for caution in our expectations for how AI may affect administrative overhead in healthcare are: - Most areas of admin friction were readily addressable through the technology of 10-20 years ago, but remain with us - Most problems are not computational at their core

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@JTLonsdale @tim_cook Strong agree.

Text spam has become a major problem. Politicians from both sides spam us alongside hiring agents, fake toll collectors, and random foreign scams. Apple could change rules and allow us to build apps to screen text spam TOMORROW. Why won’t you let us? Let’s fix it, @tim_cook?

@SamirUnni @CMSGov @HHS_TechPolicy Don't even need TEFCA for this 😁

It's great that @CMSGov will use new tech to audit Medicare records, but it should also use new tech to retrieve the records! Instead of using chart-chasers ($8/chart/hospital), CMS can work w/ @HHS_TechPolicy to obtain records digitally, via TEFCA, for a fraction of the cost!

This is it 👇

@Farzad_MD @bijans Incredible...has to be a troll on his part??

😂

@dp_oneill @healthapiguy @dreece11 And then we come back to the full-scale cultural and workflow changes necessary for a truly transformed use of data and health information technology in clinical care.

@healthapiguy @dreece11 Yeah, but I think it’s trickier in practice. E.g. if clinicians don’t engage with the screen until after the encounter, the opportunity for some actions/reminders has passed. Put another way… workflows may need broader change. Maybe more pre-visit screen time, etc.

One underrated cool thing baked into the ambient copilot trend is that we'll getting a second shot at doing clinical decision support the right way. But what if we get a new form of fatigue as a result? The cludgy clinical decision support that came out of the first cut (via Meaningful Use) was well-intended, but more often than not was interruptive to the provider workflow, breaking standard care operations in a way that was (and still is) fatiguing. There were workarounds - aggregating alerts and summarizing in dedicated sections, using interesting user interface elements to only signal high priority decision support, etc. But it still felt tacked on and led to alert fatigue. But ambient tools change that. The provider workflow is now inherently one where the tool is queuing things up for approval - notes, diagnoses, orders. The early scribes are doing this just from passive listening, but the floodgates are open. In a world with this new workflow with that inherent pause to review and accept, the door is open to surface best practice care plan recommendations, evidence-based guidelines, clinical trials, and care gaps in a more natural way So it's clear that's coming (and here in some cases), along with a lot of other convergence of AI use cases across the board. That addition pushes some of these tools potentially into FDA regulated territory. It also means that much of ambient's time savings in terms of note creation and other documentation might just get reallocated to practitioners simply reviewing and approving more things, which might be resented. It's an opportunity and a challenge. Shifting clinicians from the tedious task of documentation to the more clinically valuable role of supervision and decision-making is good. Creating a new form of fatigue — approval fatigue — is not. At a minimum, it makes me wonder if the immediate promise of copilots, that technology should fade into the background, is just a mirage.

I'm looking forward to announcing my next move in a few weeks. It's going to be a big change for me, but I'm excited, and energized for the next phase in my career. The response from Civitas members and partners so far has been wonderful and incredibly supportive. Thank you!

The Board will announce their next steps to identify an interim and permanent CEO for Civitas, leading it into its next chapter. In the meantime, I will be working closely with the Board and my senior leadership team to ensure a smooth transition.

📢 Professional update: Yesterday I shared this news with @civitas4health members--I'm stepping down from my role as Civitas' founding CEO at the end of the month. Here's an excerpt of the message I shared: