Health Tech Nerds

Lack of transportation is one of the most commonly cited barriers to healthcare, especially for patients with Medicaid. Non-Emergent Medical Transport or NEMT is an an important and obvious solution, but the system has struggled historically with cost containment and program integrity challenges from the payer side and service inadequacy complaints from beneficiaries. On Monday at 2:15 eastern, Buck Poropatich, VP of Lyft Healthcare, is joining Health Tech Nerds Discussions to chat about what the NEMT business looks like operationally, what they’re seeing and hearing from states and payers about needs, and where NEMT is headed in the coming years. Link to register in the comments!

Building in healthcare requires navigating a level of complexity that can feel overwhelming. Warren Templeton joined us from Health2047 to share practical frameworks and advice to map early product development to commercial strategy, while inspiring confidence that meaningful traction is possible. The highly request recording and writeup is now available on our site. Check it out! https://lnkd.in/gc3Qm82E Thanks again, Warren Templeton!

I had a great time "nerding out" on the Calendar Year 2026 Medicare Physician Fee Schedule (PFS) Final Rule with Martin Cech at Health Tech Nerds! Through a GREAT conversation with Martin (at least I though so!!), we discussed how the budget neutrality requirements in the PFS were prominent in this year's rule-- causing significant redistributions of payment based on what services clinicians typically provide and where they provide them. I specifically talked about the PFS conversion factor and two major policies in the rule: the efficiency adjustment and the indirect practice expense reallocation and what these policies means for different types of clinicians! We touched a little bit on telehealth and skin substitutes, but ran out of time and didn't get a chance to walk through other major policies in great detail. Maybe next time!! Check out our conversation here!: https://lnkd.in/etG93V4H Here is a direct link to the youtube video of our conversation: https://lnkd.in/eKtR7fnA

Thanks for joining us, Jason Ross!

ICYMI, Martin Cech is publishing some neat content on policy

Health Tech Nerds is very excited to host Lauren Makhoul, Sean Dillon, and Amy Hunsberger from Manatt Health for a discussion on Centers for Medicare & Medicaid Services recently released Medicare Physician Fee Schedule tomorrow, November 12th, at 2:15pm eastern. We're going to chat about the rule making process, what's changed since the proposed rule, as well as how it impacts services and prescription drugs. Link to register in the comments! Recording will be available first for Health Tech Nerds community members.

Ever dreamed of spending your Fri AM casually discussing healthcare earnings calls, funding rounds, and other musings? 🤓 Health Tech Nerds will be hanging out in North Loop this Fri doing just that. Join us! Link to register in comments. If you plan to join, we strongly encourage reading the latest Weekly Health Tech Reads newsletters to spark thoughts/questions to share with others. You can read and subscribe on healthtechnerds.com! https://lnkd.in/dfgh22jv

Privia Health's Q3 earnings report and call yesterday were a fascinating read / listen. As is par for the course with Privia, they again posted solid quarterly results. Their consistent performance in an otherwise tumultuous primary care enablement landscape is impressive. A couple of reflections on the quarter: - Privia touted its solid MSSP performance in 2024. For a business that is known for the phrase "its called risk for a reason", it seems to be performing really well in VBC, driven by a thoughtful approach to sharing risk between payers, providers, and Privia. As the tide goes out on global cap, it'll be interesting to see whether Privia leans in more to a narrative around thoughtful VBC expansion via this shared risk approach. It seems like a huge opportunity to me. - Privia's acquisition of Evolent's ACO business introduced an interesting new concept of market entry in a "light" manner via ACOs versus a "full" manner via an aligned medical group. Given the market opportunity in front of Privia, it'll be fascinating to keep an eye on this market entry strategy and how consistently Privia can drive results over time in markets with different approaches around provider alignment. I mentioned in Health Tech Nerds Slack this morning that Privia and Alignment Health both stand out as public health care services businesses that have navigated the past few years of chaos quite well. Underlying that performance across both companies is a key common thread: not overindexing on risk adjustment / global cap contracts. While the rest of the industry sprinted towards those dollars, Alignment and Privia have continued running their races, and it seems to be paying off for both now. I think there are a ton of lessons in these journeys for other healthcare entrepreneurs. I wrote up more reactions from Privia's on our earnings session below, and am excited to host Jason Ross, Privia's EVP of Medical Groups, on Tuesday morning to discuss the Q3 results further. https://lnkd.in/guWExb-Z

Thanks again to our co-host and sponsor, Health2047, for making it possible to bring together several hundred (!!!) folks Monday morning at HLTH. There was a distinct energy in the room as attendees connected with one another ahead of the conference. Over the coming days, our feeds will be full of post-conference reflections, so we’ll keep ours short: there’s no question that HLTH creates a powerful nexus for the industry to help accelerate progress and we show up to further support that. If you didn’t make it out this year but want a chance to hear from Health2047, join us on Nov 12 with Managing Director, Warren Templeton, as he shares insights from his experience partnering with founders to shape product and commercial strategies. Link to register in comments.

We're just days out from HLTH and can't wait to kick off the conference with Health2047 on Monday AM. Join us for breakfast! Details in the comments. Can't make it to HLTH? Hear from Health2047 Managing Director, Warren Templeton, virtually on Nov 12 as he shares insights from his experience partnering with founders to shape product and commercial strategies. https://lnkd.in/g88SbiHb