Healthcare Reform

The IoHT Series, Vision 20/20: “Sam” is Alive and Well 

Last month, I blogged about the 10th anniversary of my book, The Internet of Healthy Things. While taking a trip down memory lane, it was fun to:  Assess how well my coauthors and I did in predicting the future. Wonder what people we interviewed are doing now. Recall the companies we highlighted and wonder where …

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What’s a telehealth evangelist to do?

When I started in this business in the mid-’90s, the idea that we could deliver high-quality care with the patient and clinician in different places was viewed, almost universally, with great suspicion. Those of us who embraced that vision put lots of effort into research that showed how virtual care delivery was of similar or …

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What if this is as good as it gets?

What if this is as good as it gets? These words from the 1997 romantic comedy that starred Jack Nicholson and Helen Hunt keep coming into my head these days.  I can’t help but recall the ATA annual meeting in June 2020, when it seemed like telehealth was the king of healthcare delivery.  Three months …

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How Do We Compete With In-Person Care?

I read a study (in a reputable journal) this week, with the title, “Video Telemedicine Experiences In COVID-19 Were Positive, But Physicians And Patients Prefer In-Person Care For The Future.” Of course, this caught my eye.  My experience has been different.  Patients consistently tell me how much they enjoy the convenience of receiving care via …

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In-person Requirements for Remote Prescribing of Controlled Substances: What Next?

Disreputable, online pharmacies have been a thorn in the side of telehealth for a long time. Because both are internet-based transactions, they are often conflated, and some telehealth companies own their own pharmacy, so it is admittedly complicated.   The main fear regarding online prescribing is that unscrupulous prescribers and pharmacies may be able to distribute …

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Is The Tide Turning In Favor of Telehealth?

There has been much controversy in the lay press in the last six months or so regarding telehealth as a tool for addressing the behavioral health crisis.  Much of the conversation has centered on whether a video consultation with a behavioral health provider is of sufficient quality to allow decision-making regarding prescribing psychiatric medications.  There’s …

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Five Ways Telehealth is Better Than In-Person Care

Five Ways Telehealth is Better Than In-Person Care Despite the hubbub around telehealth for the past 2+ years, I still hear providers (and some patients) talking about it in absolutes.  Some unattributed quotes:   “My patients prefer to see me in person.”   “I can’t make a diagnosis without the physical exam.” “Can the doctor take good …

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Moving Telehealth Out of the Post-COVID Doldrums

Every sailor knows of that dreaded spot where the wind dies, the sail goes slack, and the boat starts bobbing back and forth – the doldrums.  As I reflect on the ups and downs of telehealth over the past two years, the analogy seems apt to me.  In June of 2020, we were riding the …

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Artificial Intelligence: A Clinician’s Friend or Foe?

I am privileged as a regular contributor to a local executive education course in healthcare innovation. I give these talks 4-5 times per year, and it has been fascinating over the last 18 months to see how the questions that come from audience members have changed. The individuals that participate in this course are all …

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Direct to Consumer Telehealth: Throwing The Baby Out With The Bathwater

I would like to acknowledge the contributions of Catherine Schuster Bruce in this post. Catherine is a University of Bristol Medical Graduate who recently spent two months on placement with Partners Connected Health prior to starting work at the Royal London Hospital, London. Missed diagnosis. No Diagnosis. Dodgy Clinicians… There’s been a lot of hand …

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