Joined April 2008
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21 Sep 2021
Humbled to be one of 50 startups to receive $100K in non-dilutive capital as a part of the @GoogleStartups Black Founders Fund in the U.S. Huge congrats to @Mixtroz and @AccGenetics as well! #FundBlackFounders
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Nurse lead: 'Every Monday feels like catching up - I don't even know who's okay.' Remote care drains teams. At weekly huddles have everyone rate workload 1-10; low scores get a short check-in and small task shifts. Surfaces fixes before burnout.
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I hear at clinics: nurses log off RPM at 9pm with notes piling. One partner blocked a 45m daily doc slot (one fewer patient). Within two weeks night work stopped, mornings sharper. Protecting time to close loops matters—how do you protect it?
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Many clinics invest in telehealth but can't say which MIPS/ACO measures it affects. Simple fix: invite your pop-health or quality lead into a telehealth huddle to map visits to measures (BP control, depression screen, med rec). Who owns alignment?
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Most clinics don’t know actual telehealth margins. A 10‑minute call cost‑vs‑reimbursement check showed half their visits lost money. They shifted volume, prioritized better-paying payers and opened negotiations. Have you checked your payer rates?
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Don’t trust vendor pro formas for RPM. Ask 3 vendors for sample financial models and compare assumptions to your data—patient volume, nurse capacity, engagement, reimbursement rules. That reveals true breakeven, avoids burnout. How do you model RPM?
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Schedulers stuck in gray zones cause chaos. Simple fix: pick one common visit and set one clear rule - e.g. med checks = virtual unless clinical risk. Share it with schedulers; calendars calm, providers plan. Try it: pick your common low-risk visit.
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Remote care programs often lose money when billing codes drift. Fix: make it someone's job. Block 15 minutes quarterly, subscribe to one reliable policy source, flag telehealth/RPM changes and share a single slide. Denials fall. How do you keep up?
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Teams track visits but not whether they build a sustainable business. Block quarterly finance check-ins and update a short forecast (visits, avg revenue, and costs). A few checks reveal patterns and shift decisions. How do you keep finances visible?
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A clinic traced rising RPM spend to mixed vendors, an old login that blocked a discount, and a quiet price hike. Fixing vendor visibility and restoring access freed budget for nurse hours. This happens in remote care — how do you keep visibility?
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Telehealth often stacks onto clinic days, creating double-duty. Convert 1-2 in-person hours into a telehealth block for one provider - no net new visits. It reduces juggling and signals virtual replaces, not stacks. How do you schedule it?
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Teams freeze on chest pain in telehealth because there's no shared rulebook. Create a 1-page emergency protocol: 3 decisions - call 911, send to urgent care, or convert to in-person. Print, review, store. How do you handle emergencies on video?
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Clinical and billing drift in remote care costs real money. In one review 40 RPM visits produced 7 correct-care/mismatched-code claims—~$1,100 uncollected. A 10-minute lunch review of 5 encounters fixed the split. Do you build coding calibration into routine?
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Clinics assume telehealth cuts overhead by instinct, not math. Itemize in-person costs - see what drops. You'll save facilities but incur digital costs (setup, support, platform, triage). A few hours with ops finance clarified pricing. Gut or math?
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Everyone assumes telehealth slashes overhead. Most clinics haven't counted line-by-line. Cleaning, front desk time, disposables, square footage often persist. We mapped each cost, estimated % saved, repriced visits and adjusted staffing. Do the math.
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When clinics say they're evaluating remote care vendors I ask one question: what's your baseline? Often there isn't one. Pick a single metric—readings last month or average follow‑up time—then ask vendors: what will you improve and by when?
Remote care often starts in a storm - alerts, syncs, rising discharges. An RPM team (3 staff/120 pts) took a 3-hour no-alert morning: closed dashboards, built a triage checklist backup plan. Fewer frantic pings, more control. How do you pause?
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Vendor support isn't a tech issue—it's a vendor model issue. Before signing a remote-care contract ask: 1) SLA guaranteed response? 2) Email-only or phone support? 3) After-hours escalation? Predictability = safety. How do you ensure vendor SLAs?
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Many clinics set telehealth rates at launch and never revisit. Small %s matter. List top 5 payers, pull remits for top telehealth CPT, compare vs regional benchmarks. Takes half a day. When last did you benchmark?
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Billing meetings go quiet when a clinic can't name which payers fund remote care. One 1-page scorecard (top payers: $/visit, days-to-pay) exposed slow high-payers vs faster lower-payers and changed forecasting. Track rate and speed by payer.
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Most clinics still mail statements — payments take weeks. In remote care that strains cash flow. Try this: pick 10 unpaid statements, text a secure payment link, track who pays in week 1. We see weeks→days. Have you tried text/app payments?
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