MDCalc: A trusted tool for US clinicians, study reveals

Facing narrow margins, increased costs, staffing shortages and declining reimbursement, many nonprofit health systems are reining in their operations to focus on their core acute care and outpatient services. This may involve either the disposition of certain sub-acute or post-acute service lines or partnership with specialized providers to improve, manage, and help expand the existing service line. This preserves revenue for the health system and access to care and allows the health system to focus on other operational areas. The specialized provider-partner can deliver needed expertise, assist with capital, and potentially expand the scope of specialized care provided in the community. While not a one-size-fits-all approach, this presentation during the Healthcare Delivery & Innovation Conference will focus on common business and legal issues that arise as well as some of the models used. Register here: https://lnkd.in/ek93aWuk

MAGIC Evidence Ecosystem Foundation is one of our silver sponsors for #GIN2025 and a non-profit organization with the vision to increase value and reduce waste in healthcare through a digital and trustworthy evidence ecosystem. MAGICapp is our core platform, bringing digitally structured and user-friendly guidelines, evidence summaries and decision aids to clinicians and patients. Our ongoing research and innovation targets personalized medicine, evidence from artificial intelligence and the final ecosystem steps: more efficient dissemination, adaptation, and implementation to demonstrate a true impact on patient care. Our work is inspiring health care systems around the world to create a new infrastructure for the production and use of best current evidence in policy and practice. We continue to work together with a wonderful team of international collaborators sharing our vision. Find out more and get involved in #GIN2025: https://bit.ly/gin25sp #guidelines #health #conference #network #membership #GIN2025

$50 Billion Is on the Table. Is Your EMS Agency in the Conversation? The $50 Billion Rural Health Fund is a historic opportunity to reshape healthcare delivery in rural communities, and EMS must be part of that conversation. But here’s the catch: States are already prioritizing how the money will be spent. If EMS agencies don’t speak up now, they may be left out. This isn’t just about 911 calls. It’s about expanding EMS into long-term, sustainable roles that improve access, coordination, and care across the entire rural health landscape. What EMS Leaders Should Know: - States hold the funding power: The money flows through state-approved healthcare transformation plans, which could mean that agencies could get left out. - Go beyond current 911 response: This is a chance you’re your agency to add a new service line: community paramedicine, wellness checks, chronic care outreach, mobile clinics, telehealth support, and more. - EMS is often the first and possibly the only point of care in many rural counties. Let’s build on that. - You need to act and engage now: Each state this program will be run through a different department, so you need to find who is managing the program. It may not be State EMS or even the Health Department. Time is limited. Decisions are being made. If your agency isn’t part of the plan, the funding may never reach you. If you need help developing ideas or figuring out how to approach your state, I’m here to help. #EMS #EmergencyMedicalServices #EMSLeadership #Ruralems #EMSexpert #RuralEMS #HealthcareCompliance #HealthLaw #BattleBornAdvising

Hometown Health is thrilled to announce a historic new chapter in our community’s healthcare story. We’re bringing Kaiser Permanente to northern Nevada!    Kaiser Permanente and Renown Health have entered into an agreement to jointly own our health plan, Hometown Healthand a new outpatient care delivery system: Kaiser Permanente Nevada. This relationship brings together two nonprofit organizations with a shared purpose of bringing high-quality, value-based care to more people right here in the Silver State.    Pending regulatory approval, Kaiser Permanente Nevada plans to offer health plan coverage to new members in northern Nevada, starting with open enrollment in Fall 2026 for the 2027 plan year.     Follow us to stay updated on this exciting transition. Learn more: https://lnkd.in/gZZP7gsU 

🌍 The Unspoken Obstacle to Care We often talk about innovation, technology, and breakthroughs in healthcare. But there’s a quieter challenge that rarely makes headlines: disparities in access to care. Across the world, millions still struggle to reach even the most basic outpatient services. 🔹 In rural areas, distance and lack of transport turn a simple check-up into a full-day journey. 🔹 In low-income settings, the absence of insurance means treatment is delayed or skipped entirely. 🔹 In some countries, we see shiny new machines in urban hospitals while primary care clinics remain underfunded and understaffed. This mismatch in where resources go and where they’re most needed creates a ripple effect: unmanaged chronic illnesses, preventable hospitalizations, and rising long-term costs. The truth is, investing in primary and preventive care is not only compassionate, but also cost-effective. By strengthening the first point of contact, we reduce the pressure on specialized services and give patients a fairer chance at healthier lives. 💡 The challenge before us isn’t only about advancing healthcare, it’s about making sure access is equitable. 👉 What’s one change you believe could help bridge these gaps in access?

💲 Neoliberalism in Healthcare 💭 What could possibly be "wrong" with empowering patients towards self-management to reduce healthcare costs? Neoliberalism is an economic and social framework which promotes competitive private markets, reduced public funding, deregulation for economic growth and personal responsibility. Society is imagined as a collection of individual "consumer", not people embedded in relationships, communities or social systems. Social issues such as poverty, chronic illness and disability are framed as individual failures rather than systemic problems. ❓ What does this have to do with clinicians? - Metrics, targets and patient compliance are shaped by neoliberal logics. We're trained to measure outcomes that align with productivity, cost-savings and standardisation. - "Self-management" is shaped by neoliberal ideology, putting the burden of systemic and structural problems on individual patients. - We often internalise neoliberal ideas such as health and wellbeing being an individual choice - which influences our clinical reasoning. 🌟 Why is this important? - Even well-intentioned interventions can reproduce inequality and blame patients. - If we assume healthcare need to fit within market efficiency and productivity, community care, mutual aid and anti-capitalist approaches appear impossible. - Recognising neoliberalism allows us to challenge harmful assumptions, design better approaches and participate in collective care. 💪 Practical Ideas - Support the patient to find meaning, autonomy and dignity in ways they define. - Facilitate peer networks for ongoing support, skill-sharing and collective care outside the clinic. - Organise community-led mutual aid e.g. shared transport for appointments, meal support or community group sessions - Political education: Book clubs, storytelling projects, study groups or workshops where patients can connect pain to relevant systems of oppression - Share knowledge in ways that empower patients to challenge medical authority. - Create spaces outside the state/insurance system where care isn’t rationed by money. - Involve patients as co-researchers and organisers, not subjects. Share authorship, decision-making power and resources. - Walking groups, gardening or land-care to resist alienation and support ecological connection.

EMS agencies deliver round-the-clock care, 365 days a year. 🚑️ These organizations are a vital community service and the first line of critical response in the larger care continuum. However, EMS agencies often struggle with the staggering costs of uncompensated care. PayGround partners with EMS agencies to scale and automate the staff and patient experiences. 👏 Read more here: https://lnkd.in/gMfSg_Js #EMS

🚨 New Series: Valuation of Care Coordination Services 🚨 The U.S. healthcare system is shifting rapidly from volume-based to value-based care — and care coordination services are at the center of this transformation. From reducing readmissions and improving medication adherence to ensuring seamless transitions across care settings, care coordination has become a critical infrastructure for providers, payors, and patients alike. Yet, as demand grows, so does the need to understand the strategic importance and financial value of these services. This first article in our five-part series introduces the concept of care coordination, its role in value-based care models, and why it matters to healthcare executives, investors, startups, and industry stakeholders. 👉 Read Part 1 here: https://lnkd.in/g48cHYm6 Be sure to subscribe to Health Capital Topics here: https://lnkd.in/g4VS2F7r and stay tuned for Part 2, where we’ll explore the competitive landscape of care coordination providers. #CareCoordination #Valuation #Healthcare #HCTopics

“The thing I am most proud of is that because we built the entire tech stack that we own, from the member app, the company, the client dashboard, to electronic medical records systems and other internal tooling.   We enable providers to spend more time with the patient.” How much longer? 3x longer than the average primary care visit.   This week on the Digital Health Heavyweights Podcast I sit down with Joseph Kitonga, CEO and founder of Vitable Health. Joseph shares his journey from a family background in caregiving to creating a health plan that addresses the needs of underserved workers. He discusses the inspiration behind Vitable, his experience with the Thiel Fellowship, the prestigious Y Combinator,and the unique aspects of Vitable's direct primary care model.   “We are growing extremely quickly” The conversation also covers the challenges of hybrid care models, the importance of empathy in healthcare, and the company's growth trajectory. Joseph emphasizes the need for accessible healthcare and shares insights on building a successful startup in the healthcare space.   How is Vitable impacting clients? An average savings of about 12%   Takeaways ✨ Joseph's family background in caregiving inspired him to create Vitable Health. 💙 Vitable Health aims to provide affordable healthcare for underserved workers. 🎓 The Thiel Fellowship provided Joseph with the opportunity to focus on his startup. 🚪 Vitable's model reduces barriers to accessing primary care services. 📈 The company has about 100,000 members and is growing rapidly. 💻 Vitable's approach integrates in-home and virtual care effectively. 🤝 Building empathy through direct interaction with clients is crucial for Vitable. 🗣️ Joseph emphasizes the importance of talking to users to build a successful product. 🚀 The Y Combinator experience was pivotal for Vitable's growth. 🧘 Joseph practices mindfulness and reading to manage stress and maintain focus. Check out the episode and be sure to like comment and subsc https://lnkd.in/dVAzHMQZ

It is an uncertain time in US healthcare. If you're leading a hospital in 2025, this is a moment to revisit the playbook, not double down on 1995 habits. New on Healthcare Reframed: I sit down with Rick Rawson of HC2 Strategies (former CEO/CFO; rural + urban turnaround leader) to talk about how we actually rebuild trust, revenue, and relevance when the civic conversation turns against you. Full Episode: https://lnkd.in/getcS6zb   What we discuss with candor: -From constraint to capacity. Invest ahead of demand where people need services (primary care, urgent care, diagnostics, community health workers). Rick's team tripled net revenue in 3 years by shifting care to the community and rebuilding trust. - Consolidation without community involvement is extraction. Scale isn't a strategy. If your system operations erodes local trust, you're sowing your own fragility.  -Purpose that funds itself. Treat mission as the driver of margin—not a slogan that justifies outdated tactics. -Governance as a strategic asset. Boards must own strategy and hold leaders to purpose- not to daily productivity dashboards and bond ratings. -One continuum of care. Blur the clinical/social line: make housing, ECM, and community supports core care—and new revenue. they are. -Scale with roots. Consolidation only works when it strengthens local voice; otherwise it creates fragility. -Purpose that funds itself. Treat mission as the driver of margin—not a slogan that justifies outdated tactics. -Governance as a strategic asset. Boards anchoring strategy in purpose and long‑term value, not only productivity dashboards or credit metrics. -One continuum of care. Blur the clinical/social line: make housing, ECM, and community supports core care—and new revenue. Christine Pickering, MBA, APR | Dora Barilla | Rachel Gordon | Lauran Hardin | Todd Carpenter | Meghan Hardin, FACHE, MHCDS, MBA | Jo 仁爱 Beckmann | Henriks Göran