Joined September 2013
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a lot of horizontal companies are very attracted to healthcare because it's a huge market and a lot of tedious work - but most struggle because they don't understand how the industry actually works excited to announce healthcare 101 is back 7/13 - 7/24 (virtually)! I will teach you all of the different weird incentives and players in the space, which took me 10 years to figure out You will be able to answer questions like - "why don't practices pay for anything" - "what does health insurance care about" - "why don't people get paid for making patients healthy" - "why are there so many acronyms for everything jesus christ" You can sign up in the comments, you will be enlightened
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If we want to tackle fraud waste and abuse, one way to do this is create better digital identity layers for everyone delivering care, hospice, home healthcare, etc. The issue right now is that it's an absolute mess to try and identify the bad actors because it happens through webs of third-parties But I think that this is solvable! full post is here: outofpocket.health/p/fake-do…
A growing problem I've been keeping my eye on is fake doctors on social media A few examples - Fake doctors being used in facebook and instagram ads - Scammers impersonating social media doctors and getting them to pay upfront for a consult - Doctors names being used on papers they had nothing to do with IMO this is exactly the opportunity to shift to a new digital identity mechanism in healthcare. In tomorrow's post I'm going to talk about a few of the fake doctor scenarios, suggest a few fix options, and even talk about how shifting to a better digital identity system might actually open NEW opportunities
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My update is: I’m a dad now! this account is now gonna be one of those “hahaha how crazy is this thing my kid said” But real talk, i wrote up some idle sleep deprived thoughts on what the first month of being a dad has been like below
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Random musings about it here, and yes there will be a post about the healthcare side of it cause wow that’s a wild ride outofpocket.health/p/the-big…
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my two pieces of advice to anyone starting a new job: 1) Write down all the things you find surprising as you're learning them. You'll be surprised how quickly you become desensitized and start operating in a "that's just how it's done" manner. But a lot of the interesting ideas will come from revisiting those moments later. 2) You get like a 30 day window where you get to ask any dumb question you want - you should 100% use it and truly ask as many simple questions that confuse you as possible
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We think the future of events are small, curated, and actually focused on learning You've probably been to these mega conferences and wondered "did...did the panelist actually say anything?" Out-Of-Pocket conferences are the opposite of that. Highly curated groups, tactical workshops that we co-develop with attendees, and a focus on connecting attendees with each other to problem solve their specific issues Right now we have 3 microconferences - Data Camp for healthcare data professionals - Ops Knowledgefest for people grinding through actual operations - And our new software engineer conference, Ship It (applications due soon!)
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lol this shit is so funny to me - pharma companies getting shamed in the UK because their employees are liking Linkedin posts that say their drugs are good (because it makes it seem like they're promoting their drugs) meanwhile, the peptide people are using literally fake doctors in ads
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We...gotta blow up National Provider Identifiers NPIs were designed in 2004 as billing identifiers for doctors, not identity credentials. So anyway they became used as identity credentials. The entire registry is publicly searchable and downloadable, physicians frequently use it to login to things or do actions only a doctor theoretically should be doing. But that also means we actually don't have real, private identity credentials for physicians which makes it tough to verify someone online is actually a doctor. On top of that, it's a mess to use in any data analysis. A building and a physician can both have NPIs, and the physician can work at multiple buildings. So trying to map this out is an absolute nightmare. We should move to a digital identity credential for physicians - it'll both solve the growing problem of fake doctors AND make it easier to use healthcare data
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Is anyone else’s feed now a combination of fable the AI model and fable the video game having advanced NPC systems
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Two big components of docs not going independent - 1) will patients get sent my way 2) will I get terrible reimbursement rates without negotiating leverage @jacobeffron and I chatted with Nick Reber (Garner Health CEO) about whether you could measure the quality of a physician and use that to help them get better rates. The answer is maybe yes once you have enough employer customers in a given geographic density.
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You can listen to the full episode and explanation here YouTube: youtu.be/I92TlMES_TY Spotify: bit.ly/3Ry7EVW
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The first ever drug candidate with the inclusion criteria of “Indian uncle getting too loose at the function”
in our 2026 @newlimit progress update, we announced our first candidate medicine. it has the one of the most striking effects i’ve ever seen. a single treatment accelerates recovery from alcohol in old animals. it’s so dramatic you can see it with your bare eyes!
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We should have those punching bag contests but with continuous glucose monitors
Crumbl needs to be stopped. Their new "dirty soda" contains 186 grams of sugar, the equivalent of eating 19 Krispy Kreme donuts. This is a metabolic disaster and should be illegal. Please do not drink this.
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This would solve the mental health crisis
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Nikhil Krishnan retweeted
This is such a huge issue -for the profession
Fake doctors online are a growing problem and I think I know how to solve it In the last couple of years, AI has made it easier than ever to fake being a doctor and social media amplifies it This stems from the fact that we don't have a digital identity layer than can actually verify if a person that says they're a doctor has a credential In today's post, we walk through - Some specific scams that are using fake doctors - Suggestions on a system that can fix it - Startup ideas that could exist only if you had a digital ID layer full post in the next tweet
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Fake doctors online are a growing problem and I think I know how to solve it In the last couple of years, AI has made it easier than ever to fake being a doctor and social media amplifies it This stems from the fact that we don't have a digital identity layer than can actually verify if a person that says they're a doctor has a credential In today's post, we walk through - Some specific scams that are using fake doctors - Suggestions on a system that can fix it - Startup ideas that could exist only if you had a digital ID layer full post in the next tweet
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full post is here - we can solve this problem! outofpocket.health/p/fake-do…
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we should have a "scared straight" for healthcare so many people don't understand what the end stage of a disease looks like, so it's hard to understand why doing the preventive thing is worthwhile Like seeing end stage cirrhosis or tetanus without the vaccine
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A growing problem I've been keeping my eye on is fake doctors on social media A few examples - Fake doctors being used in facebook and instagram ads - Scammers impersonating social media doctors and getting them to pay upfront for a consult - Doctors names being used on papers they had nothing to do with IMO this is exactly the opportunity to shift to a new digital identity mechanism in healthcare. In tomorrow's post I'm going to talk about a few of the fake doctor scenarios, suggest a few fix options, and even talk about how shifting to a better digital identity system might actually open NEW opportunities
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