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Deep dives into the business of healthcare, AI innovation, and the forces reshaping medicine

The Middlemen Series

Pharmaceutical Wholesalers: The Hidden Middlemen

Three companies control 98% of U.S. drug distribution. How they work, why they matter, and what their vertical integration means for physicians and patients.

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Inefficiency Insights

When Patients Can't Afford Life-Saving Medications

When insurance status determines care access: A resident physician's frontline view of the uninsured crisis and solutions that could help.

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Residency Reflections

AI Won't Fix Prior Authorization—Here's Why

AI is speeding up prior authorization denials and appeals—but not solving the problem. A resident physician explains why this matters.

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Sunday Huddle

Amazon's Prescription Kiosks Will Succeed Where Others Failed

Amazon Pharmacy kiosks let patients grab prescriptions after appointments. Learn why this embedded model succeeds where autonomous kiosks failed.

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Concepts

Transformative AI vs Efficiency AI in Healthcare

Transformative AI eliminates broken processes instead of just automating them. Learn the difference and why it matters for healthcare's future.

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Inefficiency Insights

Why HCAHPS Surveys Fail: The Case for Real-Time Patient Feedback

HCAHPS surveys arrive weeks after discharge, making it impossible to improve patient experience in real time. Here's how AI could fix this.

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