Set up your iPhone to easily message your friends or family if you’re in trouble

With the Apple Watch’s new Fall Detection capability, you can quickly see how technology can update the old “I’ve fallen and I can’t get up!” concept. Or maybe it’s not a fall, it’s a heart attack or low blood sugar from your diabetes, or a kidnapping, or a hostage situation or a sexual assault. The Watch can’t detect any of those situations, but you need … Continue reading Set up your iPhone to easily message your friends or family if you’re in trouble

Artificial Intelligence in Primary Care

The scope of conversations in a primary care setting is massive. There are ~1,500 conditions primary care physicians typically diagnose and manage, but you’ve always got to be aware of and on the lookout for the other 10,000 or so conditions that are diagnosed and managed by specialists. To put it another way, PCPs manage the common, less complex conditions and specialists manage the more … Continue reading Artificial Intelligence in Primary Care

Comparing the operational costs of traditional primary care, Direct Primary Care, and Virtual Primary Care

The easiest way to understand the costs of primary care is to simply consider the most expensive part of delivering primary care— the salaries and benefits of physicians, NPs/PAs, nurses, and staff. To keep things simple, we’ll ignore the other costs like facilities and operations. For this exercise, we’ll consider a 10,000 patient primary care practice and we’ll compare three kinds of practices: A traditional … Continue reading Comparing the operational costs of traditional primary care, Direct Primary Care, and Virtual Primary Care

The physical exam is a surprisingly uncommon critical piece in determining a diagnosis.

Most people without medical training drastically overestimate the sensitivity and specificity of the traditional physical exam as a means of diagnosis. In reality, for the vast majority of medical conditions, it is one minor data point that leads to a diagnosis. In fact, many, if not most, conditions have almost zero physical findings. Of course, some things are diagnosed exclusively by physical exam. But those … Continue reading The physical exam is a surprisingly uncommon critical piece in determining a diagnosis.

Primary Care fails people surprisingly often.

Patients view doctors as problem-solvers. And this perception works extremely well in doctors’ favor throughout your life. When you’re young, you get sick or hurt. You go to the doctor. They cast your broken arm or prescribe you your bubble gum-flavored amoxicillin and soon you’re all better. From day one, your doctor works miracles. Then you turn 18 or so and graduate from your pediatrician … Continue reading Primary Care fails people surprisingly often.

Every company needs a primary care strategy

Primary care is the entry point for people to get care. It comes in a few flavors that fluctuate in popularity over time: • Dr. Google • Nurse triage lines • Retail clinics • Traditional PCP office visits • On-site employee clinics • Urgent Care • Traditional specialist office visits • Emergency Rooms As you see, I define primary care not by who’s delivering the … Continue reading Every company needs a primary care strategy

What is a “benefit-aware” doctor?

What if your company could hire doctors and arm them with services and partnerships that could support a higher quality and cost-effective practice of medicine? What if, at any point in care, your doctor could be aware of health benefits available to you and leverage them to maximize the quality of your care and decrease your costs? The biggest disruption we’ll see in healthcare is … Continue reading What is a “benefit-aware” doctor?