This is so fundamentally a skill of a good ID doctor, and thanks to R Colgrove for putting it into words. I ask this to every patient, every day

nejm.org/doi/full/10.10…

New: Insurers’ denial rates — a critical measure of how reliably they pay for customers’ care — remain mostly secret to the public. Federal and state regulators have done little to change that. propublica.org/article/how-of…

Who are the racketeers of healthcare?

Let me name thee one by one…

1. Healthcare Insurers - denials, delays, prior auth, the list is endless…

2. Pharmacy Benefit Managers (PBMs) - rely on kickbacks to get paid off in exchange for “tier”-ing what drugs are and aren’t…

Sackler family wins immunity from opioid lawsuits - BBC News bbc.com/news/world-us-…

Deep East Texas faces a growing maternity care crisis | The Texas Tribune texastribune.org/2023/01/05/jas…

Cigna uses an automated system that allows “medical directors” (doctors employed by Cigna Healthcare) to deny a claim in 1.2 seconds without opening the patient’s file.

Please read this, share it, and help us (metaphorically) burn these companies to the ground.

Massive shout out to the University of Colorado. This is what organizational wellness looks like from the top down.

No pet rock/pizza party. 10 consecutive days off this holiday season (or use them anytime next year) while naming & recognizing the dedication of the last 3 years.

As an editor, I often read discussions that are long winded, meandering and fail to make an impact.

They feel like an after-thought rather than a key part of the paper.

Here are some tips to make your discussion better. Full credit to Sanjay Saint who taught me this years ago!

Cynthia Daisy Smith, MD Rebecca Jaffe, MD Adam Rodman Charlie M. Wray, DO, MS Andrew Olson, MD Bon Ku, MD, MPP Brian Block @HGantzerMD Presented this poster today

6 yrs of charts
100 mil notes
192 bil characters
=8x amt of ALL of Eng Wiki

50.1% of all text is copied
Ave chart =4280 words = 1/6th of hamlet
Ave note = 40 words

Imagine reading hamlet in 40 word pages w/ 20 copied & u don’t know which ones 🤦🏽‍♀️