Discharge Summary

Discharge Summary, penned by an internal medicine resident, explores the intersection of healthcare and technology, offering insights into trends, innovations, and barriers in the field. It discusses health tech transitions, telehealth limits, AI in patient care, healthcare business models, and shifts in pharmaceutical pricing and delivery.

Healthcare Technology Telehealth Artificial Intelligence in Healthcare Healthcare Business Models Pharmaceutical Pricing and Policy Primary Care Innovation Healthcare Legislation

The hottest Substack posts of Discharge Summary

And their main takeaways

How Oak Street Won By Owning the Provider Stack

1 HN point • 07 Mar 23
🏥 Health & Wellness Healthcare Technology Primary Care Chronic Conditions
  1. Oak Street Health's success came from owning the full provider stack and utilizing a capitation framework.
  2. Owning the provider stack allows for better control over patient outcomes and aligns incentives for quality care.
  3. The model of owning the provider stack can be applied not just in primary care, but also in specialty services for specific chronic conditions.

A Physician’s Guide to Breaking into Health Tech

0 implied HN points • 24 Dec 23
🕹 Technology Health tech Skills Roles Jobs
  1. Physicians considering health tech can leverage their deep understanding of the healthcare system as a valuable asset.
  2. When transitioning to health tech, identify your skills beyond medicine, such as project management and teamwork.
  3. Explore different roles in health tech like provider, operations, product management, or data teams, based on your background and interests.

Why Telehealth is Not Enough

0 implied HN points • 10 Dec 23
🏥 Health & Wellness Telehealth Patient Care
  1. Telehealth has advantages like easier access to healthcare, especially during the pandemic.
  2. For complex patients, local care teams are essential beyond just telehealth services.
  3. Building local care teams requires substantial infrastructure and coordination but can significantly impact healthcare costs.

The AI Doctor Will See You Now

0 implied HN points • 11 Feb 24
🏥 Health & Wellness AI Health tech
  1. Using ambient AI in healthcare can help save time for doctors by generating visit summaries and transcripts automatically.
  2. Physician adoption and engagement with new technologies like AI tools can be challenging due to existing habits and the need for behavior change.
  3. AI integration in patient care can enhance the patient experience by allowing better communication, documentation sharing, and potentially improving understanding of medical encounters.
Get a weekly roundup of the best Substack posts, by hacker news affinity:

Healthcare as a Service

0 implied HN points • 05 May 23
🏥 Health & Wellness Digital Health Primary Care Healthcare system Subscription services Patient Care
  1. Unbundling primary care can improve user experience but may lead to fragmentation and cost increase.
  2. New healthcare companies are redesigning primary care to enhance user experience, similar to Apple's approach.
  3. Fixing healthcare systems may involve transitioning users from specialized services to comprehensive care through partnerships.

The AHEAD Model and Global Budgets

0 implied HN points • 28 Jan 24
🏥 Health Politics Primary Care
  1. The AHEAD Model introduced a new reimbursement model called global budgets focused on population health and health equity.
  2. Past examples of global budgets, like Maryland's, showed mixed results in cost reduction and quality improvement.
  3. The AHEAD Model faces challenges with recruitment and the potential for gaming the system, but aims to address healthcare costs through unique approaches.

Amazon’s Health Ecosystem

0 implied HN points • 14 Jan 24
🏥 Health & Wellness Digital Health Health data
  1. Amazon is expanding its reach in the healthcare space by launching a new Health Conditions Program.
  2. Amazon's Health Conditions Program benefits customers by providing access to digital health products through insurance information sharing.
  3. Amazon's strategy to build a healthcare ecosystem with various services like virtual care, primary care, and pharmacy products positions them to lead the market.

Does the Camden Coalition Model Work?

0 implied HN points • 31 Dec 23
🏥 Health & Wellness
  1. Care coordination involves more than just post-discharge follow-up appointments.
  2. Consider expanding the target patient population for care coordination programs.
  3. Reevaluate the emphasis on readmission rates and prioritize providing sufficient care for vulnerable populations.

The Future of Weight Loss Management Companies

0 implied HN points • 17 Dec 23
🏥 Health & Wellness Weight Loss Digital Health Fitness
  1. 2023 saw the rise of GLP-1s in weight loss management, sparking a rush for companies to supply these drugs.
  2. Companies in the weight loss industry are facing challenges with sustainability, high costs, and supply chain issues.
  3. Different business models are emerging, with some focusing on drug prescriptions, while others opt for non-drug approaches like digital health services.

How AI Can Actually Help Physicians

0 implied HN points • 03 Dec 23
🏥 Health & Wellness AI Physicians Patient Care
  1. AI integration in EMRs can provide concise patient summaries to help prioritize topics for physicians.
  2. Retrieval AI can assist physicians in accessing patient information quickly for tasks like patient sign-outs and deep dive questions.
  3. Challenges in AI adoption in healthcare include technical implementation, legal issues, and proving ROI in hospital settings.

General Catalyst Buys a Hospital

0 implied HN points • 21 Jan 24
🏥 Health & Wellness Healthcare Technology Patient Care
  1. General Catalyst acquires Summa Health, a nonprofit health system, shifting from non-profit to for-profit.
  2. Concerns arise about revenue models and potential changes in practice infrastructure with the acquisition.
  3. The acquisition aims to modernize healthcare with the latest technology, potentially impacting patient care and provider preference.

Why is Pharma Reducing Insulin Prices?

0 implied HN points • 28 Mar 23
🏥 Health & Wellness Pharma Advocacy Legislation
  1. Pharma companies like Eli Lilly, Novo Nordisk, and Sanofi are reducing insulin prices, capping payments, and making insulin more affordable.
  2. Advocacy efforts from patients and community members played a significant role in influencing legislation that led to these pricing changes.
  3. Legislation such as the Inflation Reduction Act and the American Rescue Plan impacted the insulin market, pushing pharma companies to lower prices to avoid significant financial penalties.

LillyDirect Brings GLP-1s DTC

0 implied HN points • 07 Jan 24
🏥 Health Politics Telehealth
  1. Eli Lilly introduced LillyDirect, a new telehealth service for easy access to GLP-1 medication.
  2. Lilly aims to secure their market share by offering telehealth services for various health conditions.
  3. Concerns arise about the surge in prescriptions without thorough clinical assessments through telehealth platforms.