Nikhil Krishnan @nikillinit
Thinkboi the only funny + non-jargon healthcare newsletter: https://t.co/61zgESgkhw learn healthcare quickly with crash courses: https://t.co/C6cWc5YHK7 outofpocket.health New York Joined September 2013-
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my quick thoughts on the walmart primary care stuff 1) it's virtually impossible to make primary care economics work unless it's a loss-leader to other services or takes risk. Maybe one of the reasons CVS pushes forward while all the others push back is because of the attached…
It's the last week to register for @nikillinit and my Healthcare Product 201 course! One of my favorite parts of the course is having students interview real healthcare buyers live, folks with P&L and vendor purchasing ownership, something PMs get too little exposure to.
A reminder - if you’re an early stage employee and your company grows to a mid/late stage company, you need to negotiate your annual raises much more aggressively You most likely got a low cash offer when the company was early - every negotiation is anchored on that amount
I am "actually reading the direct mail flyers to see if there are good deals" years old
1 in 5 Medicare dollars goes to treating kidney disease - scaling up xenotransplantation can be a massive economic boost
Tired: having that dog in you Wired: having that pig in you
Tired: having that dog in you Wired: having that pig in you
Christina Farr @chrissyfarr
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38K Followers 327 Following Building products and companies at Sutter Hill Ventures in Silicon Valley and London@nxpatel @nikillinit A major pharmacy I worked with created an incredibly effective program using pharmacists as certified diabetic educators. Never could get reimbursement, so they shut it down. Incredible waste. Biggest issue was that health services don't traditionally get reimbursed by PBMs
@nikillinit canada has been a good case study for RPh expanded scope, especially rural - lots of data pointing towards favourable patient outcomes (minor ailments have become a major part of pharmd curriculum in recent years, dispelling the usual ‘but they’re not trained!’ quips)
@nikillinit Either way, very interested in #3. Pharmacists get training as educators for many chronic diseases, function as independent prescribers elsewhere, and trials to date look promising (bmj.com/content/380/bm…). Sorting out payment/incentives for pharmacist services would be tricky.
@nikillinit Really curious if the decision to shut down was driven more by a) the opportunity cost of using clinic real estate for retail sales vs. b) unprofitability of the clinics themselves (or both!).
Genuinely sad to see this program close. Walmart seemed to have the (rare) economics to make rural care at scale work, and without them I’m not sure who fills that need
my quick thoughts on the walmart primary care stuff 1) it's virtually impossible to make primary care economics work unless it's a loss-leader to other services or takes risk. Maybe one of the reasons CVS pushes forward while all the others push back is because of the attached…
Endorse.
my quick thoughts on the walmart primary care stuff 1) it's virtually impossible to make primary care economics work unless it's a loss-leader to other services or takes risk. Maybe one of the reasons CVS pushes forward while all the others push back is because of the attached…
as a man who loves edi and apis and networks, hard not to recommend this one. great stuff @nikillinit outofpocket.health/p/breaking-dow…
Simple ex: Salary offers for experienced NPs can reach $250K to work in CA's Central Valley. Half the residents in Fresno or Kern counties are on Medicaid, which pays $82 for a 20-min visit. At that rate, you need ~15 visits per day just to cover the NP's salary & benefits.
8/ One of their main challenges was cost of staffing- they even tried to grow their own workforce, but there's real competition for healthcare workers, and primary care doctors in health professional shortage areas are ... hard to find. x.com/farzad_md/stat…
It's the last week to register for @nikillinit and my Healthcare Product 201 course! One of my favorite parts of the course is having students interview real healthcare buyers live, folks with P&L and vendor purchasing ownership, something PMs get too little exposure to.
This was a ton of fun. @nikillinit did a great writeup of EDI in the healthcare world and the sort of problems we're solving.
new post - a write up of what electronic data interchange is, X12, and how @stedi works if you've ever wondered why prior authorizations or eligibility checks are so painful in healthcare, understand X12 and its limitations are part of that
@nikillinit X12 EDI is a manmade horror. IYKYK
@nikillinit wrong texture
Level 6 autonomous driving is being able to drive in India.
I always wondered how autonomous vehicles could work in the absolute chaos of driving in India- people don’t always follow the rules, humans and animals are often on roads, etc. This co only raised $3M & is in a tier 2 city (Bhopal) not known for tech. Very impressive.
@nikillinit I think that’s a possible factor! Also probably makes it easier to target wider mainstream adoption if you get more name brands on your financial side versus in potential litigation.
This post on “mission driven” jobs is A+. Huge kudos to @nikillinit for addressing these issues head-on. I plan to adapt this to the career class I’m running @Tufts_Biology next year. outofpocket.health/p/mission-driv…
@nikillinit This post is 🔥🔥🔥— broadly applicable beyond health care. Should be required reading for college juniors/seniors.
giving people a quick shout out online is so underrated if you see something you like, tell the person who made it that it’s awesome three seconds for you but goes a long way for them