MedCity Influencers

We’re not out of the COVID woods yet. But what we’ve already learned is going to save millions of lives.

Covid-19 exposed serious weaknesses in the American healthcare system, and has taken an unfortunate personal and economic toll on the entire world. But in the end, I do believe that our healthcare system will emerge more accessible, affordable, and effective

The future of healthcare is dependent on securing AI-powered medical devices

As more connected medical devices are built on AI, cybersecurity risks will increase as well – and it’s more important than ever before for manufacturers to implement advanced security protections in the design phase to ensure the safety of healthcare organizations, providers and patients.

Reducing low-value care starts by understanding its drivers

There is no single driver of low-value care — providers, systems, and patients all play a role. But with the right tools, stakeholders can work together to re-align incentives and transform our healthcare delivery system into one that prioritizes value, eliminates waste and leads to better overall patient outcomes.

The Post-pandemic future of clinical trials: How recruiting, participating and monitoring are changing

Unleashed from restrictive norms for recruiting and interacting with patients, researchers are finding ways to bring more people into trials by simply making enrollment and participation accessible beyond restraints like geography and availability during “business hours.”

Collaborative care with a virtual lens: enabling patients and providers to overcome the mental health crisis

By establishing a virtual relationship with consulting telepsychiatrists, psychiatric nurse practitioners, and licensed clinical social workers, PCPs and their behavioral care managers have access anytime to the appropriate support for patients’ mental health needs.

A ban on surprise bills is just a Band-Aid

Until Medicare and commercial insurers link the reimbursement they pay providers to the things that matter to us as consumers and citizens, we will continue to have a dysfunctional system that abides appalling practices like surprise billing, and continue to spend time on band-aids like this interim final rule instead of fixing the real problem.

How chatbots can help us beat Covid-19

Where chatbots really excel is in rapidly delivering reliable content in response to the recipient’s actual needs, questions, or concerns. That allows AI tools to serve as a bridge between vaccine manufacturers, regulators, public health officials, healthcare providers on the one hand and patients on the other.

Building mutually-beneficial partnerships between payers and community-based organizations

The sustainable route to building a more integrated healthcare ecosystem is through partnerships. But for these collaborations to be successful, communication and clear financial incentives need to be aligned between payers and community-based organizations. 

Overcoming barriers to healthcare innovation to improve provider engagement and patient outcomes

Virtual care delivery can offer increased convenience and accessibility for patients. But the larger challenge is laying a foundation for innovation in health systems that enables providers to optimize their workflows and collaborate more effectively—ultimately improving patient care.

Discharged into debt: A chronic ciagnosis  

Given the complex and systemic nature of the country’s crisis, no single solution or course of action can be expected to serve as a panacea. A multi-pronged approach — including digital health tools — that enlists both public and private health stakeholders and addresses each stage of the medical debt life cycle will be required.

 There is an urgent need for oral Covid-19 therapeutics as variants escalate

there is an urgent need to support the development of diverse and differentiated, multi-mechanistic and potentially complementary therapies, that are effective against Covid-19, are unaffected by the threat of viral mutation and, more critically than ever, are easy to make, distribute and take by the patient.  

Enhancing the management of cardiac device data: One physician’s journey to improving operational workflow

As clinicians, we are positioned to understand obstacles and identify solutions that others cannot and likely will not recognize. That is exactly why we must always help drive the creation of solutions that can truly improve care delivery and operational efforts critical to the long-term viability of cardiac practices.

Inflated savings, hidden costs: How vendors who “carve-out” specialty benefits fail to deliver promised value

In recent years, a number of niche vendors have entered the market, promising significant savings for payers if they “carve-out” specialty pharmacy services from integrated pharmacy benefits management (PBM). While the savings they claim to provide sound undeniably attractive, they are often greatly exaggerated.

Quantifying stress & anxiety: Why corporate wellness programs will play a pivotal role in this paradigm shift

Establishing digital biomarkers which correlate physiological parameters with mental health and wellbeing not only has the potential to provide more reliable tools for guiding diagnosis and evaluating patient outcomes but will also improve our understanding of the pathophysiology of mental disorders

Covid-19 and chronic disease: A spotlight and a stoplight 

Covid-19 has demonstrated the grave need for us to invest in chronic disease prevention and support by building stronger, deeper relationships with patients and families, and by focusing more on the environmental, social, and psychological factors that lead to chronic disease and impact long-term disease management.

Top 5 Medicare Advantage plan changes coming for 2022

The greatest uncertainty is members’ health status, which could impact MA organizations’ bidding submission process for 2022. Fortunately, fully vaccinated members are likely to resume in-person care this year, which means MA plans can expect a more consistent and reliable stream of data to form financial projections.

How CMS final rule will impact E/M coding and documentation requirements

Historically, providers had to meet certain criteria and address three key areas in the patient’s progress notes: patient history, physical exam and medical decision making. CMS has eliminated the history and exam components as required elements for billing purposes, so medical decision making is now the sole driver of the level-of-service.

How eConsent empowers more participant engagement in clinical trials

Creating the simplest process for informed consent benefits the potential participant by allowing them the time and resources to understand fully what they are consenting to. Through eConsent processes, research also opens the door to a more diverse population to engage in trials.

Could AI reduce healthcare waste? Approach of online retailers could provide clues

Just as Amazon leverages machine learning to develop valuable insights into consumer purchasing behavior in real time, healthcare organizations can strengthen their ability to reduce costs of care and eliminate waste and abuse with this type of intelligence.