Matthew Holt (@boltyboy.bsky.social) reply parent
Fair point
Health Care Curmudgeon Was Health 2.0; Now @THCBStaff blog & #THCBGang Podcast AND @smackhealth health tech advisory Topics: health, tech, politics, soccer
964 followers 554 following 426 posts
view profile on Bluesky Matthew Holt (@boltyboy.bsky.social) reply parent
Fair point
Matthew Holt (@boltyboy.bsky.social)
“So far AI in health care is being used to drive existing profits on workflows and increase revenue per event that patients in the end have to pay for. That’s not a win for anyone long term!” @includedhealth.bsky.social CEO Owen Tripp on the future use of AI thehealthcareblog.com/blog/2025/09...
Matthew Holt (@boltyboy.bsky.social)
Always knew Vinny Prasad was a fool. Didn't realize he was a coward too. YouTube & Alphabet don't exactly cover themselves in glory too www.theguardian.com/us-news/2025...
Matthew Holt (@boltyboy.bsky.social)
On a day when RFK Jr is destroying the CDC, here's a practical suggestion from Gregory Hopson as to how he might get himself and us out of this mess thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social)
@kimbbellard.bsky.social is very distressed about the state of politics and has decided the answer is to write a really stern letter! thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social)
Jason Hines drops the other shoe on pricing & compares a big OBGYN clinic with its rivals. For one procedure it's getting 3 x the actual payment from the same plan that a competitor gets. You almost might end up sympathizing with @UHC after you read this! thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social)
How much power do providers have vs plan in different markets? Jason Hines from Gigasheet has a very interesting look at the shenanigans between @UHC & a big OBGYN provider in the mid-Atlantic called @CapitalWomens Care. thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social)
Today THCB is featuring a new author, Chinelo Grace Chigozie, who has concluded that transparency laws in the US aren't worth much without regulatory teeth thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social)
They are back! More on the Unified Health Data Platform and which systems should buy what from whom. Neil P. Jennings & Vince Kuraitis dive into the details in their ongoing series thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social) reply parent
My local classic rock station precedes that ad with a message saying that they do not agree with it in very strong terms
Matthew Holt (@boltyboy.bsky.social)
The week after ChatGPT5 came out is as good a time as any for @kimbbellard.bsky.social to be both optimistic and very worried about the the societal and economic impacts of AI thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social)
Noem shooting the puppies...
Matthew Holt (@boltyboy.bsky.social)
Ami Parekh is the Chief Health Officer & Ankoor Shah is VP, Clinical Excellence at @includedhealth.bsky.social. I had a long conversation with them about the philosophy of how we are doing population health and how we fix the system that we have today. thehealthcareblog.com/blog/2025/08...
Alan White (@aljwhite.bsky.social) reposted
New YouGov polling. A monumental failure of our political class to educate, a monumental failure of our media to report fairly, for a generation
Matthew Holt (@boltyboy.bsky.social)
Nearly 50 years on from its introduction Michael Millenson isn't too impressed with what passes for shared decision making. Will AI improve the patient experience? thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social) reply parent
I assume there's a needed drug you're not taking enough of. Probably whisky
Matthew Holt (@boltyboy.bsky.social)
Ha! @boltyboy.bsky.social joins Emily Peters to help her prep for her upcoming book Money Remaking Medicine. The whole thing got into HMOs, health costs, drug prices, et al. Dawn Ellison played host at the Healthcare Reinvention Collaborative. thehealthcareblog.com/blog/2025/08...
Matthew Holt (@boltyboy.bsky.social) reply parent
All completely normal...
Matthew Holt (@boltyboy.bsky.social)
If you care about AI and care about patient care you MUST see this demo of CureWise from OG digital health guy Steve Brown. He's building a multi-LLM multi-AI Doctor expert system to analyze first his, and then others' cancer data. Fascinating stuff thehealthcareblog.com/blog/2025/07...
Matthew Holt (@boltyboy.bsky.social)
While you have been worrying about whether you drank 8 glasses of water today, @kimbbellard.bsky.social has also been worrying & he is much more worried than you are. Cities are running out of water, cities are sinking, and we are running out of renewable water thehealthcareblog.com/blog/2025/07...
Matthew Holt (@boltyboy.bsky.social)
Today Sword Health is releasing a new product doing back office admin. That's totally different from their MSK and mental health treatment lines. And it's not mentioned by their CEO Virgílio (“V”) Bento in this interview. But pricing & valuation is! thehealthcareblog.com/blog/2025/07...
Matthew Holt (@boltyboy.bsky.social)
Apparently Gen Z is now reduced to staring at us old boomers who don't know what is going on in the world. @kimbbellard.bsky.social thinks that they should be staring at the health care system the same way! thehealthcareblog.com/blog/2025/07...
Deadly Headley (@deadlyheadley.bsky.social) reposted
God bless South Park
Matthew Holt (@boltyboy.bsky.social)
Today Owen Tripp is on The Health Care Blog wondering why "The entity that can deliver the healthcare AI experience people deserve likely doesn’t exist quite yet." So what does it need to do and who is going to do it? thehealthcareblog.com/blog/2025/07...
Matthew Holt (@boltyboy.bsky.social)
It's time to figure out that's going to happen when we combine facial recognition technology, AI, gait (walking) analysis and spying. A whole lot. Jensen Huang is talking about it and Mike Magee is worried thehealthcareblog.com/blog/2025/07...
Matthew Holt (@boltyboy.bsky.social)
A just excellent assessment of what's really going on in immigration in the US, and how the Republicans have blocked solving this issue for ever heathercoxrichardson.substack.com/p/july-14-2025
Matthew Holt (@boltyboy.bsky.social) reply parent
The most pathetic narcissistic thing he has ever done was refuse to get out of the way of the Chelsea team today when he gave them the cup. Why did he deserve to celebrate with them??
Matthew Holt (@boltyboy.bsky.social) reply parent
Are we sure this is from the Eye and not a photocopy of the Daily Mail?
Matthew Holt (@boltyboy.bsky.social)
You've probably been worried that The Health Care Blog's worrier in chief @kimbbellard.bsky.social hasn't been worried enough lately. But don't worry, he is back with a lot of concerns thehealthcareblog.com/blog/2025/07...
Matthew Holt (@boltyboy.bsky.social) reply parent
Ha. Never seen that but I went to the game. 1st Brazilian goal was offside by the laws then (but wouldn't be now)....terrible refereeing. Bergkamp's goal was brilliant & a fun time had by all
Matthew Holt (@boltyboy.bsky.social)
The tragedy of the Texas floods reminds Mike Magee of an inconvenient truth thehealthcareblog.com/blog/2025/07...
The Tennessee Holler (@thetnholler.bsky.social) reposted
At a doctor’s office — with no warrants, masked, no ID 😳 What are we doing? 🇺🇸
Tim Onion (@bencollins.bsky.social) reposted
Reminder that Elon is still suing Media Matters in like 15 different venues for reporting that Nazi content even appears on Twitter. Now the bot that’s trained on the site’s tweets sounds like Rappin’ Goebbels.
Matthew Holt (@boltyboy.bsky.social)
The @sfgiants.com win on an inside the park walk off homer that cannons off the top of the brick wall in right field
Bradley Whitford (@bradleywhitford.bsky.social) reposted
Hey @gavinnewsom.bsky.social @governor.ca.gov, @mayor.lacity.gov we need clear information from state and local authorities on what our rights are when confronted by masked unID ed agents who are now disappearing, neighbors, co-workers and family members. Please have comms post on all platforms.
Matthew Holt (@boltyboy.bsky.social) reply parent
We can name one easy
Matthew Holt (@boltyboy.bsky.social) reply parent
Presumably wifey cut him off and he needs the cash
Matthew Holt (@boltyboy.bsky.social) reply parent
I remember voting in every primary. More Democrats voted for the other guy/gal
Matthew Holt (@boltyboy.bsky.social) reply parent
Great story teller. His book "Crazy from the Heat" is both nuts and compelling reading
Matthew Holt (@boltyboy.bsky.social) reply parent
Not the least of which is Thiel is a verified tad cheat
Matthew Holt (@boltyboy.bsky.social)
Did you know that Medicaid health plans are not really allowed to send a text to their members? Do you think that will make it easier if all of a sudden those members have to report their work status? Abner Mason has you covered on the topic thehealthcareblog.com/blog/2025/06...
Matthew Holt (@boltyboy.bsky.social) reply parent
Apparently telling the truth gets you fired from @abcnewsbot.bsky.social
Matthew Holt (@boltyboy.bsky.social) reply parent
Then they'll all be happy to be fired when the agency is shut down
Matthew Holt (@boltyboy.bsky.social) reply parent
The question is how long will the market put up with Omada losing money
Tea Pain (@teapainusa.bsky.social) reposted
Trump ain’t trying to stop violence. He’s trying to create it. Hold fast, Los Angeles!
Matthew Holt (@boltyboy.bsky.social) reply parent
Every so often I start feeling respect for Djokovic then I see something like this
Matthew Holt (@boltyboy.bsky.social) reply parent
Well we didn't get blown up and we did get a great movie out of it....must rewatch War Games Of course the Russians had a similar issue www.reddit.com/r/interestin...
Aaron Reichlin-Melnick (@reichlinmelnick.bsky.social) reposted reply parent
According to Rep. Jimmy Gomez, ICE has had to stand up tends next to the federal building and is forcing people to sleep outside. Inside the building, lights go off at 5:00PM, leaving families alone in the DARK, where they've had to wait for over 12 hours to get food or WATER.
Matthew Holt (@boltyboy.bsky.social) reply parent
Throwing them out of helicopters is next. ICE would love to do that
Matthew Holt (@boltyboy.bsky.social)
The conversation about PSA testing and prostate cancer that's exploded with Joe Biden's diagnosis and screening or lack of it won't die down Kelli Deeter comes at this from being an NP, and reminds us that patient choice is important thehealthcareblog.com/blog/2025/06...
mungonna8.bsky.social (@mungonna8.bsky.social) reposted reply parent
You should start an On Line Course :..How To Be A Gentleman.. btw..did ya catch this one? They even got you in it.
Matt Novak (@paleofuture.bsky.social) reposted
The fight between Musk and Trump is fundamentally all about people losing their healthcare. If you don’t know how to capitalize on that and you keep insisting it’s all a distraction you need to find another line of work.
Matthew Holt (@boltyboy.bsky.social)
Ok but it's cold!
Oliver Alexander (@oalexanderdk.bsky.social) reposted
I told you that the foreshadowing this season was lazy and forced.
Matthew Holt (@boltyboy.bsky.social)
How is the NIH like a Crawfish restaurant in New Orleans? Gregory Hopson thinks that if you take away the ambience and fire the wait staff, the customer ambience may not be so great.... thehealthcareblog.com/blog/2025/06...
Matthew Holt (@boltyboy.bsky.social)
How is the NIH like a Crawfish restaurant in New Orleans? Gregory Hopson thinks that if you take away the ambience and fire the wait staff, the customer ambience may not be so great.... thehealthcareblog.com/blog/2025/06...
Matthew Holt (@boltyboy.bsky.social)
Today Included Health 's CEO Owen Tripp talks with @boltyboy.bsky.social about the company's all in one personalized healthcare. Underlying all this is a data integration and analytics platform that's now being used by some of the biggest employers thehealthcareblog.com/blog/2025/06...
Stan Oklobdzija (@stano.bsky.social) reposted
Insurance co's have been dropping coverage all over the Gulf Coast for the past several years and millions are either relying on scam companies, near bankrupt state gov. insurers or just forgoing coverage. There are wealthy people in FL that can eat the loss, but a hurricane will ruin LA, MS or AL.
Kevin M. Kruse (@kevinmkruse.bsky.social) reposted
If you want to astound a younger American today, tell them that thirty years ago there was actually a years-long investigation into a president's personal business dealings and, even better, it centered on a real estate venture where he *lost* money.
Matthew Holt (@boltyboy.bsky.social)
Want to learn about the new blood sensors, CAR-T, and diagnostic floss? @kimbbellard.bsky.social has you covered thehealthcareblog.com/blog/2025/06...
Joe Walsh (@walshfreedom.bsky.social) reposted
This.👇
Matthew Holt (@boltyboy.bsky.social)
Surely RFK Jr knows more about pregnancy than @acog.org!
Matthew Holt (@boltyboy.bsky.social)
Apparently AI is merely a tool for product development and its use has to be rooted in practicality. Michael Millenson attempts to defuse the hype thehealthcareblog.com/blog/2025/05...
Your Internet Friend Tom Tomorrow (@tomtomorrow.bsky.social) reposted
oh hey look who's back www.dailykos.com/stories/2025...
George Takei (@georgetakei.bsky.social) reposted
DOGE is not unstoppable. The courts stand in the breach.
Matthew Holt (@boltyboy.bsky.social) reply parent
Reminds me of when I took my 8 yr old boy to see the Top Gun sequel and he asked me why all that talking was interrupting the flying
Matthew Holt (@boltyboy.bsky.social)
If you haven't been poor don't legislate for the poor
Mueller, She Wrote (@muellershewrote.com) reposted
“If you haven’t been poor, don’t legislate for the poor.” - Rep Lateefah Simon, CA-12
Matthew Holt (@boltyboy.bsky.social) reply parent
Ok I started listening. I lasted 45 seconds after the "singing" started. I mean a bunch of geniuses invented AI and it gets used for this?
Matthew Holt (@boltyboy.bsky.social) reply parent
Will likely end up in the list of heroic failures!
David Shaywitz (@dshaywitz.bsky.social) reposted
Excellent new piece by @boltyboy.bsky.social trying heroically to make sense of the storm of activity in AI & health: thehealthcareblog.com/blog/2025/05... . Might also have also added the agentic AI-for-orchestration stuff that Microsoft has recently highlighted, and others are working on as well.
Matthew Holt (@boltyboy.bsky.social) reply parent
Well however he says his name he got Altman to pay him $100m per employee which is friggin nutso, and one of the greatest tech sales of all time
Matthew Holt (@boltyboy.bsky.social) reply parent
Ok but "Jony" should be pronounced as if it rhymes with "Tony"
Matthew Holt (@boltyboy.bsky.social) reply parent
That too. Well spotted
Matthew Holt (@boltyboy.bsky.social) reply parent
I just want to know why Johnny spells his name wrong
Matthew Holt (@boltyboy.bsky.social)
Understanding who is going to provide what AI to health systems is very confusing. Or at least @boltyboy.bsky.social is pretty confused. He lays out the landscape of AI in a world of LLMs, EHRs that use AI, point solutions, internally built products and more. thehealthcareblog.com/blog/2025/05...
Matthew Holt (@boltyboy.bsky.social)
Sidecar Health is an insurer that has created a visible pricing market for its employer and employee clients. CEO Patrick Quigley took me through the idea and the demo of the process. Def one to watch thehealthcareblog.com/blog/2025/05...
Matthew Holt (@boltyboy.bsky.social)
He's petrified about most things but today @kimbbellard.bsky.social has been looking into some of the cooler things coming out of the labs. Biomarkers via selfies and in vivo 3d printing. They qualify all right! thehealthcareblog.com/blog/2025/05...
Matthew Holt (@boltyboy.bsky.social)
The longevity movement with its metrics and dashboards is having a moment. David Shaywitz has done a deep dive and he thinks we need to do more than just track metrics, but to think about a wider vision of health thehealthcareblog.com/blog/2025/05...
Matthew Holt (@boltyboy.bsky.social)
The Medicare Advantage Stars system matters massively for the finances of MA plans but doesn't do much for the actual quality and outcomes of those plans. New @THCBstaff contributor Emmanuel Animashaun, MD has some solid ideas on how to reform it thehealthcareblog.com/blog/2025/05...
Matthew Holt (@boltyboy.bsky.social)
This Medicaid cut issue is getting more and more serious. Linda Riddell & Thomas Wilson weigh in today to remind us all of that the likely impact on hospitals and poor people will be. The answer is not good for them and bad for the rest of us thehealthcareblog.com/blog/2025/05...
Will Bunch (@willbunch.bsky.social) reposted
Growing up in the '70s I'd read about strongman rulers in far-off places like Asia or Africa who had billion-dollar Swiss bank accounts and mansions in the French Riviera while their citizens were mired in poverty, and wondered how that could be allowed to happen Now I know
Matthew Holt (@boltyboy.bsky.social) reply parent
And yet somehow the most extremist Republicans have been winning elections and getting more and more extreme since 1980
Matthew Holt (@boltyboy.bsky.social)
There's no way around it. The vandalism from DOGE and now HHS impacting the NIH is just really bad and may lead to the end of America's leadership in science. @kimbbellard.bsky.social thinks it is an apocalypse. thehealthcareblog.com/blog/2025/05...
Matthew Holt (@boltyboy.bsky.social)
So what the hell happened to United Health Group earlier this month? Should we be buying the dip? Jeff Charles Goldsmith is on THCB with his analysis and he thinks that the 40 year party is coming to a sticky end. thehealthcareblog.com/blog/2025/04...
Matthew Holt (@boltyboy.bsky.social)
Wonderful piece from Dr Mike Magee where he manages to connect Pope Francis's life, the Skadden law firm bending the knee to Trump, Project 2025 and Aton Scalia being a liberal hero! thehealthcareblog.com/blog/2025/04...
Matthew Holt (@boltyboy.bsky.social) reply parent
OMG and the name Peter Thiel emerges early in their wiki....
Matthew Holt (@boltyboy.bsky.social) reply parent
Is that a cosplay lesbian couple? Serious question!
Matthew Holt (@boltyboy.bsky.social)
So I dug into Roon -- the company that is trying to give expert doctor opinions in bite sized pieces. Great demo and conversation with Vikram Bhaskaran & Rohan Ramakrishna MD. Can this tailored approach work in a world of instant AI content? thehealthcareblog.com/blog/2025/04...
Matthew Holt (@boltyboy.bsky.social) reply parent
Well they were $100 a dozen under Biden. Did you forget?
Matthew Holt (@boltyboy.bsky.social)
Convenient excuse. It's almost as if they really were going to work soon!
Matthew Holt (@boltyboy.bsky.social) reply parent
I mean it's not as if they both have authoritarian leaders and nuclear weapons or anything...oh wait
Matthew Holt (@boltyboy.bsky.social)
Quite often @kimbbellard.bsky.social is worried. Fair to say that he is really worried now. thehealthcareblog.com/blog/2025/04...
Matthew Holt (@boltyboy.bsky.social)
What a moron. If the price of a dozen eggs was $10, apparently it's now 70 cents
Matthew Holt (@boltyboy.bsky.social) reply parent
I dunno -- not sure that was $400k well spent by Putin
Matthew Holt (@boltyboy.bsky.social)
Today THCB has a fabulous post about being a parent and being the partner of a parent while undergoing the torture that is medical residency. Emily Johnson lays out how impossible it is and wonders where the options for fixing it might come from thehealthcareblog.com/blog/2025/04...
highly scatological (@raisingonebrow.bsky.social) reposted
I wish more people had listened to @gregpalast.bsky.social: www.gregpalast.com/i-was-on-the...
Raven Onthill (@ravenonthill.bsky.social) reposted
Bump