duffpkg

17 ms·

121.
by duffpkg 4y ago
I'm author of Hacking Healthcare for O'Reilly, 20 year health system executive, blah, blah. It's very easy for people to forget the scale of the US "health system", we are talking 1/5, maybe more, of the entire
122.
by duffpkg 4y ago
It's really convenient to cherry pick parts of "healthcare" or the "healthcare system". The thing is, it's 20-25% of our entire economy, so it's really hard to make meaningful comparisons to other countrie
123.
by duffpkg 4y ago
The primary cause today of doctors prescribing name brand medications without the ability for substitution of generics is a form of institutional stupidity. EMR prescribing systems are driven by a common "formulary" that has an en
124.
by duffpkg 4y ago
Wrote Hacking Healthcare for O'Reilly, created ClearHealth/HealthCloud open source EMR, managed health systems for 15+ years, blah, blah, blah. It is very good there is are the transparency regulations. It is worth briefly explain
125.
by duffpkg 4y ago
It's appropriate to pick on UHC here but a lot of this insanity derives from rulemaking by Health & Human Services and Center for Medicare/Medicaid Services with a healthy dose of legacy everything thrown in. Even if you reall
126.
by duffpkg 4y ago
Author of "Hacking Healthcare" here. Myself and Fred were able to contribute to the discussions on our cover selection. I suspect some animals are probably much more in demand than others. Our editor was Andy Oram and he was outst
127.
by duffpkg 5y ago
If you consult the details you will find the allegations are of direct payments, trips, and other hard assets up to and including duffle bags full of cash.
128.
by duffpkg 5y ago
After losing some deals that just seemed like there was no credible way we could lose, better "product", better price, better team, etc. You start asking hard questions about all the people involved and eventually someome will con
129.
by duffpkg 5y ago
I created a company around an Open Source Electronic Medical Records system I also created, ClearHealth. It took me a couple of years to realize we were losing deals for health systems not because our system was bad (it was great), not beca
130.
by duffpkg 5y ago
Location: Phoenix/Los Angeles Remote: yes Willing to relocate: no Technologies: Fractional COO/CTO, Architect, Strategic Consulting. Extensive experience in Healthcare in both technology and clinical operations. Created the open s
131.
by duffpkg 5y ago
Walgreens tried to pull this against one of ClearHealth's (Open source EMR system) trademarks. We prevailed but expect to spend $20k in legal fees and in TTAB court you could not recover fees (at that point in in time anyway). https:&
132.
by duffpkg 5y ago
A LOT of money is tied up in reporting that is all but impossible to do without comprehesive electronic versions of medical record information.
133.
by duffpkg 5y ago
Is there any electronic paper that works well and is reasonably priced?
134.
by duffpkg 5y ago
I wrote Hacking Healthcare for O'Reilly Media, created ClearHealth/HealthCloud, WebVista, yada yada... There are several factors that collide to make everything in software associated with health exponentially more difficult than
135.
by duffpkg 5y ago
Location: Phoenix/Los Angeles Remote: yes Willing to relocate: no Technologies: Fractional COO/CTO, Architect, Strategic Consulting. Extensive experience in payments and healthcare in the Fortune 500. Created the open source Healt
136.
by duffpkg 5y ago
I wrote "Hacking Healthcare" for O'Reilly, which is still in print after 10 years, amongst others. My intention in writing it was never pecuniary but to hopefully encourage smart technology people to enter healthcare. It has
137.
by duffpkg 5y ago
This is a very salient comment. I wrote "Hacking Healthcare" and created ClearHealth/HealthCloud. If you are in any way looking for opportunities I'd love to chat with you. du@50km.com
138.
by duffpkg 5y ago
What is really unfortunate and not communicated in this article is just how much Google's various star crossed forays into healthcare took oxygen from other fruitful and deserving efforts. It's an indictment of healthcare institut
139.
by duffpkg 5y ago
The open source release of mattermost has a lot of underutilized potential in the healthcare industry.
140.
by duffpkg 5y ago
I wrote Hacking Healthcare for Orielly, created ClearHealth, yada yada... Devil is always in the details of these rules but on the surface it looks like a good attempt. It is a sort of a bandaid though. To understand why this occurs know th
141.
by duffpkg 5y ago
I wrote Hacking Healthcare, created clearhealth open source EMR, a decade plus managing hospitals and multi-practice groups. There are a couple of bad actors out there but for many of these organizations, though it may seem impossible to be
142.
by duffpkg 5y ago
Not likely. There is a lot of nuance to the way fee schedules are actually (from a legal perspective) created and applied. Having created many such fee schedules and been resposible for operations at many facilities large and small they are
143.
by duffpkg 5y ago
I think you may have jumped the gun on this statement. Dolthub is a bit like github for data. You can clone the entire database without so much as a login right now, see the clone drop down situated in a similar location as it appears on gi
144.
by duffpkg 5y ago
This is content marketing for a "concierge" doctors service called "the Lanby" launching in NYC in september 2021.
145.
by duffpkg 6y ago
One important piece of context here is that these rates are negotiated as part of a contract bundle where an insurer is bringing a pool of patients to the facility. Prices can vary widely procedure to procedure because they are associated w
146.
by duffpkg 6y ago
I like it but it does not seem to compute when a board has become impossible until all moves are exhausted. The point of impossibility can happen long before that.
147.
by duffpkg 6y ago
If you think it is only like this in Brazil I'm sorry to deliver the bad news that this is also the case in the USA.
148.
by duffpkg 6y ago
I worked in healthcare for ~20 years. The worst casual breach I ever witnessed was a state health director emailing an unencrypted spreadsheet of all of that states HIV+ persons to a widespread mailing list including name, DOB, SSN, etc. Sa
149.
by duffpkg 6y ago
... I wrote Hacking Healthcare, created ClearHealth & HealthCloud, many other credentials... I have negotiated with the AMA in several arenas. If they had anymore lawyers in a single place it would create a black hole. Everything in hea
150.
by duffpkg 6y ago
This seems to be a rehash of the same GPT3 gobbledygook packaged in a very low effort SaaS. Several attempts yielded nothing but basic templated pages you see everywhere containing mostly the verbiage I provided and some non-sensical filler

More ›