@Steve__Rowe

Here to learn about healthcare. Or health care. IDK none of you ppl. can agree on it. Writing at https://xitter.cf/t.co/W4Uv6dTT0n

 Denver
Joined March 2018
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58Media
Wonder how we make blood donations rely less on altruism or small cash payments. An idea: if you donate blood, you are prioritized for blood transfusions for the next X years if there is a shortage. beckershospitalreview.com/su…

Nation’s 2nd-ever blood crisis delays hospital surgeries

Nation's 2nd-ever blood crisis limits blood supply, forcing hospitals like Ascension Saint Thomas to delay elective surgeries and prioritize urgent cases.

beckershospitalreview.com
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My small contribution to the fertility discourse: V1 of a tool to help pregnant women choose the health plan that will minimize out-of-pocket + premium costs. Link below. Vibe coding a website next. docs.google.com/spreadsheets… @MoreBirths @lymanstoneky @Noahpinion
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What happens to payers if ICHRA catches on? Full article below.
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premiumtakes.substack.com/p/…
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When I published my report last week on how AI will change access to care, I embellished what Verily is doing as a directional example of using a chatbot as a patient acquisition strategy. But General Medicine just nails it here.
TJ Parker⚡️
@tjparker16 Dec 2025
Who needs AGI when you have GAI
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Who needs AGI when you have GAI
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An upside of health insurance becoming this week's topic is seeing @mattyglesias and @Noahpinion write on the industry I've been in for 15 years. Shared what I've learned working w/ payer execs on why they can't offer better coverage: linkedin.com/pulse/why-healt…

Why health insurance can't cover stuff more generously

I’ve enjoyed having healthcare costs and claim denials thrust into the nat’l convo (though sadly because of a horrible murder). My take from 15 years in this industry: most of the frustration comes...

linkedin.com
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Got to riff on a strong belief of mine with @techguy: its a smart business decision for payers to make their reimbursement policies more transparent to providers and minimize denials. Make it easy for providers to get paid in exchange for slightly lower reimbursements rates.
John Lynn
@techguy29 Jul 2024
Why Is There Such a Tension Between Payers & Providers and What Can Be Done About It? #HITsm @3PillarGlobal healthcareittoday.com/?p=245…
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Always surprised when I ask a provider if they're in-network and they can't answer / put it on me to call my insurance co. Have to imagine they lose patient volume... Do they not know if they're carved out of a specific group plan even if in-network with the payer broadly?
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I mean...the answer is that they haven't connected the contracting data to the patient intake tool that the receptionist / call service rep has access too. But it all lives in the EMR, no? I'm surprised that the business case to build that out hasn't been big enough.
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What's it called when tech simultaneously can simplify complexity but also enables much, much more complexity? Working on a thesis that this is what's happened in healthcare billing
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Disappointed to see that @wmfrd is balance billing me for my son's hospital ride. But a good lesson in here for anyone who get's a bill for an ambulance ride that seems high. And hoping Fire Chief Don Lombardi and @Wendi4Mayor put an end to a pretty scammy billing practice...
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This will all work out for my family --> I called @UHC and they'll follow-up with @wmfrd and negotiate away the balance bill. But I only called b/c I've worked in healthcare for the past 15 years. My wife, like most ppl., would've just paid the full bill.
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Likely there's no mal-intent here and Fire Chief Don Lombardi and @LakewoodCOgov Mayor @Wendi4Mayor don't realize their billing systems are automated to balance bill the people of Lakewood. Let's fix this and save other Lakewood families the stress and financial burden!
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