June 4, 2023

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Health Care & Medical

3 min read

One Medical joins Amazon to make it easier for people to get and stay healthier

3 months ago Sechan

For a limited time, One Medical membership is available to new U.S. customers for $144 (28% discount) for the first year—the equivalent of only $12 per month.

Amazon and One Medical announced that Amazon completed its acquisition of One Medical. One Medical’s seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses, and mental health concerns have been delighting people for the past 15 years. Together, Amazon and One Medical look to deliver exceptional health care to more people to achieve better health outcomes, better care experiences, and more value, within a better care team environment. For a limited time, One Medical is offering annual memberships at the discounted price of $144 for the first year (regularly $199 per year), the equivalent of $12 per month, to new customers. Redeem the One Medical membership promotion and learn more about what’s included.

“We’re on a mission to make it dramatically easier for people to find, choose, afford, and engage with the services, products, and professionals they need to get and stay healthy, and coming together with One Medical is a big step on that journey,” said Neil Lindsay, senior vice president of Amazon Health Services. “One Medical has set the bar for what a quality, convenient, and affordable primary care experience should be like. We’re inspired by their human-centered, technology-forward approach and excited to help them continue to grow and serve more patients.”

“One Medical has been on a mission to help transform health care through its human-centered and technology-powered model to delight people with better health, better care, and better value, within a better team environment,” said Amir Dan Rubin, CEO of One Medical. “We now set our sights on delivering even further positive impacts for consumers, employers, care teams, and health networks, as we join Amazon with its long-term orientation, history of invention, and passion for reimagining a better future.”

“If you fast forward 10 years from now, people are not going to believe how primary care was administered. For decades, you called your doctor, made an appointment three or four weeks out, drove 15-20 minutes to the doctor, parked your car, signed in and waited several minutes in reception, eventually were placed in an exam room, where you waited another 10-15 minutes before the doctor came in, saw you for five to ten minutes and prescribed medicine, and then you drove 20 minutes to the pharmacy to pick it up—and that’s if you didn’t have to then go see a specialist for additional evaluation, where the process repeated and could take even longer for an appointment,” said Amazon CEO Andy Jassy. “Customers want and deserve better, and that’s what One Medical has been working and innovating on for more than a decade. Together, we believe we can make the health care experience easier, faster, more personal, and more convenient for everyone.”

One Medical sets a high bar for human-centered primary care experiences:

Access to primary care where, when, and

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3 min read

ChatGPT Won’t Fix Healthcare, But It Might Save Doctors Some Time

3 months ago Sechan

In a healthcare industry still burdened with 1960s technology, generative AI may offer a little relief — but companies are still working to overhaul a broken system that’s keeping doctors and nurses more focused on paperwork than patients.

By Katie Jennings and Rashi Shrivastava, Forbes Staff

Every week, Eli Gelfand, chief of general cardiology at Beth Israel Deaconess Medical Center in Boston, wastes a lot of time on letters he doesn’t want to write — all of them to insurers disputing his recommendations. A new drug for a heart failure patient. A CAT scan for a patient with chest pain. A new drug for a patient with stiff heart syndrome. “We’re talking about appeal letters for things that are life-saving,” says Gelfand, who is also an assistant professor at Harvard Medical School.

So when OpenAI’s ChatGPT began making headlines for generally coherent artificial intelligence-generated text, Gelfand saw an opportunity to save some time. He fed the bot some basic information about a diagnosis and the medications he’d prescribed (leaving out the patient’s name) and asked it to write an appeal letter with references to scientific papers.

ChatGPT gave him a viable letter — the first of many. And while the references may sometimes be wrong, Gelfand told Forbes the letters require “minimal editing.” Crucially, they have cut the time he spends writing them down to a minute on average. And they work.

Gelfand has used ChatGPT for some 30 appeal letters, most of which have been approved by insurers, he says. But he’s under no illusion that ChatGPT or the AI that powers it is going to save the U.S. healthcare system anytime soon. “It’s basically making my life a little easier and hopefully getting the patients the medications they need at a higher rate,” Gelfand says. “This is a workaround solution for a problem that shouldn’t really exist.”

That problem: The U.S. spends more money on healthcare administration than any other country. In 2019, around a quarter of the $3.8 trillion spent on healthcare went to administrative issues like the ones bemoaned by Gelfand. It’s estimated around $265 billion of that was “wasteful” — unnecessary expenditures necessitated by the antiquated technology that undergirds the U.S. healthcare system. Gelfand can use a chatbot to electronically generate an appeal letter. But he has to fax it to the insurer. And that encapsulates the challenge facing companies hoping to build time-saving AI back-office tools for a healthcare system stuck in the 1960s.

Cut The “Scut”

The fax machine isn’t going away anytime soon, says Nate Gross, cofounder and chief strategy officer of Doximity, a San Francisco-based social networking platform used by two million doctors and other healthcare professionals in the U.S. That’s why Doximity’s new workflow tool, DocsGPT, a chatbot that helps doctors write a wide range of letters and certificates, is connected to its online faxing tool.

“Our design thesis is to make it as easy as possible for doctors to interface with

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3 min read

Inflation and money woes are forcing Americans to delay medical care : Shots

3 months ago Sechan

Substitute teacher Crystal Clyburn, 51, doesn’t have health insurance. She got her blood pressure checked at a health fair in Sarasota, Fla.

Stephanie Colombini/WUSF


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Stephanie Colombini/WUSF

Substitute teacher Crystal Clyburn, 51, doesn’t have health insurance. She got her blood pressure checked at a health fair in Sarasota, Fla.

Stephanie Colombini/WUSF

At a health-screening event in Sarasota, Florida, people milled around a parking lot waiting their turn for blood pressure or diabetes checks. The event was held in Sarasota’s Newtown neighborhood, a historically Black community.

Local resident Tracy Green, 54, joined the line outside a pink and white bus offering free mammograms.

“It’s a blessing, because some people, like me, are not fortunate and so this is what I needed,” she said.

Green said she wanted the exam because cancer runs in her family. And there’s another health concern: her breasts are large and cause her severe back pain. A doctor once recommended she get reduction surgery, she said, but she’s uninsured and can’t afford it.

In a recent Gallup poll, 38% of Americans surveyed said they had put off medical treatment last year due to cost, up from 26% in 2021. The new figure is the highest since Gallup started tracking the issue in 2001.

A survey by The Kaiser Family Foundation last summer showed similar results. It found people were most likely to delay dental care, followed by vision services and doctor’s office visits. Many didn’t take medications as prescribed.

The health screening event is part of an ongoing effort provide health services to low-income Floridians who are uninsured. Attendees could have their blood pressure checked or receive screenings for diabetes. A bus also delivered mammogram services.

Stephanie Colombini/WUSF


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Stephanie Colombini/WUSF

The health screening event is part of an ongoing effort provide health services to low-income Floridians who are uninsured. Attendees could have their blood pressure checked or receive screenings for diabetes. A bus also delivered mammogram services.

Stephanie Colombini/WUSF

The neighborhood screening event in Newtown — organized by the non-profit Multicultural Health Institute in partnership with a local hospital and other health groups — is part of an effort to fill in the coverage gap for low-income people.

Tracy Green explained that her teeth are in bad shape too, but dental care will also have to wait. She doesn’t have health insurance or a stable job. When she can, she finds occasional work as a day laborer through a local temp office.

“I only make like $60 or $70-something a day. You know that ain’t making no money,” said Green. “And some days you go in and they don’t have work.”

If she lived in another state, Green might have been able to enroll in Medicaid. But Florida is one of eleven remaining states that haven’t expanded the program to cover more working-age adults. With rent and other bills to pay, Green says her health is taking a backseat.

“I don’t have money to go to the dentist,

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3 min read

2022’s most interesting health care research papers, according to the experts

3 months ago Sechan

Though the pandemic and all its attendant health care crises remained the major health care story of 2022, churning all the while in the background has been the critical work of academic scholars, operating on longer timelines, who are still trying to make sense of US health care and of medicine itself, to get a better idea of what’s wrong and how to make it better.

To wrap up this year, I asked a couple dozen health policy experts what research released this year (though, as one of them reminded me, these papers are often years in the making) had surprised them, changed their thinking, or struck them as especially notable.

Here are five particularly interesting papers, at least in my view. Because many more than that warrant mention, I have tried to cram in as many references to other work as I could. One of my lessons from this exercise was that there are noteworthy new studies being produced all the time. The US health system certainly merits such extensive investigation, given the number and diversity of its flaws.

These studies cover a broad range of subjects, from the intricacies of Medicaid provider networks to prescription uptake by Medicare beneficiaries to how bystanders react when a person experiences a cardiac episode in public. But first, on the topic of the pandemic…

1) Vaccination education campaigns in nursing homes didn’t make much difference

Several experts pointed me to data sets related to Covid-19 vaccination in nursing homes, the scenes of so much illness and death in that frightening first year of the pandemic. Larry Levitt, executive vice president of the Kaiser Family Foundation, flagged one recent KFF survey that found less than half of nursing-home residents are up to date on their vaccines.

That put into sharp relief the findings of a study that Harvard Medical School’s David Grabowski cited as one of his favorites of the year. The paper, published in JAMA Internal Medicine in January 2022, evaluated an effort to use educational campaigns and other incentives to improve vaccination rates among residents and staff in nursing homes.

They did not find a meaningful effect, despite three months of programming. There was plenty of room to grow, particularly among the staff, roughly half of whom were unvaccinated during the study period. (Vaccination rates among residents were already high at the time, though the experiment still did not find a significant effect of the multi-faceted campaign.)

“The conventional wisdom was that a big part of lagging vaccination rates was a lack of information and knowledge about the benefits of vaccination,” Grabowski said. But this study found instead that “these educational efforts were unsuccessful at encouraging greater vaccination. Although information campaigns sound like great policy, they really aren’t.”

He lamented that the study had been ignored by policymakers, noting federal efforts to increase vaccination rates among this population remain focused on education. Grabowski said the policies with the strongest evidence are vaccine clinics and vaccine mandates for staff.

2) Medicaid’s

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3 min read

Is Affordable Health Care Impossible? How Patients Find Ways to Lower Costs

3 months ago Sechan

This story is part of Priced Out, CNET’s coverage of how real people are coping with the high cost of living in the US.

Evan Stewart has epilepsy, so going a day without health insurance isn’t an option. When he left his job in the medical field to tour with his musical band, he was able to keep his benefits through COBRA. That meant a large part of his income — $800 a month — went toward keeping that coverage until he qualified for another insurance plan with his new employer. 


Brandon Douglas/CNET

The cost wasn’t bad considering the alternative. “If a seizure lasts me more than five minutes, an ambulance has to come to my house, and then I’ll probably go to the emergency room,” said Stewart, who lives in Seattle. “Without insurance, the ambulance ride would bankrupt me, and the hospital stay would keep me in medical debt for the rest of my life.” 

Stewart was nervous about switching his job because he didn’t want to give up his health care benefits. That’s fairly common in the US: One out of every six adult workers who get medical insurance through an employer stay in their jobs out of fear of losing coverage, according to a recent Gallup poll. While the majority of larger employers offer health benefits, annual premiums have soared in the last decade, reaching a yearly average of $7,911 for single coverage and $22,463 for family coverage. Many of these plans also have costly copays and high deductibles, requiring employees to pay even more. 

Even with a good insurance policy like Stewart’s, Americans often find themselves paying insurmountable out-of-pocket medical expenses. 

“We have an incredibly complex health care system,” said Amy Niles of the PAN Foundation, a nonprofit that helps underinsured patients in need. “And unfortunately, at the end of the day, a lot of the cost gets shifted onto the patients.” 

That’s why, according to Niles, it’s important to understand the price tag when considering your own health needs. Getting affordable medical care isn’t impossible, but it means sifting through an array of options: from private short-term plans to the Affordable Care Act’s marketplace tiers to government- or state-based insurance, all with different rules, requirements, enrollment dates, premiums and deductibles. It also means becoming a strong self-advocate. If a household can’t afford health insurance, there are other resources that provide help and low-cost care.

‘My heart goes out to all freelancers’

Freelancers and gig workers without access to employer-based plans can jump onto their partner’s plan or apply for Medicaid, but often they have to select the plan they can afford on the health insurance marketplace, commonly referred to as the exchange.

Jeanette Smith

Jeanette Smith

Jeanette Smith, a freelance fiction editor who resides in Dallas, said she has paid anywhere from $150 (with a premium tax credit) to $450 a month for self-employed insurance, and the costs have only been increasing. Though monthly insurance premiums on the exchange vary by

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